EFFICACY OF TB DOTS PROGRAMME IN CONTROLLING PULMONARY AND EXTRAPULMONARY TUBERCULOSIS AMONG PATIENTS VISITED THE OUT PATIENT DEPARTMENT OF PULMONOLOGY Dr. Sana Zafar, Dr. Zakirullah, Dr. Saif Ur Rehman Khan 11243-11248

Objective: To apply the TB DOTS program in patients with pulmonary and extrapulmonary tuberculosis and to see the results in a three-year period presented at the TB DOTS Clinic in the Pulmonology Department. Study Design: A prospective observational study. Place and Duration: In the Pulmonology Department, Mayo Hospital Lahore for three year period from December 2014 to December 2017. Methods: All patients with TB (pulmonary and extrapulmonary) who presented in TB DOTS clinic were selected for study. Results: A total of 2290 patients were decided to be treated with tuberculosis. The mean age of the patient was 29.37. Of all patients, 1282 (56%) were female and 1008 (44%) were male. A total of 1242 patients (54%) received treatment for pulmonary tuberculosis and 1048 patients (46%) received any type of extrapulmonary tuberculosis treatment. In extrapulmonary tuberculosis, lymphadenitis of tuberculosis was the most common group followed by tubular pleural effusion. 1713 (74%) patients were in the productive age group at 15-54 years of age. In our study, 516 patients were successfully treated in 2015 and success rate was 92%, 477 patients were successfully treated and 89% success rate was achieved. Thirty-six patients failed in treatment in 2016, while our default rate was 6%, 51 patients failed in 2017 and the default rate was 09%. Conclusion: TB DOTS program is effective in both pulmonary and extrapulmonary tuberculosis. TB DOTS increases patient compliance and reduces the inconsistency rate. Our data indicate that the number of TB patients treated in the DOTS clinic increases each year. Tertiary care hospital, if there is a rigid referral system in the periphery, can provide special health services for the patients with complicated Tbc diseases through the provision of regular and uninterrupted drug supply with continuously trained personnel. Key words: DOTS (direct observation short treatment), pulmonary tuberculosis