Occurrence of Tuberculosis and Factors Affecting Treatment Outcomes in Community Hospitals

Treatment Outcomes of Tuberculosis in Community Hospitals

Abstract

Tuberculosis (TB) is a major public health problem in Thailand. Data for the fiscal year 2018-2021, community  hospitals in Lamphun Province consistently found TB  infections. This retrospective study from the TB database  during the fiscal year 2018-2021 in community hospitals in  Lamphun Province aimed to study occurrence of TB and  factors affecting TB treatment. Patient information consisted of sex, age, TB type, acid fast staining results, HIV  status, underlying disease, and treatment outcomes. All  data was analyzed by binomial logistic regression analysis  to determine factors affecting treatment outcomes. Results  indicated that occurrence of TB in patients over 15 years of  age was 664 cases. The annual occurrence rate of TB was  58.5, 64.3, 47.8 and 53.2 per 100,000 populations,  respectively. Factors affecting cure were aged 15 to 34, aged 35 to 54, aged 55 to 74, TB history and TB with chronic  abstructive pulmonary disease (COPD). Factors affecting  death were aged 15 to 34, aged 35 to 54, aged 55 to 74 and  TB with COPD. Younger TB patients had higher chance of  successful treatment than older TB patients. Patients with   history of TB and co-existing COPD had lower chance of successful treatment. Thus, older TB patients aged 75 years  and over with prior history or with COPD, there is chance  that treatment is not successful and death