Medical management and social support post treatment of MDR-TB is the need of the hour

The Lung India’s January edition this year had published a study done by doctors from The National Institute of Tuberculosis and Respiratory Diseases, New Delhi which said at the completion of MDR-TB treatment, although patients become negative bacteriologically, significant numbers of patients were left with persistent symptoms, CXR abnormality, lung function impairment, and impaired quality of life

Free TB drugs to soon be available at a local chemist shops

  • With studies showing the need for pulmonary rehabilitation in case of drug resistant tuberculosis patients post treatment, the Maharashtra State Anti TB Association has started a model Pulmonary Rehabilitation Centre at its premises in Sewri.
  • The study, in its conclusion, emphasised on importance of long term follow ups to understand the overall impact of the disease on patient’s physical, functional, and socioeconomic well-being. It also underlined the need to focus beyond bacteriological cure of MDR-TB patients.

“Medical management and social support for post treatment squeal of MDR-TB is need of the hour and the study to spoke about the need to incorporate it in the national programs. Our rehabilitation centre focus on the same,” said Dr Yatin Dholakia, Secretary & Technical Advisor, and the Maharashtra State Anti TB Association.

He further said the centre has a trained physiotherapist and nurse take care of these cases under expert guidance of chest physicians. “An individual patient is assessed with state-of-art tests prior to designing the protocol for him. The protocol includes training in breathing techniques, clearing the chest congestion, techniques for using various muscles of the body so as to minimise the strain on the body and respiratory system. In addition education on preventing other infections, nutritional guidance and psychosocial support is imparted. This is done over twelve to sixteen sessions held two to three times a week. All these cases are managed free of cost,” informed Dr Dholakia.

So far around 72 cases are being managed at the centre, more than 25 have completed 12 sessions with remarkable improvements in their parameters.

The Association is planning to support the public health facilities and start centres in different regions of the metropolis and expand to other districts in the state so as to enable affected persons to avail the facility near to their homes to avoid the much difficult commute to the centralised facilities.

The next centre is coming up at V N Desai Hospital in the HE ward of the city. The proposal is pending with the MCGM for approval.