Trends in the Occurrence and Treatment Outcomes of Tuberculosis in North Shewa Zone of Ethiopia: A 5-Year Retrospective Analysis of Cases at Tarmaber District Health Centers

Autor: Seble Teklesilassia, Tilahun Alelign, Tegenu Gelana
Rok vydání: 2021
Předmět:
DOI: 10.21203/rs.3.rs-1024562/v1
Popis: Background: Tuberculosis (TB) remain a key global public health concern in Ethiopia. The study aimed at assessing prevalence and treatment outcomes of tuberculosis in the past five years. Methods: A retrospective data were collected from TB registry unit at Debre-Sina and Aremanya health centers from 2014-2018. A total of 221 TB patients who were registered and attended the direct observed treatment (DOTs) service in the health centers included in the study. Data were analyzed using SPSS version 20.Results: Among 221 TB patients, the prevalence of pulmonary TB was 175 (79.2%) of which 35.7% were smear positive, 43.4% were smear negative, 19.9% were with extra pulmonary TB and 0.9% were multidrug resistant. TB was found to be higher in males (52.5%) than females (47.5%). The highest TB cases (62%) occurred in the age group of 15 to 44 years (c2 =26.110, p= 0.002). The occurrence of all forms of TB was higher in urban (56.6%) than in rural settings (43.4%). The incidence of TB/HIV co-infection in the study area was 19% (c2=9.534, p= 0.023). Treatment success was increased from 2014 to 2018 in both health centers; however, TB detection rate was low (45.8%) in the study area. Conclusions: This retrospective study showed a decreasing trend of TB in the last five years. However, the study implies the need to give emphasis on pulmonary TB case detection for its elimination program.
Databáze: OpenAIRE