Factors associated with interruption of tuberculosis treatment among patients in Nandi County, Kenya 2015

The Pan African Medical Journal
Alfred Wandeba WanyonyiHellen Kutima

Abstract

Kenya is ranked 15th on the list of 22 high-tuberculosis (TB) burden countries with a case notification rate of 440 cases per 100,000 persons. Interruption of TB treatment is one of the major obstacles to effective TB treatment and control. Since 2009, emphasis has been on direct observation treatment short-course (DOTS) to ensure adherence. This study assessed the factors associated with interruption of treatment among patients on DOTS in Nandi County, Kenya. we reviewed medical records and interviewed randomly selected persons from the County TB register, among those initiated on TB treatment between 1st January 2013 and 30th June 2014. Data on socio-demographics, clinical characteristics, behavioral factors, family support, health system factors, income, and lifestyle and treatment interruption (i.e., therapy discontinuation ≥ 2 weeks) were collected. We calculated odds ratios (OR) and 95% confidence intervals (CI) to evaluate factors associated with TB interruption and performed multivariable logistic regression to examine independent risk factors. from a total of 1,287 records in the TB register, we randomly selected 280 patients for interview, out of whom 252 were traced. Of the 252 participants interviewed, 149 (59.1%) w...Continue Reading

Citations

Jun 4, 2021·Patient Preference and Adherence·Moges Getie WorkieTesfa Birlew Tsegaye
Feb 7, 2022·Archives of public health = Archives belges de santé publique·Geoffrey G KatanaOsman A Abdullahi

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