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dhimanSend an Instant Message to dhiman  




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Quick Scroll tubeculosis 11.27.05 (2 years ago) #1
in category 2 of rntcp only streptomycin is added[HRZES] to category 1[HRZE].
DOES NOT IT SOUND RIDICULOUS THAT ADDITION OF ONLY ONE MORE DRUG WILL CURE relapse,default & failure patients?
probably it will increase CHRONIC PATIENTS MORE DEATH DUE TO T.B.?
LET ME KNOW YOUR IDEAS.
THANKS.
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dhimanSend an Instant Message to dhiman  




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Quick Scroll STREPTOYCIN 11.27.05 (2 years ago) #2
I WANT TO ADD ONE MORE THING.
MOST OF THE PATIENTS OF CATEGORY 2 CAN NOT COMPLETE THEIR FULL QUOTA OF STREPTOMYCIN DUE TO ITS VERY HIGH VESTIBULO-COCHLEAR TOXICITY.
DO YOU AGREE WITH ME?
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jayantaSend an Instant Message to jayanta  




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Quick Scroll 02.02.06 (2 years ago) #3
YES,IT'S TRUE.
BUT WHAT WE CAN DO?
IT'S A NATIONAL PROGRAM.
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zoltSend an Instant Message to zolt  




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Quick Scroll Re: STREPTOYCIN 09.23.07 (11 months ago) #4
dhiman wrote:
I WANT TO ADD ONE MORE THING.
MOST OF THE PATIENTS OF CATEGORY 2 CAN NOT COMPLETE THEIR FULL QUOTA OF STREPTOMYCIN DUE TO ITS VERY HIGH VESTIBULO-COCHLEAR TOXICITY.
DO YOU AGREE WITH ME?

Its not MOST patients. streptomycin dose adjustments are done as per weight, age and kidney functions.
And let me tell this effectively that till date PROPERLY ADMINISTERED DOTS remains the best way to tackle tuberculosis in our country provided all the health care providers are dedicated towards it and look at the interest of the patients rather than the pharma companies!
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Quick Scroll Re: tubeculosis 09.24.07 (11 months ago) #5
dhiman wrote:
in category 2 of rntcp only streptomycin is added[HRZES] to category 1[HRZE].
DOES NOT IT SOUND RIDICULOUS THAT ADDITION OF ONLY ONE MORE DRUG WILL CURE relapse,default & failure patients?
probably it will increase CHRONIC PATIENTS MORE DEATH DUE TO T.B.?
LET ME KNOW YOUR IDEAS.
THANKS.

I know.but cat 2 does result in cure and cat 2 is effective and the results of cat 2 are not that dissapointing.again the major advantage of dots is that the health care provider is the one who is responsible and not the patient and this is the single most important strategy that results in pt. compliance.
every time govt. comes up with some new programme criticism ought to be there.
when dots was 1st introduced shouts were being made about default , failure and relapse pts. but failure rates weren't that high as were expected.
then time came and concerns were being made about MDR TB patients .Govt. has come up with DOTS PLUS.now when dots plus is out concerns are being made about XDR tb.
I would like to point it that when a national programme is being jotted out a list of factors are being taken into account.
just take a scenario where there was no dots ? how many pts. would have afforded akt?leave alone the question of cure rates!
we should applaud the govt. for its efforts.
I agree that there are certain Grey areas in dots like 18 mths to 2 yrs treatment which is generally advocated for seriously ill extra pulmonary pts. is not available in dots but than you can always extend the continuation phase.
you know for the first time in world India has come up with unique weight bands for pediatric dots!
so rather than just critisicing you should also look at the positives!
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Quick Scroll dots plus 09.24.07 (11 months ago) #6
since this thread is on tb and rntcp, any views on DOTS PLUS?
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