'I'm fed up': experiences of prior anti-tuberculosis treatment in patients with drug-resistant tuberculosis and HIV

To understand the impact of past experiences of anti-tuberculosis treatment among patients co-infected with the human immunodeficiency virus and multidrug-resistant tuberculosis (MDR-TB) on perceptions and attitudes towards treatment. Qualitative study using in-depth interviews with 12 HIV-MDR-TB co...

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Bibliographic Details
Published in:The international journal of tuberculosis and lung disease Vol. 18; no. 12; p. 1479
Main Authors: Furin, J, Isaakidis, P, Reid, A J, Kielmann, K
Format: Journal Article
Language:English
Published: France 01.12.2014
Subjects:
Adult
Antitubercular Agents - therapeutic use
Coinfection
Cost of Illness
Female
Health Knowledge, Attitudes, Practice
Health Services Accessibility
HIV Infections - diagnosis
HIV Infections - epidemiology
HIV Infections - psychology
Humans
India
Interviews as Topic
Male
Medication Adherence
Middle Aged
Patient Satisfaction
Patients - psychology
Perception
Predictive Value of Tests
Qualitative Research
Quality of Life
Time Factors
Time-to-Treatment
Treatment Outcome
Tuberculosis, Multidrug-Resistant - diagnosis
Tuberculosis, Multidrug-Resistant - drug therapy
Tuberculosis, Multidrug-Resistant - epidemiology
Tuberculosis, Multidrug-Resistant - psychology
Waiting Lists
India
ISSN:1815-7920, 1815-7920
Online Access:Get more information
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Summary:To understand the impact of past experiences of anti-tuberculosis treatment among patients co-infected with the human immunodeficiency virus and multidrug-resistant tuberculosis (MDR-TB) on perceptions and attitudes towards treatment. Qualitative study using in-depth interviews with 12 HIV-MDR-TB co-infected patients in Mumbai, India. Patients reported unnecessarily long pathways to care and fatigue with diagnostic and treatment procedures. In particular, they expressed concerns over the lack of efficacy of their current treatment regimen based on their experiences with anti-tuberculosis treatment regimens in the past. Patients reported negative experiences with previous HIV and anti-tuberculosis treatment. Access to early diagnosis and rapid initiation of integrated care for HIV-MDR-TB co-infected patients, with a strong, patient-centered support system, could help to combat the low morale and lack of faith in treatment described in this group of patients.
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ISSN:1815-7920
1815-7920
DOI:10.5588/ijtld.14.0277