Evaluation of Knowledge of MDR-TB among Medicine Training Doctors in Tertiary Care Hospital, Karachi, Pakistan

Main Article Content

Afifa Saulat
Anwar Nabeel Jafri

Abstract

Tuberculosis is the oldest documented infectious diseases in humans and they still cause significant morbidity and mortality. Multi-Drug Resistant Tuberculosis (MDR-TB) is a growing hazard to human health worldwide and threat to control of tuberculosis. WHO estimates 3.2% incidence of MDR TB in new cases. MDR-TB new cases are created each year by a combination of poor patient compliance with treatment and physician error. The purpose of the study is to determine the status of knowledge and awareness amongst the medicine resident about the very basic knowledge of MDR-TB and need to strengthen teaching about tuberculosis to postgraduates so the objective of the study is to determine the frequency of knowledge of MDR –TB among medicine residents (postgraduate trainees) at a tertiary health care hospital Karachi. It is a descriptive based cross sectional study. 58 post graduates trainees were included. A simple questionnaire about MDR-TB was asked to fill in 30 minutes, each correct response will be given 10 marks and those who score 70% will be labeled as knowledgeable. The primary outcome measure was the frequency of knowledge of MDR –TB among medicine residents (postgraduate trainees) at a tertiary health care which turned out to be 65.5% knowledge among postgraduate trainees. So we concluded that there is a need of further studies with larger sample size and follow up studies after educating the trainees more of senior levels so that identification of predictors of mortality, so as to timely diagnose, intervene and hence prevent morbidity and fatalities. It is, therefore, important to develop continuous health education to improve TB knowledge and awareness at different levels.

Keywords:
MDR-TB, medicine training doctors, human health worldwide, tuberculosis.

Article Details

How to Cite
Saulat, A., & Jafri, A. N. (2020). Evaluation of Knowledge of MDR-TB among Medicine Training Doctors in Tertiary Care Hospital, Karachi, Pakistan. Asian Journal of Research in Infectious Diseases, 5(2), 1-7. https://doi.org/10.9734/ajrid/2020/v5i230161
Section
Original Research Article

References

Daniel TM. The origins and precolonial epidemiology of tuberculosis in the Americas: can we figure them out? Int J Tuberc Lung Dis. 2000;4(5):395–400.

Zimmerman MR, Bull NY. Pulmonary and osseous tuberculosis in an Egyptian mummy. Acad Med. 1979;55(6):604–608.

World Health Organization. WHO tuberculosis programme: Framework for effective tuberculosis control. WHO/TB. 1994;94:179.

World Health Organization. Global tuberculosis report 2014. WHO/HTM/TB2014.08. Geneva, World Health Organization; 2014.

Wajid AN, Arshad.H, Mohammad N Fehmida. Status of health professionals’ awareness about resistant tuberculosis. Pak Chest Med. 2010;16(1):4-8.

National guidelines for management of DR tuberculosis, Ministry of Health, Government of Pakistan; 2009.

Javaid A, Hasan R, Ghafoor A, Pathan AJ, Rab A, Sadiq A. Prevalence of primary multidrug resistance to ATT in Pakistan.Int J Tuberc Lung Dis. 2008;12(3):326-31.

Arif K, Ali SA, Amanullah S. Physician compliance with national tuberculosis treatment guidelines: A university hospital study. Int J Tuberc Lung Dis.1998;2:225-30.

Hong Y P, Known D W, Kim S J, et al. Survey of knowledge, attitudes, and practices for tuberculosis among general practitioners. Tubercle Lung Dis. 1995;76: 431–435.

Busari A Adeyemi, O Busari: Knowledge of tuberculosis and its management practices among medical interns in a resource-poor setting: implications for disease control in sub-Saharan Africa. The Internet Journal of Infectious Diseases. 2008;6(2).

Javaid A, Hasan R, Ghafoor A, Pathan AJ, Rab A, Sadiq A. Prevalence of primary multidrug resistance to ATT in Pakistan. Int J Tuberc Lung Dis. 2008;12(3):326-31.

Marsh D, Hashim R, Hassany F, Hussain N, Iqbal Z, Irfanullah A, et al. Front-line management of pulmonary tuberculosis: an analysis of tuberculosis and treatment practices in urban Sindh, Pakistan. Tuberc Lung Dis.1996;77:86-92.

Arif K, Ali SA, Amanullah S. Physician compliance with national tuberculosis treatment guidelines: a university hospital study. Int J Tuberc Lung Dis. 1998;2:225-30.

WHO: Guidlines for the programmatic management of drug-resistant tuberculosis; 2007.

Butt T, Ahmad RN, Kazmi SY, Rafi N. Multi-drug resistant tuberculosis in Northern Pakistan. J Pak Med Assoc. 2004;54(9):469-472.

Karamat KA, Rafi S, Abbasi SA. Drug resistance in Mycobacterium tuberculosis: A four years experience. J Pak Med Assoc. 1999;49(11):262-265.

Irfan S, Hassan Q, Hasan R. Assessment of resistance in multi drug resistant tuberculosis patients. J Pak Med Assoc. 2006;56(9):397-400.

Arsaalan Javaeed. General needs assessment of the undergraduate medical students to integrate courses on medical ethics, time management and communication skills into the bachelor of medicine, bachelor of surgery curriculum of Pakistani medical colleges. Cureus. 2019; 11(4):e4433.

Jurcev Savicević A. Gaps in tuberculosis knowledge among primary health care physicians in Croatia: Epidemiological study. Coll Antropol. 2009; 33(2):481-6.

Akhtar T, Imran M. Management of TB by practitioners of Peshawar. J Pak Med Assoc. 1994;44:280-2.

Khan JA, Zahid S, Khan R, Hussain SF, Rizvi N, Rab A, et al. Medical interns knowledge of TB in Pakistan. Trop Doct. 2005;35:144-7.