Author(s)

Zahir Shah^1*, Maqsood Ali Khan¹, Hina Najmi², Razia Fatima³, Aashifa Yaqoob³, Abdul Ghafoor³, Ahmed Wali⁴, Amjad Khan⁵, Shah Hasan Khan¹, Ghulam Mustafa Halepota¹

¹Provincial Tuberculosis Control Program, Swat, Khyber Pakhtunkhwa, Pakistan.
²Sukh Initiative, Aman Health Care Services, Karachi, Pakistan.
³National Tuberculosis Control Program, Islamabad, Pakistan.
⁴Provincial Tuberculosis Control Program, Quetta, Pakistan.
⁵Pakistan Kidney and Liver Institute & Research Center, Lahore, Pakistan.

Retreatment Tuberculosis (TB) has long been a neglected area in global TB control. To determine the notification of re-treatment Tuberculosis TB cases among all enrolled TB patients, we conducted a retrospective cohort review of routine program data from 2015-2017. A total of 8663 tuberculosis cases (all new and old forms) were registered at the study site. Of these, 1916 (22%) were pulmonary bacteriological confirmed; 3498 (40.37%) were pulmonary clinical diagnosed and 3396 (39.20%) were clinically or bacteriological confirmed extra-pulmonary tuberculosis cases. Retreatment cases trend was found to be increased from 1% in 2015 to 1.6% in 2017. Majority of re-treatment cases were in the age group 18 - 43 years and only 7 patients were under the age of 15 years. This concludes that notification of re-treatment cases is very low among all enrolled TB patients and this could be possibly due to the fact that most of the re-treatment cases were registered as new cases or misdiagnosed. There is need and space to increase retreatment cases. Most of the re-treatment cases were usually converted to MDR-TB (Multi-Drug Resistant Tuberculosis) as noted in PMDT (Programmatic management of Drugs resistant tuberculosis) site. Therefore, proper history and diagnosis should be encouraged at the time of case notification.

Retreatment TB Cases, Retrospective Cohort, Swat Pakistan

Shah, Z., Khan, M.A., Najmi, H., Fatima, R., Yaqoob, A., Ghafoor, A., Wali, A., Khan, A., Khan, S.H. and Halepota, G.M. (2019) Assessment of Retreatment Tuberculosis Cases amongst All Tuberculosis Cases Notification in District Swat 2015-2017: A Retrospective Cohort Review. Journal of Tuberculosis Research, 7, 11-18. doi: 10.4236/jtr.2019.71002.