Factors Affecting the Success of Treatment among Pulmonary Tuberculosis Patients in Phayao Province, Thailand
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Abstract
Introduction: Tuberculosis is a serious contagious disease, caused by Mycobacterium tuberculosis. It’s a cause of illness and death in many people around the world. The disease was contact through the respiratory tract from patient, such as coughing and sneezing. WHO. It had estimated that in 2020 the world incidence of tuberculosis patients will be as high as 9.9 million people (127 per 100,000 population). Tuberculosis patients are death will be as high as 1.3 million people (13.13 percent). Thailand has the highest incidence. The 105,000 TB cases (150 per 100,000 population) 12,000 TB deaths (11.43%), WHO. has classified Thailand among countries with a high TB burden. Phayao Province has 589 cases (125 per 100,000 population), 95 tuberculosis deaths (16.13%), which is higher than at the world level and in Thailand.
Methods: Retrospective analytical research was used to study among tuberculosis patients. The purposive of was study the factors affecting success treating in 925 cases tuberculosis patients in Phayao Province from October 1, 2020, to September 30, 2022, they were recruited from public and 7 private health service centers clinics, using statistical analyzed Chi-square test statistics with the significance level at p < 0.05.
Results: Factors that have a statistically significant relationship with success in treating tuberculosis (p < 0.05) include the patient's age, occupational status, Body Mass Index of the patient. Co-morbid conditions in tuberculosis patients include diabetes, having chronic kidney disease and sputum examination results from the laboratory.
Conclusions: Results from this research can be used in considering guidelines for providing care, closely supervise and monitor patients in a directly observed treatment, short-course (DOTS), because pulmonary tuberculosis patients who have these factors may be treatment failure or success in treating tuberculosis
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