Treatment outcomes of standardized injectable shorter regimen for multi-drugs resistant tuberculosis in Ethiopia: a retrospective cohort study.

Autor: Achalu DL; Armauer Hansen Research Institute (AHRI), Addis Ababa, Ethiopia., Kiltu AB; Armauer Hansen Research Institute (AHRI), Addis Ababa, Ethiopia., Teferi M; Armauer Hansen Research Institute (AHRI), Addis Ababa, Ethiopia., Mohammed FG; Armauer Hansen Research Institute (AHRI), Addis Ababa, Ethiopia., Workneh BD; Department of Social and Administrative Pharmacy, Wollo University, Dessie, Ethiopia., Beyene KA; Department of Pharmaceutical and Administrative Sciences, University of Health Sciences and Pharmacy in St. Louis, St. Louis, MO, USA., Gebretekle GB; Canada's Drug and Health Technology Agency, Toronto, ON, Canada., Ali EE; Department of Pharmaceutics and Social Pharmacy, Addis Ababa University, Addis Ababa, Ethiopia. eskinder.eshetu@aau.edu.et.
Jazyk: angličtina
Zdroj: BMC infectious diseases [BMC Infect Dis] 2024 Aug 17; Vol. 24 (1), pp. 837. Date of Electronic Publication: 2024 Aug 17.
DOI: 10.1186/s12879-024-09745-8
Abstrakt: Background: The injectable shorter multi-drug resistant tuberculosis (MDR-TB) regimen, has been reported to be less costly and more effective in the treatment of MDR-TB compared to the longer regimen. Ethiopia introduced the injectable shorter regimen (SR) in April 2018 following official recommendation by the World Health Organization (WHO) in 2016. While the WHO recommendation was based on evidence coming from extensive programmatic studies in some Asian and African countries, there is paucity of information on patient outcomes in the Ethiopian context. Thus, we aimed to assess the treatment outcomes and identify factors associated with the outcomes of MDR-TB patients on injectable SR.
Methods: A multi-center facility-based retrospective cohort study was conducted in Ethiopia on 245 MDR-TB patients who were treated between April 2018 and March 2020. Data were collected from patients' medical records and analyzed using SPSS version 25. Descriptive statistics was used to summarize the results while inferential analysis was employed to investigate predictors of treatment outcomes and survival status.
Results: A total of 245 patients were included in the study, with 129 (52.7%) of them being female. Median age of the patients was 27 (IQR: 21-33). The overall treatment success rate was 87.8%, with 156 (63.7%) cured and 59 (24.1%) patients who completed treatment. The unfavorable outcomes accounted for 12.2%, with 16 (6.5%) treatment failure, 8 (3.3%) death and 6 (2.4%) lost to follow up. Majority of the unfavorable outcomes occurred during the early phase of therapy, with median time to event of 1.8 months (95% CI: 0.99-2.69). The use of khat (a green leafy shrub abused for its stimulant like effect) and being diagnosed with MDR-TB than rifampicin resistant only, were identified as independent factors associated with unfavorable outcomes.
Conclusion: The injectable SR for MDR-TB was found to have positive treatment outcomes in the context of programmatic management in Ethiopia.
(© 2024. The Author(s).)
Databáze: MEDLINE
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