Diagnosis and Treatment of XXXX : A Cross-Sectional Study of Practices among Paediatricians in Private Sector, Mumbai.

@entity1 @entity1906 @entity358 @entity1215 @entity378 @entity1907
UNASSIGNED: Majority of @entity1 with @entity378 are treated in private sector in India with no available data on management practices. The study assessed diagnostic and treatment practices related to @entity1907 among paediatricians in Mumbai's private sector in comparison with International Standards for @entity378 Care (ISTC) 2009. In this cross-sectional study, 64 paediatricians from private sector filled self-administered questionnaires. Cough was reported as a symptom of childhood @entity1906 by 77.8% of respondents. 38.1% request sputum smear or culture for diagnosis and fewer (32.8%) use it for @entity1 positive on chest radiographs and 32.8% induce sputum for those unable to produce it. Sputum negative @entity1906 suspect is always tested with X-ray or tuberculin skin test. 61.4% prescribe regimen as recommended in ISTC and all monitor progress to treatment clinically. Drug-resistance at beginning of treatment is suspected for @entity1 in contact with a drug-resistant @entity1 (67.7%) and with prior history of antitubercular treatment (12.9%). About half of them (48%) request drug-resistance test for @entity1215 in case of nonresponse after two to three months of therapy and regimen prescribed by 41.7% for multidrug-resistant @entity1906 was as per ISTC. The study highlights inappropriate diagnostic and treatment practices for managing childhood @entity358 among paediatricians in private sector.
