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Do private doctors follow national guidelines for managing pulmonary tuberculosis in Pakistan? / Shah, S.K.;Sadiq, H.;Khalil, M.;Noor, A.;Rasheed, G.;Shah, S.M.;Ahmad, N.

Tác giả : Shah, S.K.;Sadiq, H.;Khalil, M.;Noor, A.;Rasheed, G.;Shah, S.M.;Ahmad, N.

Năm xuất bản : 2003

Chủ đề : 1. Aftercare. 2. Antitubercular Agents. 3. Attitude of Health Personnel. 4. Health Knowledge, Attitudes, Practice. 5. Physician's Practice Patterns. 6. Physicians, Family. 7. Private Practice. 8. Referral and Consultation. 9. Sputum. 10. Tuberculosis, Pulmonary.

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Tóm tắt :

776-788 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

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https://iris.who.int/handle/10665/119331