Surgical interventions for pulmonary tuberculosis in Mumbai, India: surgical outcomes and programmatic challenges

Shirodkar, S. and Anande, L. and Dalal, A. and Desai, C. and Corrêa, G. and Das, M. and Laxmeshwar, C. and Mansoor, H. and Remartinez, D. and Trelles, M. and Isaakidis, P. (2016) Surgical interventions for pulmonary tuberculosis in Mumbai, India: surgical outcomes and programmatic challenges PHA, 6 (3). pp. 193-198.

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Official URL: http://dx.doi.org/10.5588/pha.16.0043

Abstract

Setting: While surgery for pulmonary tuberculosis (PTB) is considered an important adjunct for specific cases, including drug-resistant tuberculosis, operational evidence on its feasibility and effectiveness is limited. Objective: To describe surgical outcomes and programmatic challenges of providing surgery for PTB in Mumbai, India. Design: A descriptive study of routinely collected data of surgical interventions for PTB from 2010 to 2014 in two Mumbai hospitals, one public, one private. Results: Of 85 patients, 5 (6%) died and 17 (20%) had complications, with wound infection being the most frequent. Repeat operation was required in 12 (14%) patients. Most procedures were performed on an emergency basis, and eligibility was established late in the course of treatment. Median time from admission to surgery was 51 days. Drug susceptibility test (DST) patterns and final treatment outcomes were not systematically collected. Conclusion: In a high-burden setting such as Mumbai, important data on surgery for PTB were surprisingly limited in both the private and public sectors. Eligibility for surgery was established late, culture and DST were not systematically offered, the interval between admission and surgery was long and TB outcomes were not known. Systematic data collection would allow for proper evaluation of surgery as adjunctive therapy for all forms of TB under programmatic conditions.

Item Type: Article
Uncontrolled Keywords: Drug-resistant tuberculosis; Treatment; Complication
Subjects: Tuberculosis > Clinical
Tuberculosis > Programme Development
Tuberculosis > Thoracic Surgery
Institutions: National Task Force, Zonal Task Force & State Task Force of Medical Colleges
Depositing User: Mr SANJAY SINGH
Date Deposited: 16 Mar 2017 19:12
Last Modified: 16 Mar 2017 19:12
URI: http://tbresearch.ntiindia.org.in/id/eprint/2252

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