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Volume 6 Journal of Infectious Diseases & Therapy
ISSN: 2332-0877 Infection Prevention 2018
December 06-07, 2018
December 06-07, 2018 | Valencia, Spain
14th World Congress on
Infection Prevention and Control
Treatment outcomes and their association with type of resistance among drug resistant tuberculosis
patients during 2014-2015 in Punjab, Pakistan: A retrospective cohort analysis
Usman Rasool Lodhi
Provincial Tuberculosis Control Program – Punjab, Pakistan
Tuberculosis still the deadliest infectious disease among all communicable infections and DRTB remains an evil for low
income countries like Pakistan. Irrational use of second line drugs including fluoroquinolones and second line injections
along with lack of proper awareness to both level community and treatment provider, less number of diagnostic and treatment
centers, poor adherence to treatment, primary default, infection prevention and lack of technical resources in Punjab may
lead to rise in incidence of DRTB. To find out treatment outcomes and their associations with type of resistance among DRTB
patients in Punjab, retrospective cohort analysis was done. Of the total bacteriologically confirmed DRTB registered patients
at various PMDT sites across Punjab, n=2046 patient’s records were analyzed. Bivariate analysis shows a significant positive
association (relative risk [RR] 1.7 & p-value = < 0•001) between type of resistance and treatment outcome in DRTB patients.
Overall treatment success rate for DRTB in Punjab was 61.14% and favorable outcomes including cured and treatment
completed were 59.4% and 1.7% respectively. While the unfavorable treatment outcomes including died, LTFU, not evaluated,
treatment failure were 22.3%, 9.7%, 3.5%, and 2.7% respectively. Scale up DRTB surveillance activities, contact screening,
integration of DRTB with other public health programs, active case finding among populations will have a positive impact on
drug resistance tuberculosis case notification and control over spread of diseases.
Biography
Usman Rasool Lodhi working as a Provincial MDR-TB Coordinator, and done his research in College of Physicians & Surgeons Pakistan and University of Health
Sciences, Punjab. Currently he is involved in two more research studies related to DRTB in Punjab. He also supports implementation of National Guidelines for PMDT in
Punjab along with technical assistance regarding regimen selection especially on New Drugs and Short Term Regimen for MDR-TB. Before joining PTP, he also worked
with Association for Social Development as a Regional Coordinator and MDR Physician. Since 2013 he is working in public health intervention Program related to Drug
Resistant TB.
Usman Rasool Lodhi, J Infect Dis Ther 2018, Volume 6
DOI: 10.4172/2332-0877-C6-053