Guidelines versus ground lines: Tuberculosis of the central nervous system

Conclusion: The present survey, for the first time, provides ground-level evidence of various aspects of CNS TB as practiced by neurologists in India. The major diversity was observed in therapeutics such as the choice of antitubercular drugs, its duration, linezolid use beyond the recommended duration, and knowledge of drug resistance. The monitoring aspects of CNS TB also showed variations. The investigational aspects of CNS TB such as using TB PCR, not using CSF ADA, and regular neuroimaging revealed a good clinical practice. Other CSF parameters require uniformity. This survey thus helps to identify areas of future work in CNS TB in India.

Source: Neurology India - July 22, 2019 Category: Neurology Authors: Satish V Khadilkar Nikhil D Kadam Rahul V Kulkarni Chandrashekhar M Meshram Archana R Meshram Bhagyadhan A Patel Akash H Chheda Source Type: research