Deprecated (16384): The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 150
 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php. [CORE/src/Core/functions.php, line 311]
Code Context


        trigger_error($message, E_USER_DEPRECATED);

    }
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 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php.'
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deprecationWarning - CORE/src/Core/functions.php, line 311
Cake\Http\ServerRequest::offsetGet() - CORE/src/Http/ServerRequest.php, line 2421
App\Controller\ArtileDetailController::index() - APP/Controller/ArtileDetailController.php, line 150
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Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
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Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
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Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51
Cake\Http\Server::run() - CORE/src/Http/Server.php, line 98

Deprecated (16384): The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 151
 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php. [CORE/src/Core/functions.php, line 311]
Code Context


        trigger_error($message, E_USER_DEPRECATED);

    }
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 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php.'
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deprecationWarning - CORE/src/Core/functions.php, line 311
Cake\Http\ServerRequest::offsetGet() - CORE/src/Http/ServerRequest.php, line 2421
App\Controller\ArtileDetailController::index() - APP/Controller/ArtileDetailController.php, line 151
Cake\Controller\Controller::invokeAction() - CORE/src/Controller/Controller.php, line 610
Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 120
Cake\Http\ActionDispatcher::dispatch() - CORE/src/Http/ActionDispatcher.php, line 94
Cake\Http\BaseApplication::__invoke() - CORE/src/Http/BaseApplication.php, line 235
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Routing\Middleware\RoutingMiddleware::__invoke() - CORE/src/Routing/Middleware/RoutingMiddleware.php, line 162
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Routing\Middleware\AssetMiddleware::__invoke() - CORE/src/Routing/Middleware/AssetMiddleware.php, line 97
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Error\Middleware\ErrorHandlerMiddleware::__invoke() - CORE/src/Error/Middleware/ErrorHandlerMiddleware.php, line 96
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51
Cake\Http\Server::run() - CORE/src/Http/Server.php, line 98

Warning (512): Unable to emit headers. Headers sent in file=/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php line=853 [CORE/src/Http/ResponseEmitter.php, line 48]
Code Context
            if (Configure::read('debug')) {

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        LATEST NEWS UPDATES | 57% of TB patients given wrong drugs -Malathy Iyer    </title>
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-The Times of India


MUMBAI: Here's why drug-resistant tuberculosis (TB) breeds freely in Mumbai: Patients don't get appropriate medication.


A new study collating information from eight hospitals and treatment centres across Mumbai, Thane and Navi Mumbai found patients were given drugs that..."/>
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-The Times of India


MUMBAI: Here's why drug-resistant tuberculosis (TB) breeds freely in Mumbai: Patients don't get appropriate medication.


