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Indian Journal of Forensic and Community Medicine


Evaluation of revised national tuberculosis control programme (RNTCP) through treatment activity of pulmonary Tuberculosis and sputum smear conversion of registered TB patients


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Research Article

Author Details : Ravindra Y Mandolikar, Raju Hanumant Patil*, Narendra Shriram Madhekar

Volume : 6, Issue : 3, Year : 2019

Article Page : 149-153


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Abstract

Introduction: Tuberculosis is a chronic, communicable, infectious disease caused by Mycobacterium tuberculosis bacilli usually affecting lungs primarily resulting in pulmonary tuberculosis.
Objective: to evaluate the Revised National Tuberculosis Control Programme (RNTCP) through to treatment activity of pulmonary Tuberculosis and sputum smear conversion of patients registered for treatment under RNTCP.
Study design: Observational cross-sectional study.
Setting: under District Tuberculosis Centre, Satara involving all the ten Tuberculosis Units (TUs) namely, Umbraj, Satara, Karad, Patan, Vaduj, Koregaon, Wai, Man, Phaltan and Belair.
Participants: Thus fifty (50) slides of sputum smear positive slides for tuberculosis and fifty (50) slides of sputum smear negative slides for tuberculosis were selected randomly.
Sampling: Simple random sampling.
Study period: from 2012 to 2014.
Results: It was found that among pulmonary tuberculosis cases, majority were on Cat-I and the sputum conversion rate among them by 3 months was found >90% in all the tuberculosis units except Bel-Air tuberculosis unit, though the case detection rate is higher in Bel-Air tuberculosis unit the sputum conversion rate was found low in all 3 years. Regarding sputum conversion rate among re-treatment cases the performance of Karad, Vaduj and Dahiwadi, Phaltan, Bel-Air and Wai tuberculosis units was higher in comparison with other tuberculosis units.
Conclusion: Majority of pulmonary tuberculosis cases were on Cat-I treatment and the sputum conversion rate among them has been achieved above the target. Similar with the Cat-II cases except Bel-Air tuberculosis unit where performance of sputum conversion of Cat-I as well as Cat-II is below average.
 

Keywords: Cat-I, Cat-II, pulmonary tuberculosis, Revised national tuberculosis control programme (RNTCP), Sputum conversion, Tuberculosis units.

Doi : 10.18231/j.ijfcm.2019.034

How to cite : Mandolikar R Y, Patil R H, Madhekar N S, Evaluation of revised national tuberculosis control programme (RNTCP) through treatment activity of pulmonary Tuberculosis and sputum smear conversion of registered TB patients. Indian J Forensic Community Med 2019;6(3):149-153

Copyright © 2019 by author(s) and Indian J Forensic Community Med. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC-BY-NC 4.0) (creativecommons.org)