Treatment success rate, Factors contributing to treatment success and predictors for forecasting the favorable outcome in tuberculosis patients under DOTS strategy in Tuberculosis clinic in Chian Yai Hospital, Nakhon Si Thammarat Province
DOI:
https://doi.org/10.14456/dcj.2020.25Keywords:
Tuberculosis, Treatment Success rate, DOTSAbstract
Tuberculosis (TB) treatment success rate remains a public health challenge in many developed and developing countries. This retrospective study aimed to determine the treatment success rate and investigate factors associated with treatment outcomes in tuberculosis patients by DOTS strategy in tuberculosis clinic, Chian Yai hospital. Three-year (2015 to 2017) TB records of TB clinic of the hospital were reviewed. A total of 266 registered TB patients with completed information were included. The chi–square and fisher’s exact test were used to test the association among independent variables and treatment outcomes. Unconditional logistic regression analysis was used to estimate the magnitude of associations and predict treatment outcomes among tuberculosis patients. The study results demonstrated that treatment success rate was 81.2%, and factors significantly associated with favorable treatment outcomes were patients with DOTS apply (aOR=3.9, 95%CI=1.5–10.1, p=0.005), and those without concomitant diseases or complications while on treatment (aOR=7.3, 95%CI=3.0–17.7, p0.001). Therefore, patients susceptible to treatment failure should be closely monitored and aggressively treated to increase the rate of clinical success.
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