Knowledge, Attitude and misconceptions regarding tuberculosis in Pakistani patients

To assess knowledge of patients with tuberculosis; about their disease and misconceptions regarding TB. A cross sectional study was conducted at Out-patient clinics of two teaching hospitals [private and public] in Karachi, Pakistan. A questionnaire was filled for the purpose. A total of 170 patients were interviewed, 112 from private and 58 from a public sector hospital. Cough, fever, bloody sputum and chest pain were recognized as the common symptoms of TB. Eleven [7%] patients thought TB was not an infectious disease and 18 [10.6%] did not consider it a preventable disease. Contaminated food was considered the source of infection by 81 [47.6%] and 96 [57%] considered emotional trauma/stress the causative agent of TB. No counseling about preventing spread was received by 81 [50%] patients and 97 [57%] considered separating dishes as an important means of preventing spread. Thirty one [18%] patients would have discontinued their medications following relief of symptoms. Thirty nine [23%] of the respondents thought that TB could lead to infertility and 66 [38.8%] believed that there were reduced chances of getting married following infection. Misconceptions concerning TB are common in Pakistani patients. Lack of knowledge on Tuberculosis is alarming

Knowledge regarding management of tuberculosis among general practitioners in northern areas of pakistan

To assess the knowledge of General Practitioners [GPs] in NWFP and northern areas of Pakistan regarding diagnosis and management of tuberculosis. A cross-sectional survey of general practitioners [GPs] from North West Frontier Province [NWFP] and northern areas of Pakistan was done. The sampling strategy was convenience sampling. The data was collected on a structured questionnaire after taking verbal consent. Out of 88 GPs 43% regarded sputum microscopy and 22% chest radiograph as confirmatory tests for the diagnosis of pulmonary TB. During follow up of pulmonary TB patients, 32% doctors considered chest radiograph as the best investigation while sputum microscopy was chosen by only 28%. Eighty seven percent of GPs correctly identified TB as a droplet infection but 6% considered sexual contact to be the main mode of spread of this disease. Two third of the prescriptions, written for a 60 kg man with newly diagnosed smear-positive pulmonary TB, were not in line with national guidelines. Only 3% of the GPs knew all the five components of DOTS. Severe deficiencies were seen in the management of TB by GPs of Northern areas of Pakistan. National TB control Program must take appropriate measures to educate and train the GPs in TB management. Without involving the GPs, TB control will remain a problem in Pakistan