0 Recommendations

Under-testing for TB in the Indian private health sector

By Madhukar Pai Moderator | 01 Oct, 2018

Please see this new paper in PLoS Medicine, based on our large, two-city study on quality of TB care delivered by private sector providers in India. The study used standardized (simulated) patients to assess quality of care to 4 different types of TB presentations.

URL: https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1002653

A striking finding is the under-testing that happens in the private sector, and over-use of antibiotics and non-specific therapies, even when primary care practitioners see text-book cases of suspected TB.

This partly explains why TB diagnosis is delayed (about 2 months in India, based on systematic reviews) in many settings, especially in areas with large private/informal sectors.

Replies

 

Kenneth Fleming Replied at 12:49 PM, 1 Oct 2018

Fascinating and frightening in equal measure. Ken

Sandeep Saluja Replied at 9:13 PM, 1 Oct 2018

One major factor in this context is that tuberculosis knows no socioeconomic boundaries in endemic areas.Doctors and patients,however sometimes feel it can only affect the poor and therefore even when the diagnosis is eventually made,there is disbelief!

This Community is Archived.

This community is no longer active as of December 2018. Thanks to those who posted here and made this information available to others visiting the site.