India reports first cases of ‘total drug-resistant tuberculosis’

The doctors detailed the first four cases in a letter to a US medical journal
last month, blaming private doctors for prescribing inappropriate drug plans
that sparked greater resistance in three of those four patients.

“These three patients had received erratic, unsupervised second-line
drugs, added individually and often in incorrect doses, from multiple
private practitioners,” wrote the doctors from P.D. Hinduja National
Hospital and Medical Research Center in the journal Clinical Infectious
Diseases.

There is also a debate within the public health community about whether to
even label the infections “total drug resistant”. The World Health
Organisation has yet to accept the term.

However, Dr Paul Nunn, a coordinator at the WHO’s Stop TB Department in
Geneva, said there is ample proof that these virtually untreatable cases do
exist.

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