Determinants of adverse treatment outcomes among patients treated under Revised National Tuberculosis Control Program in Wardha, India: Case–control study
Journal Title: Medical Journal Armed Forces - Year 2018, Vol 74, Issue 3
Abstract
Background: Tuberculosis (TB) leads to a considerable loss of lung functions and Quality Adjusted Life Years. Several factors are associated with adverse treatment outcomes from TB which further increases this loss. We undertook the study to study the determinants of adverse treatment outcomes among tuberculosis patients treated under the Revised National Tuberculosis Control Program in a tuberculosis unit in India. Methods: 88 cases and 187 controls from among patients registered in Wardha Tuberculosis Unit in the year 2014 were interviewed to study the determinants of adverse treatment outcomes of tuberculosis. All patients with adverse treatment outcomes were taken as cases. Controls were chosen from relapse free successfully treated patients using simple random sampling. Results: On multivariate analysis indoor air pollution, pulmonary TB, discrimination due to TB and poor satisfaction with services significantly increased the odds of adverse treatment outcomes whereas the senior treatment supervisor visiting the patients during treatment was protective. Conclusion: Appropriate new interventions and strengthening of the existing mechanisms to reduce treatment interruptions along with proper implementation of the program will help in reducing the adverse treatment outcomes and improving program performance.
Authors and Affiliations
Anuj Mundra
Keywords
Related Articles
- EP ID EP648967
- DOI 10.1016/j.mjafi.2017.07.008
- Views 66
- Downloads 0
Hallermann Streiff syndrome: 'Bird faced' but not 'bird brained'
Hallermann Streiff syndrome or Francois dyscephaly syndrome is a rare condition with approximately 200 reported cases in the world. It is of unknown aetiology but it has been suggested that developmental disturbance of b...
Combat surgery: Status of tactical abbreviated surgical control
Traditionally injury care meant definitive repair following surgical exploration. However the outcome is poor because of deranged physiology in severely injured. Damage control surgery (DCS) is abbreviated initial proced...
Scrub typhus strikes back: Are we ready?
Scrub typhus has struck back, albeit with renewed vigour, impacting areas with previously known endemicity as also impressing newer expanses. It is not surprising, therefore, that Scrub typhus has emerged as a leading ca...
Research submission: Some technicalities and vital links
Publishing allows the author to share with the world his original findings, reasoning, important breakthroughs and it also creates the avenue for mandates of promotion and career upliftment. In an endeavour to publish an...
Use of corticosteroids in acute respiratory distress syndrome: Perspective from an Indian intensive care unit
Background: Acute respiratory distress syndrome (ARDS) causes overwhelming inflammation, which serves as a potential target for corticosteroids. Despite extensive Western literature, there are no Indian studies evaluatin...