Evaluation of the treatment after default rates in a Tuberculosis Dispensary in 10 years period and the effect of directly observed treatment
Abstract
Background: We aimed to evaluate that defaulting from tuberculosis (TB) treatment rates and patient characteristics in our dispensary in 10 years period.
Methods: The files of patients with treatment after default between 1997 and 2006 were retrospectively analysed. Statistical analyses were made using SPSS package programme.
Results: Between 1997 and 2006 a total of 3142 patients undergoing treatment, 67 (2.13%) had defaulting from treatment. Treatment after default rates with respect to years were 3.2% in 1997, 2.8% in 1998, 3.0% in 1999, 3.0% in 2000, 2.9% in 2001, 3.4% in 2002, 1.4% in 2003, 1.0% in 2004, 0.5% in 2005 and 1.3% in 2006. The mean period for treatment after default was 2.4±1.6 months. When patients were grouped into two with respect to treatment periods (1997-2001 and 2002-2006); age, gender, marrital status, education status, the number of household contacts, the mean treatment after default months, the type of the disease, demonstrated no statistically significant difference.
Conclusion: It was found out that treatment after default rates in our dispensary in 10 years period is less than 5% which is targetted by World Health Organization (WHO). No differences about social and clinical characteristics of cases were detected.
Keywords
Kaynakça
- Global tuberculosis control: surveillance, planning, financing: WHO report 2008. WHO Press, Geneva, 2008, p. 1-3.
- Management of Tuberculosis Training for Health Facility Staff. Importance of TB as a public health problem. World Health Organization Geneva, 2003, p. 1Vree M, Huong NT, Duong BD, et al. Mortality and failure among tuberculosis patients who did not complete treatment in Vietnam: a cohort study. BMC Public Health 2007; 7: 134.
- Jittimanee SX, Madigan EA, Jittimanee S, Nontasood C. Treatment default among urban tuberculosis patients, Thailand. Int J Nurs Pract 2007; 13: 354-362.
- Jakubowiak W, Korzeniewska M, Kus J, et al. TB Manual National Tuberculosis Programme Guidelines. Case definitions and treatment categories. Warsaw 2001; 3-15.
- Pinidiyapathirage J, Senaratne W, Wickremasinghe R. Prevalence and predictors of default with tuberculosis treatment in Sri Lanka [abstract]. Southeast Asian J Trop Med Public Health Nov; 2008; 39: 1076-1082.
- Kittikrasiak W, Burapat C, Kaewsa-ard S, et al. Factors associated with tuberculosis treatment default among HIV-infected tuberculosis patients in Thailand. Trans R Soc Trop Med Hyg 2009; 103: 59-66.
- Thiam S, Le Fevre AM, Hane F, et al. Effectiveness of a strategy to improve adherence to tuberculosis treatment in a resource- poor setting: a cluster randomized controlled trial. JAMA 2007; 297: 3803
- Munro SA, Lewin SA, Smith HJ, et al. Patient adherence to tuberculosis treatment: a systematic review of qualitative research. Plos Medicine 2007; 4: e2
Ayrıntılar
Birincil Dil
İngilizce
Konular
-
Bölüm
-
Yazarlar
Mine Solakoğlu Uçar
Bu kişi benim
Filiz Öztürk
Bu kişi benim
Dilek Polat
Bu kişi benim
Elif Torun
Bu kişi benim
Yayımlanma Tarihi
29 Nisan 2014
Gönderilme Tarihi
27 Mayıs 2013
Kabul Tarihi
-
Yayımlandığı Sayı
Yıl 2014 Cilt: 19 Sayı: 1