Tuesday, 8 August 2017
Knowledge and practice of qualified physicians regarding management of tuberculosis in Bangladesh: are they following the national guidelines?
From a forthcoming paper
This study explored current knowledge and practice of in-service trainee physicians (interns) and general practice physicians (GPs) regarding management of tuberculosis cases according to the TB DOTS (Directly Observed Treatment, Short course) guidelines of the National TB control Programme (NTP). The study was conducted during first quarter of 2013 in conveniently selected 20 public and private medical college hospitals. Relevant data were collected from interns working in these hospitals (n=1,474) and GPs (n=539) practicing within half kilometer distance of these hospitals, using a self-administered questionnaire. About 75% physicians were knowing about community based DOTS programme, but only 36% knew the details. Around 40-60% of the physicians treated TB suspects with non-specific antibiotics, 39-44% advised for further tests and a 37-50% did not refer TB patients and suspects to the nearest DOTS corner. Around 39% of the physicians perceived that current curriculum was not conducive for managing TB suspects and patients, and 75% reported that they sought TB information beyond classroom.