A new study collating information from eight hospitals and treatment centres across Mumbai, Thane and Navi Mumbai found patients were given drugs that..." />
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                            <div align="justify">-The Times of India</div><p align="justify"><em>MUMBAI: </em>Here's why drug-resistant tuberculosis (TB) breeds freely in Mumbai: Patients don't get appropriate medication.</p><p align="justify">A new study collating information from eight hospitals and treatment centres across Mumbai, Thane and Navi Mumbai found patients were given drugs that they were resistant to.</p><p align="justify">The study, published in PLOS ONE medical journal recently, looked at 340 patients suffering from multi-drug resistant (MDR) TB between 2005 and 2013.</p><p align="justify">&quot;We found only 29.4% of the patients labeled as MDR-TB were actually MDR-TB patients, who were resistant to only two drugs,'' said Dr Alpa Dalal, a chest medicine specialist attached to the BMC-run Sewri TB Hospital and Jupiter Hospital, Thane.</p><p align="justify">Worse, more than half the patients were in pre-XDR stage, she said.</p><p align="justify">As the name suggests, pre-XDR is a stage between MDR-TB and XDR-TB (extensively drug-resistant TB) where the patient is resistant to two drugs as well as a type of antibiotics called fluoroquinolones.</p><p align="justify">&quot;We found 56% of the patients were in the pre-XDR-TB stage but were being given drugs meant for MDR-TB patients,&quot; she added.</p><p align="justify">The study was commissioned to study patterns of resistance to drugs among city's MDR-TB patients. It was a retrospective study of patients from Jupiter Hospital (Thane), Bhatia Hospital (Tardeo), D Y Patil Hospital (Nerul), Fortis Hospital (Mulund), L H Hiranandani Hospital (Powai) and Lilavati Hospital (Bandra) as well as a clinic run by Medecins Sans Frontieres (MSF) in the western suburbs of Mumbai. The only public hospital was the BMC-run Sewri TB Hospital.</p><p align="justify">BMC's former executive health officer Dr Arun Bamne, a consultant with the Mumbai TB control programme, however said the city didn't have a certified facility to diagnose XDR-TB until three years back.</p><p align="justify">This meant patients couldn't be easily distinguished from MDR-TB to XDR-TB then. Another public hospital doctor who didn't want to be identified said the study seems too small to be applied to the entire population of patients.</p><p align="justify">The study showed 80% of the 340 patients enrolled in the study were young and in the 16-35 age bracket. &quot;This group has the highest potential to spread the resistant bug in the population,'' said Dr Dalal. She blamed indiscriminate use of fluoroquinolones to treat viral infections for this growing resistance.</p><p align="justify">&quot;This tells us that resistance patterns in Mumbai are worse then presumed,'' said Dr Dalal. Clearly, patients are being prescribed drugs without undergoing a proper diagnostic test that would list out drugs they are resistant to.</p><p align="justify">&quot;Patients should undergo drug-sensitivity tests at the earliest, instead of later when their disease progresses,&quot; said Dr Dalal, adding patients deserve &quot;individualized treatment&quot; instead of pre-decided combinations of drugs.</p><p align="justify">&nbsp;</p>                                                           
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    <br><a href="http://timesofindia.indiatimes.com/india/57-of-TB-patients-given-wrong-drugs/articleshow/46248551.cms" class="re" target="_blank">The Times of India, 15 February, 2015, http://timesofindia.indiatimes.com/india/57-of-TB-patients-given-wrong-drugs/articleshow/46248551.cms</a><div class="clear"></div>
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    <h1 class="cat-box-title">57% of TB patients given wrong drugs -Malathy Iyer</h1>
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                            <div align="justify">-The Times of India</div><p align="justify"><em>MUMBAI: </em>Here's why drug-resistant tuberculosis (TB) breeds freely in Mumbai: Patients don't get appropriate medication.</p><p align="justify">A new study collating information from eight hospitals and treatment centres across Mumbai, Thane and Navi Mumbai found patients were given drugs that they were resistant to.</p><p align="justify">The study, published in PLOS ONE medical journal recently, looked at 340 patients suffering from multi-drug resistant (MDR) TB between 2005 and 2013.</p><p align="justify">&quot;We found only 29.4% of the patients labeled as MDR-TB were actually MDR-TB patients, who were resistant to only two drugs,'' said Dr Alpa Dalal, a chest medicine specialist attached to the BMC-run Sewri TB Hospital and Jupiter Hospital, Thane.</p><p align="justify">Worse, more than half the patients were in pre-XDR stage, she said.</p><p align="justify">As the name suggests, pre-XDR is a stage between MDR-TB and XDR-TB (extensively drug-resistant TB) where the patient is resistant to two drugs as well as a type of antibiotics called fluoroquinolones.</p><p align="justify">&quot;We found 56% of the patients were in the pre-XDR-TB stage but were being given drugs meant for MDR-TB patients,&quot; she added.</p><p align="justify">The study was commissioned to study patterns of resistance to drugs among city's MDR-TB patients. It was a retrospective study of patients from Jupiter Hospital (Thane), Bhatia Hospital (Tardeo), D Y Patil Hospital (Nerul), Fortis Hospital (Mulund), L H Hiranandani Hospital (Powai) and Lilavati Hospital (Bandra) as well as a clinic run by Medecins Sans Frontieres (MSF) in the western suburbs of Mumbai. The only public hospital was the BMC-run Sewri TB Hospital.</p><p align="justify">BMC's former executive health officer Dr Arun Bamne, a consultant with the Mumbai TB control programme, however said the city didn't have a certified facility to diagnose XDR-TB until three years back.</p><p align="justify">This meant patients couldn't be easily distinguished from MDR-TB to XDR-TB then. Another public hospital doctor who didn't want to be identified said the study seems too small to be applied to the entire population of patients.</p><p align="justify">The study showed 80% of the 340 patients enrolled in the study were young and in the 16-35 age bracket. &quot;This group has the highest potential to spread the resistant bug in the population,'' said Dr Dalal. She blamed indiscriminate use of fluoroquinolones to treat viral infections for this growing resistance.</p><p align="justify">&quot;This tells us that resistance patterns in Mumbai are worse then presumed,'' said Dr Dalal. Clearly, patients are being prescribed drugs without undergoing a proper diagnostic test that would list out drugs they are resistant to.</p><p align="justify">&quot;Patients should undergo drug-sensitivity tests at the earliest, instead of later when their disease progresses,&quot; said Dr Dalal, adding patients deserve &quot;individualized treatment&quot; instead of pre-decided combinations of drugs.</p><p align="justify">&nbsp;</p>                                                           
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    <br><a href="http://timesofindia.indiatimes.com/india/57-of-TB-patients-given-wrong-drugs/articleshow/46248551.cms" class="re" target="_blank">The Times of India, 15 February, 2015, http://timesofindia.indiatimes.com/india/57-of-TB-patients-given-wrong-drugs/articleshow/46248551.cms</a><div class="clear"></div>
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        LATEST NEWS UPDATES | 57% of TB patients given wrong drugs -Malathy Iyer    </title>
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-The Times of India


