title: XDR-TB: an outcome of programmatic management of TB in India.
abstract: A significantly strengthened Revised National Tuberculosis Control Programme (RNTCP) is currently operational in India. In this case-based commentary, we describe the plight of a patient who developed extensive drug-resistant tuberculosis (XDR-TB) despite having received treatment under the RNTCP for a long period. Our aim is to analyse the programmatic management of tuberculosis in India by highlighting and discussing various issues related to the treatment received by the patient. Further, the article explores whether there is a need to incorporate an ethical element into the RNTCP as it stands today.
authors: Assistant Professor, Department of Pulmonary Medicine, Government Medical College, Nagpur 440 003 INDIA.
authors: Gyanshankar
authors: G
authors: Mishra
authors: Professor and Head, Department of Pulmonary Medicine, Government Medical College, Nagpur 440 003, INDIA.
authors: S V
authors: SV
authors: Ghorpade
authors: Medical Officer, Regional Mental Hospital, Nagpur 440 001 INDIA.
authors: Jasmin
authors: J
authors: Mulani
mesh_terms: D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use*; D057210:Delayed Diagnosis / Q000009:adverse effects; D003695:Delivery of Health Care / Q000941:ethics / Q000592:standards*; D019468:Disease Management; D004351:Drug Resistance; D054908:Extensively Drug-Resistant Tuberculosis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D007194:India; D019300:Medical Errors; D015980:Public Health Practice / Q000941:ethics / Q000592:standards*; D016896:Treatment Outcome; D014376:Tuberculosis / Q000188:drug therapy*; D055815:Young Adult
chemical_list: D000995:Antitubercular Agents