Treatment of Tuberculosis by the Nonpulmonary Physician

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Abstract
Because tuberculosis is currently being treated in many instances by the nonpulmonary physician, an evaluation of the skill with which he performs in this capacity was made. A group of 130 patients who were treated by such physicians was analyzed, using generally accepted criteria for appropriate therapy. Of the group, 2/3 were treated inappropriately. The use of isoniazid in those likely to be resistant to that drug, the use of a single drug in bacteriologically positive disease, and inadequate or excessive drug dosages were among the more common errors. Of the physicians caring for these patients, 2/3 were internal medicine specialists, half of them board certified. Increased educational efforts in regard to this disease at all levels of training must be made.
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