MUMBAI: Here's why drug-resistant tuberculosis (TB) breeds freely in Mumbai: Patients don't get appropriate medication.


A new study collating information from eight hospitals and treatment centres across Mumbai, Thane and Navi Mumbai found patients were given drugs that..."/>
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-The Times of India


MUMBAI: Here's why drug-resistant tuberculosis (TB) breeds freely in Mumbai: Patients don't get appropriate medication.


A new study collating information from eight hospitals and treatment centres across Mumbai, Thane and Navi Mumbai found patients were given drugs that..." />
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                            <div align="justify">-The Times of India</div><p align="justify"><em>MUMBAI: </em>Here's why drug-resistant tuberculosis (TB) breeds freely in Mumbai: Patients don't get appropriate medication.</p><p align="justify">A new study collating information from eight hospitals and treatment centres across Mumbai, Thane and Navi Mumbai found patients were given drugs that they were resistant to.</p><p align="justify">The study, published in PLOS ONE medical journal recently, looked at 340 patients suffering from multi-drug resistant (MDR) TB between 2005 and 2013.</p><p align="justify">&quot;We found only 29.4% of the patients labeled as MDR-TB were actually MDR-TB patients, who were resistant to only two drugs,'' said Dr Alpa Dalal, a chest medicine specialist attached to the BMC-run Sewri TB Hospital and Jupiter Hospital, Thane.</p><p align="justify">Worse, more than half the patients were in pre-XDR stage, she said.</p><p align="justify">As the name suggests, pre-XDR is a stage between MDR-TB and XDR-TB (extensively drug-resistant TB) where the patient is resistant to two drugs as well as a type of antibiotics called fluoroquinolones.</p><p align="justify">&quot;We found 56% of the patients were in the pre-XDR-TB stage but were being given drugs meant for MDR-TB patients,&quot; she added.</p><p align="justify">The study was commissioned to study patterns of resistance to drugs among city's MDR-TB patients. It was a retrospective study of patients from Jupiter Hospital (Thane), Bhatia Hospital (Tardeo), D Y Patil Hospital (Nerul), Fortis Hospital (Mulund), L H Hiranandani Hospital (Powai) and Lilavati Hospital (Bandra) as well as a clinic run by Medecins Sans Frontieres (MSF) in the western suburbs of Mumbai. The only public hospital was the BMC-run Sewri TB Hospital.</p><p align="justify">BMC's former executive health officer Dr Arun Bamne, a consultant with the Mumbai TB control programme, however said the city didn't have a certified facility to diagnose XDR-TB until three years back.</p><p align="justify">This meant patients couldn't be easily distinguished from MDR-TB to XDR-TB then. Another public hospital doctor who didn't want to be identified said the study seems too small to be applied to the entire population of patients.</p><p align="justify">The study showed 80% of the 340 patients enrolled in the study were young and in the 16-35 age bracket. &quot;This group has the highest potential to spread the resistant bug in the population,'' said Dr Dalal. She blamed indiscriminate use of fluoroquinolones to treat viral infections for this growing resistance.</p><p align="justify">&quot;This tells us that resistance patterns in Mumbai are worse then presumed,'' said Dr Dalal. Clearly, patients are being prescribed drugs without undergoing a proper diagnostic test that would list out drugs they are resistant to.</p><p align="justify">&quot;Patients should undergo drug-sensitivity tests at the earliest, instead of later when their disease progresses,&quot; said Dr Dalal, adding patients deserve &quot;individualized treatment&quot; instead of pre-decided combinations of drugs.</p><p align="justify">&nbsp;</p>                                                           
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    <br><a href="http://timesofindia.indiatimes.com/india/57-of-TB-patients-given-wrong-drugs/articleshow/46248551.cms" class="re" target="_blank">The Times of India, 15 February, 2015, http://timesofindia.indiatimes.com/india/57-of-TB-patients-given-wrong-drugs/articleshow/46248551.cms</a><div class="clear"></div>
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Home हिन्दी

