Treatment interruptions among patients with tuberculosis in Russian TB hospitals

International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases
Evgeny M BelilovskyE Kourbatova

Abstract

To evaluate risk factors for in-patient treatment interruptions (TIs) in Russian tuberculosis (TB) hospitals. The regional case-based registers for all TB patients registered in the main regional TB hospitals were analyzed for the period 1993-2002. Multivariable analysis of risk factors for TIs was performed using logistic regression. The prediction rule was developed based on the final multivariable model coefficients obtained from analysis of the largest (Lipetsk) database. During the study period, 18-50% of new cases and 36-56% of retreatment cases had interrupted in-patient treatment. In multivariate analysis, independent predictors of treatment interruption included: male gender (odds ratios (ORs) 1.5-2.3), age group 25-50 years (ORs 1.5-1.7), alcohol abuse (ORs 1.8-4.0), imprisonment history (ORs 1.3-2.5), unemployment (ORs 1.1-2.8), being a retreatment case (ORs 1.3-2.5), and having severe forms of TB (1.4-4.0); factors protective from interruption included urban residence (ORs 0.7-0.9) and having concomitant diseases (ORs 0.6-0.8). Based on the Lipeck model, new TB cases from the four regions were divided into low, high, and very high risk groups. Proportions of TI were approximately 20-35% in the low risk group, approx...Continue Reading

References

Feb 1, 1997·The American Journal of Medicine·A Pablos-MéndezT R Frieden

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Citations

Dec 14, 2016·Australian and New Zealand Journal of Public Health·Paul H MasonKerri Viney
Apr 14, 2021·The Indian Journal of Tuberculosis·Nithin RanawakaSunil De Alwis

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