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ISSN No:-2456-2165
Abstract: Conclusion:
This survey is providing valuable information that
Background: there is deficiency of knowledge among the interns
India has been engaged in Tuberculosis control regarding management of tuberculosis according to
activities for more than 50 years as India is the highest recent RNTCP guidelines which can lead to treatment
TB burdened country in the world. One such initiative failure and thereby causing a hindrance to elimination
is Revised National Tuberculosis Control Programme of TB from our country by 2025.
(RNTCP) which has been rechristened as National
Tuberculosis Elimination Programme (NTEP). The Keywords:- Interns, Knowledge, Management, RNTCP,
change in name is in line with the larger goal of Recent guidelines, Tuberculosis.
eliminating the disease by 2025.
I. INTRODUCTION
Objective:
The aim of this cross-sectional study is to assess the Tuberculosis is one of the most common infectious
knowledge and awareness of interns regarding the disease and one among the top 10 causes of death world-
management of tuberculosis as per recent RNTCP wide from a single infectious agent. Nearly 10.0 million
guidelines. people fell ill with TB in 2018. [1]According to the report
released by World Health Organisation in 2019, India
Materials & Methods: accounted for 27% of the world total TB cases. The
A structured questionnaire was provided to 111 emergence of resistance to anti-tubercular drugs has also
interns to be filled in a stipulated time. The data become a significant public health problem globally and
collected was analyzed using descriptive statistical particularly in India. India had 27% of a total 1, 30,000
parameters and expressed in percentage. Multi Drug Resistant/ Rifampicin Resistant [MDR/RR] TB
cases.
Result:
Out of a total of 111 interns, 48 (43.24%) were To combat the menace of TB which has been a
males and 63 (56.75%) were females. Good knowledge devastating disease of all times, Ministry of Health and
was seen among the interns regarding the cardinal Family Welfare, Government of India launched The
symptoms of TB as well as definition of MDR-TB. Revised National Tuberculosis Control Programme
92.79% of the participants responded rightly about two [RNTCP], based on the internationally recommended
sputum samples being taken for diagnosis of TB. Only Directly Observed Treatment Short Course [DOTS]
76.57% of interns knew the principle of treatment of TB strategy. The goal of TB control programme is to decrease
as daily administration of fixed-dose combination of mortality and morbidity due to TB and cut transmission of
first-line anti-tubercular drugs as per appropriate infection until TB ceases to be a major public health
weight bands and 61.27% of interns were unfamiliar of problem in India [2].
chemoprophylaxis of tuberculosis according to the
recent RNTCP guidelines. Only 71.17% of the The objectives of RNTCP (1997) were to achieve at
participants were updated about the follow-up least 85% cure rate among the new smear-positive cases
procedure according to new guidelines. But only initiated on treatment and thereafter a case detection rate of
36.93% of participants could answer Cotrimoxazole as at least 70% of such cases [3]. Currently, RNTCP (2017-
the effective drug used in HIV-TB co-infection apart 2025) is reinforced with four strategic pillars of DETECT-
from routine TB drugs to reduce mortality. TREAT-PREVENT-BUILD [DTPB] under National
Strategic Plan for moving towards TB elimination by
2025[4]. Few other latest initiatives include Private Sector
Engagement, Introduction of newer drugs like Bedaquline,
Delamanid; Nutritional Support etc. [5] so that onward
QUESTION PERCENTAGE
Q1. Are you aware of recent Revised National
Tuberculosis Control Programme (RNTCP) 2017 Yes = 111 100%
guidelines used for TB management?
A] Yes
B] No
Q2. What is your source of information about recent Sensitization programme by Sensitization programme by
RNTCP guidelines: institution = 17 institution = 15.31%
A] Sensitization programme by institution
B] Continuing Medical Education (CME) CME = 20 CME = 18.01%
C] Journals
D] Internet Journals = 5 Journals = 4.5%
Table 1
100%
90%
80%
70%
60%
Knowledge of
50% Interns
40%
30%
20%
10%
0%
Symptoms of TB Duration of each category of DOTSPrinciple of treatment of TB Follow-up of TB treatment Chemoprophylaxis
Graph 1: Depicts knowledge of interns regarding management of TB according to recent RNTCP guidelines.