Factors Associated with Treatment Outcomes in Patients with Pulmonary Tuberclosis
Akram Afzal, Murad Ahmad, Haseeb Ghaffar
3091
ABSTRACT
Background
and Aim: Tuberculosis
(TB) is one of the major sources of health problems in developing countries. An
effective strategy for tuberculosis treatment can be evaluated with key
indicators known as TB control program with their treatment outcomes. Hence,
the purpose of this study was to evaluate the factors associated with the
treatment outcome of pulmonary tuberculosis in patients.
Methods:
This
cross-sectional study was carried out on 129 Tuberculosis patients in the department
of Pulmonology, Gulab Devi
Hospital Lahore
from November 2020 to April 2021. Demographic details, clinical examination,
and treatment outcomes were evaluated. All the data were extracted from the
hospital medical records. Successful treatment outcomes predictors were
assessed using bivariate and multivariate regression. SPSS version 20 was used
for data analysis.
Results:
Of
the total 129 tuberculosis patients, 59 (46%) were male and 70 (54%) were
females. The overall mean age was 26.54±5.62 years. The overall prevalence of
successful treatment rate was 113 (87.6%). Out of 113, the prevalence of cured
and complete treatment patients was 57 (50.4%) and 56 (49.6%) respectively.
Based on logistic regression models, various parameters with their respective
adjustment odds ratio (AOR) were as follows; age 21-40 years (AOR= 2.67, 95%
CI=1.32-6.12, p-value=0.003), treatment category (AOR=4.62, 95% CI=1.12-16.74,
p-value=0.027), and smear-positive pulmonary tuberculosis (AOR=3.47; 95%
CI=1.76-6.69, p-value<0.001) were significantly related with treatment
outcomes.
Conclusion:
Our
study reported that the overall prevalence of successful treatment was 87.6%.
Though, the rate of overall successful treatment was found satisfactory, but,
to meet international standard strategy for tuberculosis, still, improvement
needs to be achieved. Age, treatment category, and tuberculosis types were
significantly correlated with treatment outcomes.
Keywords: Pulmonary Tuberculosis;
Treatment Outcomes; TB Smears