%0 Journal Article
%T Impact of Introducing the Line Probe Assay on Time to Treatment Initiation of MDR-TB in Delhi, India
%A Neeta Singla
%A Srinath Satyanarayana
%A Kuldeep Singh Sachdeva
%A Rafael Van den Bergh
%A Tony Reid
%A Katherine Tayler-Smith
%A V. P. Myneedu
%A Engy Ali
%A Donald A. Enarson
%A Digamber Behera
%A Rohit Sarin
%J PLOS ONE
%D 2014
%I Public Library of Science (PLoS)
%R 10.1371/journal.pone.0102989
%X Setting National Institute of Tuberculosis and Respiratory Diseases (erstwhile Lala Ram Sarup Institute) in Delhi, India. Objectives To evaluate before and after the introduction of the line Probe Assay (LPA) a) the overall time to MDR-TB diagnosis and treatment initiation; b) the step-by-step time lapse at each stage of patient management; and c) the lost to follow-up rates. Methods A retrospective cohort analysis was done using data on MDR-TB patients diagnosed during 2009¨C2012 under Revised National Tuberculosis Control Programme at the institute. Results Following the introduction of the LPA in 2011, the overall median time from identification of patients suspected for MDR-TB to the initiation of treatment was reduced from 157 days (IQR 127¨C200) to 38 days (IQR 30¨C79). This reduction was attributed mainly to a lower diagnosis time at the laboratory. Lost to follow-up rates were also significantly reduced after introduction of the LPA (12% versus 39% pre-PLA). Conclusion Introduction of the LPA was associated with a major reduction in the delay between identification of patients suspected for MDR-TB and initiation of treatment, attributed mainly to a reduction in diagnostic time in the laboratory.
%U http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0102989