Abstract
INTRODUCTION: Tuberculosis (TB) is listed among the top ten causes of death worldwide. Identifying factors that contribute to unsuccessful treatment could help healthcare workers to recognize problems, assess the risks, predict the diagnosis and it could potentially help prevent treatment failures. Unsuccessful treatment includes death, defaulted and failed treatment. METHODS: A cross-sectional study was conducted to identify the contributing factors for unsuccessful treatment. 152 patients registered in the MyTB system from year 2015 until 2017 in Raub district, Pahang were analysed. RESULTS: Among 152 patients analysed, 101 (66.4%) were males and 51 (33.6%) were females. The treatment success rate was 77.0% and the unsuccessful rate was 23.0%. Amidst the unsuccessfully treated, 20.4% were due to the death of the patients, while the other 2.6% defaulted their treatment. Univariate analysis showed that unsuccessful TB treatment has statistically significant association between age (p=0.002), education (p=0.038), cigarette smoker (p=0.018), TB-HIV status (p=0.014), diabetic status (p=0.050), DOTs supervision (p=0.012) and re-treatment cases (p=0.010). However, multivariate analysis showed the potential factors associated with unsuccessful treatment outcome were age above 60 years old (aOR: 4.958; 95%CI: 2.035, 12.080; p=0.001), cigarette smoker (aOR: 4.251; 95%CI: 1.681, 10.749; p=0.002) and unknown HIV status (aOR:11.416; 95%CI: 2.357, 56.004; p=0.003). DISCUSSION: The factors contributing to the unsuccessful treatment in Raub district were elderlies, cigarette smokers and unknown HIV status.
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@proceedings{APCPH-2019-52,
title = {Factors Contributing Unsuccessful Treatment of Tuberculosis Patients in Raub District},
author = {Shamsaini Shamsuddin and Nur Hamizah Nasaruddin and Ahmad Shafie and Nur Shairah Badrul Hisham and Mohamad Ikhwan Amin Ibrahim and Ahmad Syahrem Mat Nasir},
year = {2019},
date = {2019-07-22},
urldate = {2019-07-22},
journal = {6th Asia-Pacific Conference on Public Health 2019 Proceedings},
issue = {6},
abstract = {INTRODUCTION: Tuberculosis (TB) is listed among the top ten causes of death worldwide. Identifying factors that contribute to unsuccessful treatment could help healthcare workers to recognize problems, assess the risks, predict the diagnosis and it could potentially help prevent treatment failures. Unsuccessful treatment includes death, defaulted and failed treatment. METHODS: A cross-sectional study was conducted to identify the contributing factors for unsuccessful treatment. 152 patients registered in the MyTB system from year 2015 until 2017 in Raub district, Pahang were analysed. RESULTS: Among 152 patients analysed, 101 (66.4%) were males and 51 (33.6%) were females. The treatment success rate was 77.0% and the unsuccessful rate was 23.0%. Amidst the unsuccessfully treated, 20.4% were due to the death of the patients, while the other 2.6% defaulted their treatment. Univariate analysis showed that unsuccessful TB treatment has statistically significant association between age (p=0.002), education (p=0.038), cigarette smoker (p=0.018), TB-HIV status (p=0.014), diabetic status (p=0.050), DOTs supervision (p=0.012) and re-treatment cases (p=0.010). However, multivariate analysis showed the potential factors associated with unsuccessful treatment outcome were age above 60 years old (aOR: 4.958; 95%CI: 2.035, 12.080; p=0.001), cigarette smoker (aOR: 4.251; 95%CI: 1.681, 10.749; p=0.002) and unknown HIV status (aOR:11.416; 95%CI: 2.357, 56.004; p=0.003). DISCUSSION: The factors contributing to the unsuccessful treatment in Raub district were elderlies, cigarette smokers and unknown HIV status.},
note = {Type: ORAL PRESENTATION; Organisation: Pejabat Kesihatan Daerah Raub},
keywords = {failure, TB, treatment, tuberculosis, unsuccessful},
pubstate = {published},
tppubtype = {proceedings}
}