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Study And Comparison The Knowledge Of Medical And Public Health Students About Control And Treatment Of Tb With Dots Strategy

1102 words - 5 pages

In a study by Jamaati et al., which was conducted to investigate the factors affecting the failure of tuberculosis treatment, following results were obtained. Precise control and supervision of TB with DOTS, reducing delay in definitive treatment of tuberculosis, giving patients more information about their disease, prescription proper treatment and medication by physicians, starting quadruple therapeutic regimen, and full duration of TB treatment can be effective in the prevention of failure in TB treatment and Avoidance of drug resistance. 11
In a study by nasehi et al., which was conducted to investigate the factors influencing health care system delays in the diagnosis and treatment of contagious TB in Iran, following results were obtained. For reducing the duration of healthcare system delay, which is a major part of overall delay in the diagnosis and treatment of patients, it is necessary for healthcare providerss, especially private practitioners, to retrain diagnosis and treatment of this disease in regular intervals and it is required to integrate the topic of TB in medical and paramedical students' curriculum. It is needed to emphasize on necessity of repeating smear test and using chest radiographs in suspected patients if the disease symptoms are persistent. Also it is required to Suspect TB in patients with a history of chronic respiratory diseases if their symptoms become exacerbated. 12
In a study by Tvanaee Sani et al., which was perfomed to investigate the success of DOTS strategy and to estimate the rate of drug-resistant TB in Mashhad using descriptive cross - sectional on all registered TB patients in Mashhad health centers during 1381-1379, following results were obtained. In this study, variables like age, sex, drugs, occupation, marital status, nationality, prison records, type of TB (pulmonary - extrapulmonary) and finally the treatment results were evaluated. Results showed that of 2840 patients, 75% were Iranian and 24% were Afghan, 39.9% were male and 60.1% were female. Highest rate was in people over 65 years old. 1518 persons (53.5%) of these patients had smear positive pulmonary tuberculosis, 437 persons (15.4%) had smear-negative pulmonary TB, 885 patients (31.1%) had Extra pulmonary TB, in 2610 patients (91.9%) were new cases and 1383 persons (48%) had smear positive pulmonary tuberculosis and were new cases. Following the treatment with DOTS, cure rate was 66.2%, 11.9% of patients completed the treatment period, death rate due to TB was 0.7%, death rate due to other causes was 1.3%, death rate due to unknown causes was 4.6%, treatment failure rate was 2.5%, 6.7% of patients refuse to participate in tratment and 6.3% of patients were transferred to other locations. The researchers concluded that the success rate in that study was 78.1% (compared with 85% for WHO), which part of that was due to transfer to other locations, the tratment failure rate was 2.5% (compared with less than 4% of WHO) and the rate of...

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