Most doctors spend less than ten minutes for the
patient. Any rule of prescription drugs, and that a generic name. About 60
percent of prescribers using the guide lines of the standard TB treatment. With
a smaller number of doctors are aware of the prescriptions. Most medicines are
exempt from the nurse. No hospital pharmacists. Only 30% of patients receiving
appropriate advice in the time allotted.
She said 23% of the patients that they did not take
the medication as prescribed. Have been observed most of the TB cases in the
hospital NISHTER. Only 51% of patients after treatment and a decrease in one
month through a number of reports, the patient goes to then 2 month reported
later in 21% of patients, and reported that only 13% of patients that after three
months of treatment. The 28% of patients who left before being resolved their
symptoms treatment. 30% of patients who show 100% compliance. Met with the
Ministry of Transport and the Ministry of Transport Tuberculosis Tuberculosis
all the requirements, in addition to this is the need to monitor workers'
health patient compliance to treatment were not present in the hospital. There
are no private space for patients with tuberculosis MDR, not doctors or nurses
in the ward precautions to prevent the spread of TB.
Tuberculosis is known as multidrug-resistant as
"TB infection, resistant to at least two first-line drugs such as
isoniazid and rifampicin" (1) The first results of treatment of patients
who suffer from TB MDR study of Pakistan. In this study, the percentage of
39.2% in the treatment of tuberculosis treatment of multidrug-resistant
relatively low rate of drug-susceptible TB (12). Tuberculosis MDR is to develop
opportunities in the patients who were treated by (6).
In this study, we sought to identify the main causes
of tuberculosis MDR in Pakistan. One important reason is the emergence of
function tuberculosis DOT. There TB DOT five points, according to the World
Health Organization (9).
• This is the commitment of the government (including
all levels of political will and build a TB control, recording and centralized
training system and a priority)
• Results of sputum microscopy distortion of each
• by professionals in the health care or community
health workers, at least in the first two months of the direct detection of the
• regular supply of medicines
• Record and unified reporting system that allows
assessment of treatment outcomes (9).
This is the set-aside for the prevention of
resistance to multiple drugs very important point tuberculosis. The third
point, which is a health worker should comply with the system has been totally
lost in the first two months Hospital NISHTER, which is the main reason for
non-compliance of the patient.
The second main reason for the emergence of
drug-resistant TB is a multi-rate literacy and poor lifestyle
Due to the low rate of literacy and style of life of
the patient does not know the difference between most of their symptoms, and
patients leave the treatment to be resolved.
Lack of knowledge and misconceptions about
tuberculosis patients Pakistani rampant. TB patients lack of awareness of their
illness may contribute to the high burden of TB in the country. Most people in
Pakistan do not know the spread of tuberculosis (13) model.
Hospital NISHTER in a similar situation, most people
do not take into account the time for the spread of tuberculosis, and most of
the patients to get rid of them assume that they do not need drugs symptom
Doctors should spend more time and patience, he must
educate patients about the appropriate mode of spread of tuberculosis, as well
as dangerous, if not completed patients during treatment
Medical allocated by qualified pharmacists and
patients about the correct guidance of the time that the patient and the
patient's medication lawyers to complete the treatment.
Tuberculosis MDR, and only when anti-TB drugs of
abuse and mismanagement (14) development. This is a new challenge for the
treatment of TB and MDR. I've been a long time could not be found on the new
drugs anti-TB. Any anti-TB drugs, which developed the new 40 years ago
yesterday (15). Therefore, we must take the necessary precautions to prevent
the emergence of drug-resistant TB multi-
If the program TB-DOT will then later all points
higher clinical success rate and is reduced by the emergence of drug-resistant
TB multiple. Should take into account health professionals in all areas of the
patient, at least during the first two months of the system. This is a point
that is missing completely in hospital procedures TB-DOT Nishtar. If you are
planning TB-DOT fallow that can increase patient compliance will be reduced and
the emergence of drug-resistant TB multiple. It should be on the proper
education of patients of tuberculosis. Pharmacists should be set for the
distribution and advice. The government should support the TB-DOT program and
to ensure that health professionals are the key points and keep track of each
hospital and is being monitored plans TB-DOT in patients treated insisted
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