Socioeconomic Conditions Contributing to Multi Drug Resistant (MDR) and Extremely Drug Resistant(XDR) Tuberculosis

ankale, Padmaraj; Nair, Girija; Uppe, Abhay; Mathew, Aleena; Shah, Ria

doi:10.1183/1393003.congress-2017.pa2727

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“…If living standards are poor, the likelihood of the spread of infectious diseases is higher, and the individual’s recovery from the disease may be longer. Ankale, Nair, Uppe, Mathew and Shah ( 2017 ) reported that MDR-TB is most prevalent in low-income households, where the quality of housing and the living conditions are typically poor, that is, poverty, malnutrition, poor hygeine, sanitation as well as overcrowding; thus creating a favourable habitat for the spread of the TB bacteria. Low income is also known to be a determinant for poor adherence to TB treatment (Wurie et al, 2018 ), and these patients may be trapped in a cycle of infection and reinfection fuelled by unemployment.…”

Section: Discussionmentioning

confidence: 99%

The lived experiences and psychosocial impact of hearing loss on the quality of life of adults with Multidrug-Resistant Tuberculosis

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2022

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Background: Aminoglycosides used in the treatment of Multidrug-Resistant Tuberculosis (MDR-TB) are known to result in hearing loss. The effects of an acquired hearing loss with an MDR-TB diagnosis may have an increased adverse impact on the overall quality of life of an individual; however, there is minimal research in the area.Objectives: This study explores the psychological and emotional impact of hearing loss in adults with MDR-TB; and describes the experiences of the social, economic, and vocational impact of hearing loss in adults with MDR-TB.Method: A qualitative research study was conducted on 10 participants, with a confirmed diagnosis of MDR-TB and hearing loss. The researcher used a semi-structured questionnaire to collect data during face-to-face, audio-recorded interviews.Results: Hearing loss in patients diagnosed with MDR-TB has a significant adverse impact on the lived experiences of patients. Stigma, discrimination, psychological distress, adverse changes in family status and family relationships, financial constraints, and social challenges were some of the common issues reported by participants. Unemployment posed a significant challenge, resulting in participants having no economic stability because of MDR-TB, which was then worsened by the hearing loss; consequently, generating a great deal of stress. Participants reported feelings of worthlessness, a loss of identity, lack of motivation, feelings of embarrassment, and loss of independence.Conclusion: There is a significant irreversible social, psychological, and economic impact of hearing loss that has a direct impact on the lived experiences of MDR-TB patients and their families even after cure of MDR-TB. There is a need for improved treatment methods with psychosocial intervention strategies that equip patients to alleviate the adverse effects they experience.

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Section: Discussionmentioning

confidence: 99%