title: A home-based approach to managing multi-drug resistant tuberculosis in Uganda: a case report.
abstract: This case report describes an HIV-positive patient with recurrent tuberculosis in Uganda. After several failed courses of treatment, the patient was diagnosed with multi-drug resistant tuberculosis (MDR-TB). As adequate in-patient facilities were unavailable, we advised the patient to remain at home, and he received treatment at home via his family and a community nurse. The patient had a successful clearance of tuberculosis. This strategy of home-based care represents an important opportunity for treatment of patients in East Africa, where human resource constraints and inadequate hospital facilities exist for complex patients at high risk of infection to others.
authors.affiliation: Mildmay Centre, PO Box 24985, Kampala, Uganda. emmanuel.luyirika@mildmay.or.ug.
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Luyirika
authors.forename: Henry
authors.initials: H
authors.lastname: Nsobya
authors.forename: Richard
authors.initials: R
authors.lastname: Batamwita
authors.forename: Pheona
authors.initials: P
authors.lastname: Busingye
authors.forename: William
authors.initials: W
authors.lastname: Musoke
authors.forename: Lillian
authors.initials: L
authors.lastname: Nabiddo
authors.forename: Yvonne
authors.initials: Y
authors.lastname: Karamagi
authors.forename: Barbara
authors.initials: B
authors.lastname: Mukasa