57% of TB patients given wrong drugs -Malathy Iyer

Published on Feb 15, 2015   Modified on Feb 15, 2015

-The Times of India MUMBAI: Here's why drug-resistant tuberculosis (TB) breeds freely in Mumbai: Patients don't get appropriate medication. A new study collating information from eight hospitals and treatment centres across Mumbai, Thane and Navi Mumbai found patients were given drugs that they were resistant to. The study, published in PLOS ONE medical journal recently, looked at 340 patients suffering from multi-drug resistant (MDR) TB between 2005 and 2013. "We found only 29.4% of the patients labeled as MDR-TB were actually MDR-TB patients, who were resistant to only two drugs,'' said Dr Alpa Dalal, a chest medicine specialist attached to the BMC-run Sewri TB Hospital and Jupiter Hospital, Thane. Worse, more than half the patients were in pre-XDR stage, she said. As the name suggests, pre-XDR is a stage between MDR-TB and XDR-TB (extensively drug-resistant TB) where the patient is resistant to two drugs as well as a type of antibiotics called fluoroquinolones. "We found 56% of the patients were in the pre-XDR-TB stage but were being given drugs meant for MDR-TB patients," she added. The study was commissioned to study patterns of resistance to drugs among city's MDR-TB patients. It was a retrospective study of patients from Jupiter Hospital (Thane), Bhatia Hospital (Tardeo), D Y Patil Hospital (Nerul), Fortis Hospital (Mulund), L H Hiranandani Hospital (Powai) and Lilavati Hospital (Bandra) as well as a clinic run by Medecins Sans Frontieres (MSF) in the western suburbs of Mumbai. The only public hospital was the BMC-run Sewri TB Hospital. BMC's former executive health officer Dr Arun Bamne, a consultant with the Mumbai TB control programme, however said the city didn't have a certified facility to diagnose XDR-TB until three years back. This meant patients couldn't be easily distinguished from MDR-TB to XDR-TB then. Another public hospital doctor who didn't want to be identified said the study seems too small to be applied to the entire population of patients. The study showed 80% of the 340 patients enrolled in the study were young and in the 16-35 age bracket. "This group has the highest potential to spread the resistant bug in the population,'' said Dr Dalal. She blamed indiscriminate use of fluoroquinolones to treat viral infections for this growing resistance. "This tells us that resistance patterns in Mumbai are worse then presumed,'' said Dr Dalal. Clearly, patients are being prescribed drugs without undergoing a proper diagnostic test that would list out drugs they are resistant to. "Patients should undergo drug-sensitivity tests at the earliest, instead of later when their disease progresses," said Dr Dalal, adding patients deserve "individualized treatment" instead of pre-decided combinations of drugs.

The Times of India, 15 February, 2015, http://timesofindia.indiatimes.com/india/57-of-TB-patients-given-wrong-drugs/articleshow/46248551.cms

Tagged with: Access to Health Access to Healthcare Access to Medicines healthcare healthcare in india Health Tuberculosis Multi-drug-resistant Tuberculosis (MDR-TB) TB Public Health

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