Comparison of adverse drug reactions of antitubercular drugs in category 1 tuberculosis patients between daily and intermittent regimen and its impact on outcome
Journal Title: Journal of Research in Medical and Dental Science - Year 2017, Vol 5, Issue 1
Abstract
Aim of the present study was to compare the ADRs in patients taking antitubercular treatment under RNTCP regimen between intermittent treatment & daily therapy and to know the impact of ADRs on outcome of treatment in patients. 100 patients having pulmonary tuberculosis were included in the study who were taking the treatment of tuberculosis as per criteria, guidelines and various regimens of RNTCP. They were observed in DOTS group (group 1, intermittent) and in the group receiving treatment on OPD basis (group 2, daily treatment) for various ADRs and relevant findings were recorded during each clinical visit of the patients. The impact of ADRs on outcome of treatment was seen in the form of cured, relapsed, treatment failure, defaulted and alteration in therapy. 39 patients developed 1 or more ADRs out of 100 patients. The incidence of ADRs was more in group 2 (27, 54%) as compared to group 1(12, 24%) (p<0.01). Out of patients in group 1with ADRs & without ADRs , cure occurred in 25% & 81.57%, defaulters were 33.33% & 2.63%, failure of treatment occurred in 8.33% & 2.63%, relapse occurred in 8.33% & 13.15%, alteration of therapy required in 25% & 0% respectively (p<0.05). Out of patients in group 2 with ADRs & without ADRs , cure occurred in 55.55% & 91.3%, defaulters were 22.22% & 4.34%, failure of treatment occurred in 3.7% & 0%, relapse occurred in 11.11% & 4.34%, alteration of therapy required in 7.4% & 0% respectively (p<0.05). ADRs in daily treatment group (group 2) are significantly more as compared to intermittent group (group 1). Patients without ADRs have significantly better outcome as compared to patients with ADRs in both the groups.
Authors and Affiliations
Abhijeet Singh, Kauser Sayedda, Quazi Shahir Ahmed
What Do We Know About Dentigerous Cysts in Children: A Review of Literature
Dentigerous cysts (DCs) known as follicular cysts are thought to be caused by a developmental abnormality derived from the reduced enamel epithelium (REE) of the tooth forming organ. DCs considered an epithelial lined de...
Basics & Beyond : The Implant & Genomic Basis of Osseointegration
The study of implantology has evolved since its introduction into dentistry. Apart from other aspects of an implant, osseointegration has been of prime interest to researchers and practitioners. The study of osseointegra...
Effect of Aqueous-alcoholic Extract of Aloe vera on Retinal Tissue Changes in Rats with Experimental Multiple Sclerosis
Multiple Sclerosis is a chronic inflammatory disease of the central nervous system and demyelination of the central and the peripheral nerves, axonal damage and their loss are considered as the most important symptoms of...
Epithelial and Stromal Expression of Syndecan-1 (CD138) in Cutaneous Basal Cell Carcinoma
Syndecan-1 (Sdc-1) is an important regulator of cell–cell and cell–extracellular matrix interactions. It is significantly involved in the carcinogenesis and tumor progression in many human malignancies. We immunohistoche...
The evaluation of correlation between Angiogenesis and invasion of Basal cell carcinoma
Basal cell carcinoma (BCC) is the most common skin tumor. Although, it is recognized as a tumor with nonaggressive nature but cases with aggressive behaviour have been reported. None of the microscopic morphologic featur...