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Title: Do private doctors follow national guidelines for managing pulmonary tuberculosis in Pakistan?
Authors: Shah, S.K.
Sadiq, H.
Khalil, M.
Noor, A.
Rasheed, G.
Shah, S.M.
Ahmad, N.
Issue Date: 2003
Language: English
Abstract: As private medical practitioners play a major role of in providing care to pulmonary tuberculosis [TB] patients, a survey was made of knowledge and practice in 2 cities in Pakistan. Only 1 of the 245 physicians was aware that cough > 3 weeks alone is the main symptom suggesting pulmonary TB. The majority diagnosed [80%] and treated [83%] cases themselves without referral. Less than 1% relied on sputum microscopy alone for diagnosis. None of the practitioners were following National TB Control guidelines for prescribing drugs and none ensured compliance with anti-TB treatment under supervision of a doctor/health worker. Only 3% kept records of pulmonary TB patients. None of the physicians assessed the effectiveness of treatment with sputum microscopy alone; the majority [76%] used only clinical assessment
Description: 776-788
Keywords: Aftercare
Antitubercular Agents
Attitude of Health Personnel
Health Knowledge, Attitudes, Practice
Physician's Practice Patterns
Physicians, Family
Private Practice
Referral and Consultation
Sputum
Subject: Tuberculosis, Pulmonary
URI: http://www.who.int/iris/handle/10665/119331
ISSN: 1020-3397
Other Identifiers: http://applications.emro.who.int/emhj/0904/9_4_2003_776_788.pdf
Appears in Collections:EMRO Journal Articles (EMHJ)



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