A survey of prescribing pattern for osteoarticular tuberculosis: Orthopaedic surgeons’ and infectious disease experts’ perspective.
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Date
2009-10
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Abstract
Introduction: This study examines the perspective of senior orthopaedic faculty and infectious disease experts from the
Indian subcontinent and other countries on the appropriate duration of multi drug antitubercular chemotherapy in
osteoarticular tuberculosis.
Material and methods: A questionnaire regarding what antitubercular drugs, their dosage and for how long was asked to
attending faculty in an International Conference on musculoskeletal infections.
Results: Thirty different prescriptions were obtained from a total of 52 respondents. Forty-two respondents voted
against short course (6 months) regimen. The mode value for duration of treatment with isoniazid and rifampicin
treatment in the study was 12 months; for pyrazinamide, it was three months. There was almost no consensus over the
duration of treatment with ethambutol.
Conclusion: There is a strong need to assess long term impact of DOTS in osteoarticular tuberculosis to facilitate the National
Tuberculosis Programme planning, uniform training, wider acceptance, drug ordering and distribution. An effective
communication between those planning national tuberculosis programmes and experts in osteoarticular tuberculosis is essential
for universal acceptance of the management protocols.
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Keywords
Tuberculosis, Chemotherapy, Isoniazid, Rifampicin, Pyrazinamide, Ethambutol
Citation
Agarwal Anil, Arora Anil, Kumar Sudhir. A survey of prescribing pattern for osteoarticular tuberculosis: Orthopaedic surgeons’ and infectious disease experts’ perspective. Indian Journal of Tuberculosis. 2009 Oct; 56(4): 201-205.