Double trouble: tuberculosis and substance abuse in Nagaland,India |
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| Authors: | R. Shenoy M. Das H. Mansoor R. Anicete L. Wangshu S. Meren I. Ao P. Saranchuk A. J. Reid P. Isaakidis |
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| Affiliation: | 1. Médecins Sans Frontières, Mon, Nagaland, India ;2. Evergreen Welfare Society, Mon, Nagaland, India ;3. District TB Control Office, Revised National TB Control Programme, Mon, Nagaland, India ;4. Southern Africa Medical Unit, Médecins Sans Frontières, Cape Town, South Africa ;5. Médecins Sans Frontières, Operational Research Unit, Luxembourg city, Luxembourg |
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| Abstract: | The diagnosis and treatment of tuberculosis (TB) in people who use and/or inject illicit drugs (PWUIDs) remains a barrier to achieving universal coverage for TB in India and globally. This report describes treatment outcomes in PWUIDs who received treatment for drug-susceptible TB at the Mon District Hospital in Nagaland, India, during 2012–2013. The median age of the patients was 39 years, and most (92%) were male. Two thirds (33/49) of the patients had a successful TB treatment outcome. A previous TB episode and residence in a semi-urban area were associated with unsuccessful treatment outcomes. Separate diagnostic and treatment algorithms, including regular adherence counselling and opioid substitution therapies, should be considered for PWUIDs. |
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| Keywords: | opium IDU adherence operational research |
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