Sunday, 24 March 2019

MDR-RNTPC guidelines-Sale of ATD in OTC prohibited



Prevalence of female gential Kochs?? The prevalence varies in different  regions, and what is more worrying to us is A) that Koch’s bacilli cause a differential clinical expression B)   differential response to treatment, C) paucity of better diagnostic tools D)  disagreement between clinician, pathologists and microbiologists in pinpointing information in a locality or state meetings which is true for any controversial scenario in medicinal practice... .The only point till 2017 was to say that either we were under diagnosing  or the Gynae were over diagnosing from PCR or MT  are over treating their patient?, But now the fact have been solved greatly by GOI India about supply of ATD from one point-one outlet only0No retail sale., no uniformity in notification across different parts of the country and belief that treatment at most can be "empirical" and "not harmful" are some of reasons for us disagreeing even in such discussions. Well, the fight against this disease is there since known mankind's history. Still there are many of us who believe that  we should deprive a patient of timely treatment because we are unsure of our diagnostic methods! In this era of evidence based medicine, we know evidence has to be created. But in any way that a rule or Guideline has been framed we have to follow the Law of the land, we just can’t prescribe ATD best refer to GOVT OPD-RNTPC OPD.

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