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Times of India
24 March 2010
By Umesh Isalkar
Pune, India

Drug–resistant tuberculosis will be detected faster by next year. The Union government has identified 43 places across the country to launch rapid screening of multiple drug–resistant tuberculosis (MDR–TB) by the end of 2011.

The facility as opposed to the conventional method that takes over three months to confirm a single drug–resistant case will give the report within two days. In Maharashtra, the facility is coming up at Mumbai, Pune and Nagpur.

“We have identified 43 places in the country to launch the rapid screening of MDR–TB where the testing labs will be operational by 2011–end,” L S Chauhan, deputy director general (tuberculosis), union ministry of health and family welfare, New Delhi told TOI on Tuesday.

“While the facilities at Nagpur and Pune will be fully government sponsored. The one at Mumbai will be made available through public–private partnership at Hinduja Hospital,” added Chauhan.

“The benefits of the testing facility includes rapid diagnosis in patients who are under high suspicion for MDR–TB. The conventional method of testing the MDR–TB takes around three month to confirm a single drug–resistant case. However, the proposed facility will make the report available within two days with the help of advanced detection test called Line Probe Assasy (LPA),” said Chauhan, adding, “LPA detects resistance to rifampicin (a first–line drug used to treat TB), which indicates multi–drug resistant TB.”

State tuberculosis officer Sharad Sabnis said, “The rapid testing facility at Nagpur's government medical college will be launched on Wednesday on the occasion of World Tuberculosis Day. The facility at Pune's Aundh Civil Hospital will take shape in the next few months.”

Multidrug–resistant TB (MDR–TB) is caused by bacteria that are resistant to at least isoniazid and rifampicin, the anti–TB drugs most commonly used. It may be caused by infection with the resistant bacterium or the resistance may appear during treatment. It is most commonly caused by failure to complete the normal six–month course of treatment or the use of substandard or counterfeit drugs, said Sabnis.

TB Stats: Maharashtra TB Stats: Pune TB Stats: India TB Stats: World What is MDR-TB and XDR TB?
Symptoms:
The symptoms of tuberculosis depend on where in the body the TB bacteria are growing. Tuberculosis bacteria often grow in the lungs, causing pulmonary tuberculosis. Pulmonary tuberculosis may cause a bad cough that lasts longer than two weeks, pain in the chest and coughing up of blood or sputum. Other symptoms of TB disease include weakness or fatigue, weight loss, lack of appetite, chills, fever and night sweats.Inactive tuberculosis has no symptoms.

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