Do private doctors follow national guidelines for managing pulmonary tuberculosis in Pakistan?
AbstractAs 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
Shah, S.K., Sadiq, H., Khalil, M., Noor, A., Rasheed, G. et al. (2003). Do private doctors follow national guidelines for managing pulmonary tuberculosis in Pakistan?. http://www.who.int/iris/handle/10665/119331
EMHJ - Eastern Mediterranean Health Journal, 9 (4), 776-788, 2003
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