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This profile was last updated on 11/6/14  and contains information from public web pages and contributions from the ZoomInfo community.

Dr. Zarir F. Udwadia

Wrong Dr. Zarir F. Udwadia?

Consultant Chest Physician

Email: z***@***.com
Company Description: P. D. Hinduja Hospital was the first multi disciplinary tertiary care hospital to have been awarded the prestigious ISO 9002 Certification from KEMA of Netherlands...   more

Employment History


  • MD
35 Total References
Web References
Hinduja Hospital - Community Portal, 14 June 2014 [cached]
Posted by : Dr. Zarir F. Udwadia,
Posted by : Dr. Zarir F. Udwadia,
Posted by : Dr. Zarir F. Udwadia,
Dr. Zarir F. Udwadia, MD, DNB, FRCP (London), FCCP (USA)
Dr Zarir Udwadia, a ..., 10 Nov 2011 [cached]
Dr Zarir Udwadia, a tuberculosis specialist at the Hinduja National Hospital in Mumbai, published a paper in the Clinical Infectious Diseases journal late last year documenting four cases of TDR-TB. He told Reuters he has now identified 12 cases for which he has all but run out of treatment options. Three are already dead.
He has tested one powerful anti-TB drug after another on samples cultured from these patients - including first-line treatments like isoniazid, rifampicin and streptomycin, and a range of second line drugs like moxifloxacin, kanamycin and ethionamide. Each medicine failed.
"If you add it all up, they were resistant to 12 drugs in total," he said.
Like others, Udwadia blames poor medical practice.
Non-prescription and over-the-counter antibiotic use is rife in India and it may be no coincidence that the country now has one of the highest burdens on MDR-TB in the world, with more than 100,000 cases.
Udwadia's team conducted a recent study in Mumbai, home to more than 12 million people often living in harsh and overcrowded conditions, and found in one district only five out of 106 doctors in the unregulated private sector could give a correct prescription for a hypothetical patient with MDR-TB.
Most of the prescriptions were "inappropriate" and would only have made the patient worse - driving the conversion of MDR tuberculosis to XDR and then to TDR tuberculosis.
The Mumbai findings show that totally drug-resistant TB "was an accident waiting to happen," Udwadia said.
Thorax - Editorial Board, 29 Aug 2014 [cached]
Zarir Udwadia Hinduja Hospital & Research Center
"We currently have 12 confirmed cases, ..., 30 Jan 2012 [cached]
"We currently have 12 confirmed cases, of which three are dead," says Zarir Udwadia of the Hinduja National Hospital and Medical Research Centre in Mumbai, and head of the team whose diagnoses of four cases has just been published.
The emergence of the disease in such a densely populated city is a major concern as it could spread so easily. "We know one patient transmitted it to her daughter," Udwadia told New Scientist. "It's estimated that on average, a tuberculosis patient infects 10 to 20 contacts in a year, and there's no reason to suspect that this strain is any less transmissible," he warns.
For patients, the outlook is grim. "Short of quarantining them in hospitals with isolation facilities till they become non-infectious - which is not practical or possible - there is nothing else one can do to prevent transmission," says Udwadia.
Udwadia blames the emergence of totally untreatable TB on poor management of the MDR strain. "Years of mismanagement of MDR-TB at government and private care levels resulted in amplification of the level of resistance till we finally ended up with this untreatable strain," he says.
Udwadia surveyed 106 private practitioners in a Mumbai suburb and found that only five of them would prescribe the correct prescription if approached by a MDR-TB patient.
Dr. Zarir F. ..., 18 Sept 2011 [cached]
Dr. Zarir F. Udwadia Dr. Zarir F. Udwadia is a consultant Chest Physician at P.D.Hinduja Hospital.
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