With 35 patients testing positive for multi drug-resistant tuberculosis (MDR-TB) in the past three months and five persons suspected of having extensive drug-resistant tuberculosis (XDR-TB) at Sassoon General Hospital,officials at the city TB Control Unit have now directed the private practitioners to report each and every case to the authorities concerned.
Dr Kanchan Jagtap,chief medical officer of the Intermediate Reference Laboratory (IRL),set up in January this year to detect cases of MDR -TB,said that they have received 130 samples from Pune district including Pune Municipal Corporation,Pimpri-Chinchwad Municipal Corporation and Pune rural areas. Of these 35 have been detected positive with MDR-TB and the government’s free-of-cost treatment has now been initiated for patients. The IRL will also confirm whether the samples sent to them were of TB,MDR-TB or XDR – TB.
The confirmed MDR-TB patient has to undergo a 27-month-long treatment regimen,which costs more than Rs 2 lakh in the private sector. “Now,the government is giving medicines free-of-cost,” said Dr S N Gaikwad,associate professor of Pulmonary Medicine at B J Medical College and Sassoon General Hospital.
PMC’s TB Control Unit officer Dr N D Thakur said the state government had issued guidelines directing private practitioners to report each case of TB at their clinic. “Higher-end antibiotics are prescribed to patients who do not respond to treatment. We have appealed doctors to report each case to the authorities as wrong and delayed treatment can worsen the condition of a critical TB patient,” he said.
From January 2011 till January 2012,a total of 3,650 new cases of TB were detected in Pune while 1,857 patients were registered during the same period in Pimpri-Chinchwad. At least 18 persons were tested positive with MDR-TB in Pune while 7 were detected in Pimpri-Chinchwad and the remaining from Pune rural areas. While 150 children were detected with tuberculosis from 2010-11 in PMC area,a total of 142 children were detected with TB in PCMC areas. “The treatment for the same has started at the DOTS Plus site located at Aundh from the past 15 days,” Thakur said.
PCMC health chief Dr R R Iyer said on the occasion of World TB Day on March 24,a meeting will be held at Inamdar Hospital to sensitise private practitioners and involve them in the public-private partnership to control TB.