Tuberculosis treatment outcome and predictors in northern Ethiopian prisons: a five-year retrospective analysis

BMC Pulmonary Medicine
Kelemework AdaneGeert-Jan Dinant

Abstract

The prison situations are notorious for causing interruptions of tuberculosis (TB) treatment and occurrence of unfavorable outcomes. In Ethiopian prisons, though TB treatment programs exist, treatment outcome results and factors contributing to unsuccessful outcome are not well documented. In this study, we assessed the treatment outcome of TB cases and identified risk factors for unsuccessful outcome in northern Ethiopian prisons. A retrospective record review was conducted for all prisoners diagnosed with TB between September 2011 and August 2015. Outcome variables were defined following WHO guidelines. Out of the 496 patients, 11.5% were cured, 68% completed treatment, 2.5% were lost to follow-up, 1.6% were with a treatment failure, 1.4% died, and 15% were transferred out. All transferred out or released prisoners were not appropriately linked to health facilities and might be lost to treatment follow-up. The overall treatment success rate (TSR) of the 5 years was 94% among the patients who were not transferred out. The odds of unsuccessful outcome were 4.68 times greater among re-treatment cases compared to the newly treated cases. The year of treatment was also associated with variations in TSR; those treated during the ea...Continue Reading

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Citations

Oct 17, 2018·Reviews on Environmental Health·Nur Adibah MohidemPunitha Makeswaran
Dec 28, 2019·PloS One·Ninfa Marlen Chaves TorresEduardo Martins Netto
May 18, 2020·BMC Public Health·Victor SinganoLawrence Chiwaula

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Methods Mentioned

BETA
biopsy

Software Mentioned

Epi Data entry
SPSS

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