title: Double trouble: tuberculosis and substance abuse in Nagaland, India.
abstract: The diagnosis and treatment of tuberculosis (TB) in people who use and/or inject illicit drugs (PWUIDs) remains a barrier to achieving universal coverage for TB in India and globally. This report describes treatment outcomes in PWUIDs who received treatment for drug-susceptible TB at the Mon District Hospital in Nagaland, India, during 2012-2013. The median age of the patients was 39 years, and most (92%) were male. Two thirds (33/49) of the patients had a successful TB treatment outcome. A previous TB episode and residence in a semi-urban area were associated with unsuccessful treatment outcomes. Separate diagnostic and treatment algorithms, including regular adherence counselling and opioid substitution therapies, should be considered for PWUIDs.
authors.affiliation: Médecins Sans Frontières, Mon, Nagaland, India.
authors.forename: R
authors.initials: R
authors.lastname: Shenoy
authors.affiliation: Médecins Sans Frontières, Mon, Nagaland, India.
authors.forename: M
authors.initials: M
authors.lastname: Das
authors.affiliation: Médecins Sans Frontières, Mon, Nagaland, India.
authors.forename: H
authors.initials: H
authors.lastname: Mansoor
authors.affiliation: Médecins Sans Frontières, Mon, Nagaland, India.
authors.forename: R
authors.initials: R
authors.lastname: Anicete
authors.affiliation: Médecins Sans Frontières, Mon, Nagaland, India.
authors.forename: L
authors.initials: L
authors.lastname: Wangshu
authors.affiliation: Evergreen Welfare Society, Mon, Nagaland, India.
authors.forename: S
authors.initials: S
authors.lastname: Meren
authors.affiliation: District TB Control Office, Revised National TB Control Programme, Mon, Nagaland, India.
authors.forename: I
authors.initials: I
authors.lastname: Ao
authors.affiliation: Southern Africa Medical Unit, Médecins Sans Frontières, Cape Town, South Africa.
authors.forename: P
authors.initials: P
authors.lastname: Saranchuk
authors.affiliation: Médecins Sans Frontières, Operational Research Unit, Luxembourg city, Luxembourg.
authors.forename: A J
authors.initials: AJ
authors.lastname: Reid
authors.affiliation: Médecins Sans Frontières, Mon, Nagaland, India ; Médecins Sans Frontières, Operational Research Unit, Luxembourg city, Luxembourg.
authors.forename: P
authors.initials: P
authors.lastname: Isaakidis
keywords: IDU; adherence; operational research; opium