What is the Rationality behind CAT II regimen in Relapse TB Cases?

[Guest guest]

Rationality behind CAT II regimen in Relapse TB Cases?

CAT II treatment in Relapse TB cases under RNTCP might not be very logical.

Patients who have failed to respond CAT I or CAT III or Relapse are those who in

all probability have MDR TB- are subjected to CAT II treatment regimen. This

regimen is likely to fail- a poor way to treat MDR TB and a huge waste of

resources that may also serve to amplify the resistance.

Failures of this additional 8 months of treatment are largely finally labelled

MDR (majority without microbiological proof).

This needs to be reviewed urgently and AFB culture and sensitivity testing

facility is urgently required in RNTCP setup before we switch these cases for

CAT II treatment.

Dr Diwakar Tejaswi MBBS(Gold Medalist); MCH; FCCP; Ph.D.

Consultant Physician and Medical Director

Regional AIDS Training Centre and Network in India(RATNEI)

International Health Organization

India Office: B-33, Indirapuri Colony, Patna 800014, India

Phone: +91-612-3299323 (O); 2586788 (Telefax O); Clinic- Telefax:

+91-612-2206964; Mobile: +91-9835078298; Res: +91-612-2351771

www.ihousa.org

e-mail: <diwakartejaswi@...>

[Guest guest]

Dear Forum,

Re: /message/9081

Dr. Diwakar's posting/question on CAT II is very interesting.

Would really apprecaite if Doctors from RNTCP can response to this as i

currently have few friends who are on CAT II.

 

Loon Gangte

DNP+

DNP+ <dnpplus@...>