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- Publisher Website: 10.1136/bcr-2018-225794
- Scopus: eid_2-s2.0-85051532373
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Article: Multidrug-resistant tuberculosis in rural China: lack of public awareness, unaffordable costs and poor clinical management
Title | Multidrug-resistant tuberculosis in rural China: lack of public awareness, unaffordable costs and poor clinical management |
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Authors | |
Keywords | global health healthcare improvement and patient safety infectious diseases tb and other respiratory infections |
Issue Date | 2018 |
Citation | BMJ Case Reports, 2018, v. 2018, article no. 225794 How to Cite? |
Abstract | China has the second highest global incidence and prevalence of multidrug-resistant tuberculosis (MDR-TB). We describe here the life experience of a rural Chinese farmer with complicated and aggressive TB. It is unclear if this patient contracted MDR-TB initially or developed MDR-TB during treatment because the initial laboratory results are dubious. The lack of public awareness of TB in rural China fuelled by a belief in toxicity of TB treatment, as mentioned by his brother, caused the patient to stop his TB treatment repeatedly long before completion. The cost of MDR-TB treatment in China is unaffordable for most Chinese, especially those in rural areas. He paid about ¥300 000 (almost US$50 000) for his TB treatment. He was discharged early twice for ‘financial difficulties’. This case highlights excessive costs, lack of public awareness, poor patient education, inadequate follow-up, lack of coordination between clinical services and the importance of treatment adherence. |
Persistent Identifier | http://hdl.handle.net/10722/258953 |
DC Field | Value | Language |
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dc.contributor.author | Chen, Y | - |
dc.contributor.author | Zhao, Y | - |
dc.date.accessioned | 2018-09-03T03:59:00Z | - |
dc.date.available | 2018-09-03T03:59:00Z | - |
dc.date.issued | 2018 | - |
dc.identifier.citation | BMJ Case Reports, 2018, v. 2018, article no. 225794 | - |
dc.identifier.uri | http://hdl.handle.net/10722/258953 | - |
dc.description.abstract | China has the second highest global incidence and prevalence of multidrug-resistant tuberculosis (MDR-TB). We describe here the life experience of a rural Chinese farmer with complicated and aggressive TB. It is unclear if this patient contracted MDR-TB initially or developed MDR-TB during treatment because the initial laboratory results are dubious. The lack of public awareness of TB in rural China fuelled by a belief in toxicity of TB treatment, as mentioned by his brother, caused the patient to stop his TB treatment repeatedly long before completion. The cost of MDR-TB treatment in China is unaffordable for most Chinese, especially those in rural areas. He paid about ¥300 000 (almost US$50 000) for his TB treatment. He was discharged early twice for ‘financial difficulties’. This case highlights excessive costs, lack of public awareness, poor patient education, inadequate follow-up, lack of coordination between clinical services and the importance of treatment adherence. | - |
dc.language | eng | - |
dc.relation.ispartof | BMJ Case Reports | - |
dc.subject | global health | - |
dc.subject | healthcare improvement and patient safety | - |
dc.subject | infectious diseases | - |
dc.subject | tb and other respiratory infections | - |
dc.title | Multidrug-resistant tuberculosis in rural China: lack of public awareness, unaffordable costs and poor clinical management | - |
dc.type | Article | - |
dc.identifier.email | Zhao, Y: yanpingz@hku.hk | - |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1136/bcr-2018-225794 | - |
dc.identifier.scopus | eid_2-s2.0-85051532373 | - |
dc.identifier.hkuros | 287980 | - |
dc.identifier.volume | 2018 | - |
dc.identifier.spage | article no. 225794 | - |
dc.identifier.epage | article no. 225794 | - |
dc.identifier.eissn | 1757-790X | - |
dc.identifier.issnl | 1757-790X | - |