[Predictive factors of lost to follow-up status during tuberculosis treatment]
| Autor: | K, Horo, A B, Kouassi, C V, Brou-Gode, J-M B, Ahui, A, Diaw, F, Kone-Konate, K, Toure, A Z, Gnaze, S A, N'Gom, B N, Koffi, E, Aka-Danguy |
|---|---|
| Jazyk: | francouzština |
| Rok vydání: | 2010 |
| Předmět: |
Adult
Male Chest Pain Health Knowledge Attitudes Practice Patient Dropouts Adolescent Antitubercular Agents Comorbidity Medication Adherence Young Adult Patient Education as Topic HIV Seroprevalence Risk Factors Tuberculosis Multidrug-Resistant Humans Tuberculosis Prospective Studies Tuberculosis Pulmonary Aged Aged 80 and over AIDS Serodiagnosis Middle Aged Cote d'Ivoire Socioeconomic Factors Female Follow-Up Studies |
| Zdroj: | Revue des maladies respiratoires. 28(7) |
| ISSN: | 1776-2588 |
| Popis: | Patients with contagious tuberculosis who are lost to follow-up risk sowing the disease among their circle of acquaintances. Moreover, a history of inadequate anti-tuberculous treatment is an important risk factor for the development of drug-resistant organisms. The purpose of this study was to identify risk factors for loss to follow-up among patients undergoing treatment for tuberculosis.We performed a prospective cohort study among patients with contagious tuberculosis, beginning with anti-tuberculous treatment followed during six months, after initial education-information about their condition. We compared the characteristics of 152 patients lost to follow-up from tuberculosis treatment against those of 492 patients who were not lost to follow-up.Independent factors associated with a reduction in the risk of being lost to follow-up were: the presence of night-sweats (OR=0.46 [0.24-0.88]; P=0.018), the presence of thoracic pain (OR=0.27 [0.14-0.54]; P0.001), screening for HIV (OR=0.41 [0.17-0.98]; P=0.045), fact to inform a person of its disease (OR=0.06 [0.01-0.41]; P=0.004), the application of directly observed treatment in the community (OR=0.34 [0.17-0.66]; P0.001).Reducing loss to follow-up during treatment for tuberculosis requires the development of a "good attitude" through education-information about tuberculosis. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|