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The retrospective cohort study was conducted at eight Programmatic Management of Drug Resistant Tuberculosis (PMDT) sites in Sindh and Balochistan and comprised data of patients enrolled in the DR-TB register at PMDT sites during December 2008 to July 2016.
Although we have tried our best to cope with the issues of record keeping at institutional level still there may be the cases in category of no treatment may truly be the re-treatment cases and fall in category of primary MDR TB instead of acquired MDR TB, as such observations have been made by physicians in outpatients and PMDT site of the institution.
Although at the time of study initiation PMDT unit LRH was the only center in Khyber Pukhtoonkhwa (one of the four provinces of Pakistan) where MDR-TB was treated, but being study from a single center, and limited sample size, its results cannotbe generalized.
In order to expand the coverage of PMDT services and to improve upon the limitations of Criteria-A, Criteria-B was implemented, which in addition to Criteria-A incorporated--all smear-positive retreatment pulmonary TB cases at diagnosis; and any smear-positive follow-up of new cases at the end of intensive phase (IP)/later or retreatment cases [1,5].
ISLAMABAD -- Minister for Parliamentary Affairs Azam Khan Swati Wednesday apprised the Senate that the government had upgraded 30 hospitals as Programmatic Management of Drug-resistant Tuberculosis (PMDT) sites for the treatment of drug-resistant TB patients with the financial support of Global Fund for Tuberculosis (TB).
A total of 144 diagnosed patients of MDR-TB under Programmatic Management of Drug-Resistant Tuberculosis (PMDT), registered on Category-IV DOTS between March 2013 and January 2014 were retrospectively analysed for the effect of DM as a comorbidity on:-Mean sputum conversion time and treatment outcome on completion.
Case detection has been increased and none of the patient is refused to serve treatment on Programed Management of DR TB (PMDT) site.
Keywords: Drug-resistant tuberculosis, Mortality, PMDT sites, ENRS.
Programmatic Management of Drug-resistant Tuberculosis (PMDT) was jointly initiated in the Philippines in October 2000 by the private Makati Medical Center in Metro Manila and the Tropical Disease Foundation, Inc., in collaboration with the National TB Control Program and the local government unit, as the first directly observed therapy (DOTS)-plus pilot project for the management of MDR TB approved by the Green Light Committee (7).
Programatic Management of Drug-resistant Tuberculosis (PMDT) formerly known as DOTS-PLUS is an integral component of RNTCP that manages MDR-TB patients under an implemented program infrastructure.
With 13,000 designated microscopy centres, 90 MDR-TB centres, and over 50 testing laboratories in its 692 districts under the Revised National TB Control Programme (RNTCP), the country has achieved 100% nationwide coverage of Programmatic Management of Drug Resistant TB (PMDT) services since March 2013.
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- PMD Cloud-Recognition Algorithm
- PMEL Automated Management System