Treatment outcomes of patients with tuberculosis in war affected region of Khyber Pakhtunkhwa, Pakistan

Background: Globally, tuberculosis (TB) remains the leading cause of death from a single infectious disease. TB treatment outcome is an important indicator for the effectiveness of a national TB control program. This study aimed to assess treatment outcomes of TB patients and its determinants in Bat...

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Main Authors: Ahmad, T., Jadoon, M.A., Khan, M., Haroon, Khan, M.M., Hussain, A., Musa, T.H., Waqar, M., Ejeta, E., Karami, M., Alene, Kefyalew, Jin, H.
Format: Journal Article
Language:English
Published: BMC 2020
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/86479
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author Ahmad, T.
Jadoon, M.A.
Khan, M.
Haroon
Khan, M.M.
Hussain, A.
Musa, T.H.
Waqar, M.
Ejeta, E.
Karami, M.
Alene, Kefyalew
Jin, H.
Ahmad, T.
author_facet Ahmad, T.
Jadoon, M.A.
Khan, M.
Haroon
Khan, M.M.
Hussain, A.
Musa, T.H.
Waqar, M.
Ejeta, E.
Karami, M.
Alene, Kefyalew
Jin, H.
Ahmad, T.
author_sort Ahmad, T.
building Curtin Institutional Repository
collection Online Access
description Background: Globally, tuberculosis (TB) remains the leading cause of death from a single infectious disease. TB treatment outcome is an important indicator for the effectiveness of a national TB control program. This study aimed to assess treatment outcomes of TB patients and its determinants in Batkhela, Khyber Pakhtunkhwa, Pakistan. Methods: A retrospective cohort study was designed using all TB patients who were enrolled at District Head Quarter (DHQ) Hospital Batkhela, Pakistan, from January 2011 to December 2014. A binary logistic regression models were used to identify factors associated with successful TB treatment outcomes defined as the sum of cure and completed treatment. Results: A total of 515 TB patients were registered, of which 237 (46%) were males and 278 (53.98%) females. Of all patients, 234 (45.44%) were cured and 210 (40.77%) completed treatment. The overall treatment success rate was 444 (86.21%). Age 0-20 years (adjusted odds ratio, AOR = 3.47; 95% confidence interval, CI) = 1.54-7.81; P = 0.003), smear-positive pulmonary TB (AOR) = 3.58; 95% CI = 1.89-6.78; P = < 0.001), treatment category (AOR = 4.71; 95% CI = 1.17-18.97; P = 0.029), and year of enrollment 2012 (AOR = 6.26; 95% CI = 2.52-15.59; P = < 0.001) were significantly associated with successful treatment outcome. Conclusions: The overall treatment success rate is satisfactory but still need to be improved to achieve the international targeted treatment outcome. Type of TB, age, treatment category, and year of enrollment were significantly associated with successful treatment outcomes.
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spelling curtin-20.500.11937-864792021-11-22T04:58:15Z Treatment outcomes of patients with tuberculosis in war affected region of Khyber Pakhtunkhwa, Pakistan Ahmad, T. Jadoon, M.A. Khan, M. Haroon Khan, M.M. Hussain, A. Musa, T.H. Waqar, M. Ejeta, E. Karami, M. Alene, Kefyalew Jin, H. Ahmad, T. Science & Technology Life Sciences & Biomedicine Infectious Diseases Tuberculosis Treatment outcome Pakistan SHORT-COURSE DOTS PULMONARY TUBERCULOSIS DISTRICT MALAKAND POPULATION PREVALENCE STILL Background: Globally, tuberculosis (TB) remains the leading cause of death from a single infectious disease. TB treatment outcome is an important indicator for the effectiveness of a national TB control program. This study aimed to assess treatment outcomes of TB patients and its determinants in Batkhela, Khyber Pakhtunkhwa, Pakistan. Methods: A retrospective cohort study was designed using all TB patients who were enrolled at District Head Quarter (DHQ) Hospital Batkhela, Pakistan, from January 2011 to December 2014. A binary logistic regression models were used to identify factors associated with successful TB treatment outcomes defined as the sum of cure and completed treatment. Results: A total of 515 TB patients were registered, of which 237 (46%) were males and 278 (53.98%) females. Of all patients, 234 (45.44%) were cured and 210 (40.77%) completed treatment. The overall treatment success rate was 444 (86.21%). Age 0-20 years (adjusted odds ratio, AOR = 3.47; 95% confidence interval, CI) = 1.54-7.81; P = 0.003), smear-positive pulmonary TB (AOR) = 3.58; 95% CI = 1.89-6.78; P = < 0.001), treatment category (AOR = 4.71; 95% CI = 1.17-18.97; P = 0.029), and year of enrollment 2012 (AOR = 6.26; 95% CI = 2.52-15.59; P = < 0.001) were significantly associated with successful treatment outcome. Conclusions: The overall treatment success rate is satisfactory but still need to be improved to achieve the international targeted treatment outcome. Type of TB, age, treatment category, and year of enrollment were significantly associated with successful treatment outcomes. 2020 Journal Article http://hdl.handle.net/20.500.11937/86479 10.1186/s12879-020-05184-3 English http://creativecommons.org/licenses/by/4.0/ BMC fulltext
spellingShingle Science & Technology
Life Sciences & Biomedicine
Infectious Diseases
Tuberculosis
Treatment outcome
Pakistan
SHORT-COURSE DOTS
PULMONARY TUBERCULOSIS
DISTRICT MALAKAND
POPULATION
PREVALENCE
STILL
Ahmad, T.
Jadoon, M.A.
Khan, M.
Haroon
Khan, M.M.
Hussain, A.
Musa, T.H.
Waqar, M.
Ejeta, E.
Karami, M.
Alene, Kefyalew
Jin, H.
Ahmad, T.
Treatment outcomes of patients with tuberculosis in war affected region of Khyber Pakhtunkhwa, Pakistan
title Treatment outcomes of patients with tuberculosis in war affected region of Khyber Pakhtunkhwa, Pakistan
title_full Treatment outcomes of patients with tuberculosis in war affected region of Khyber Pakhtunkhwa, Pakistan
title_fullStr Treatment outcomes of patients with tuberculosis in war affected region of Khyber Pakhtunkhwa, Pakistan
title_full_unstemmed Treatment outcomes of patients with tuberculosis in war affected region of Khyber Pakhtunkhwa, Pakistan
title_short Treatment outcomes of patients with tuberculosis in war affected region of Khyber Pakhtunkhwa, Pakistan
title_sort treatment outcomes of patients with tuberculosis in war affected region of khyber pakhtunkhwa, pakistan
topic Science & Technology
Life Sciences & Biomedicine
Infectious Diseases
Tuberculosis
Treatment outcome
Pakistan
SHORT-COURSE DOTS
PULMONARY TUBERCULOSIS
DISTRICT MALAKAND
POPULATION
PREVALENCE
STILL
url http://hdl.handle.net/20.500.11937/86479