Treatment Outcome of Tuberculosis Patients by Multidisciplinary Team at Waritchaphum Hospital, Sakon Nakhon Province

Abstract

The objective of this descriptive study was to compare the treatment outcomes of tuberculosis registered at Waritchaphum hospital, Sakon Nakon Province. For 2 phases, traditional treatment service by superintendent alone (July 2005-June 2006) and recent treatment service by multidisciplinary team (July 2006-June 2007) with Vender Manage Inventory (VMI), data were collected from tuberculosis patient register (TB register: TB03), out-patient medical record and the patients database of Waritchaphum hospital (HOSWIN). The treatment outcomes of tuberculosis patients were compared between the two phases. There were 52 patients in the first phase and most of them were pulmonary tuberculosis (90.38%). Naive tuberculosis, positive sputum to acid fast bacilli test, CAT 1 regimen and cure rate were 82.69, 36.54, 82.69 and 63.16%, respectively. In the second phase, there were 37 patients and most of them were pulmonary tuberculosis (86.49%). Naive tuberculosis, positive sputum to acid fast bacilli test, CAT 1 regimen and cure rate were 70.27, 56.76, 73.39 and 84.21%, respectively. Treatment outcomes by multidisciplinary team was better than those by superintendent alone with statistically significant difference (p-value=0.048). The average waiting-times from reorder to receiving medicine before and after implement of VMI were 11.71±5.24 days and 5.94±4.25 days, respectively. Moreover, VMI supported the patient to receive the medicine continuously, and reduce drug reservation rate. In conclusion, the treatment outcome was improved by tuberculosis treatment with multidisciplinary team.