Outcome of Community-Initiated Treatment of Drug-Resistant Tuberculosis Patients in Akwa Ibom State, Nigeria
Abstract:
Drug-resistant Tuberculosis (DRTB) occurs when the drugs
used to treat TB are misused or mismanaged by, WHO 2018 Examples of misuse or mismanagement
include People who do not complete a full course of TB treatment, Health care providers
prescribing the wrong treatment (the wrong dose or length of time), Drugs for proper
treatment are not available, and poor quality of drugs. The study aimed at determining
the treatment outcome of Community-Initiated Drug-Resistant Tuberculosis Patients registered between January 2017 and December 2020.in Akwa Ibom State, Nigeria. The study design was a retrospective cohort study; a
total sampling technique was employed
to review patients that were diagnosed and registered during the period of study. The demographic and clinical data of each patient were
retrieved from the DR-TB patient treatment cards, DR-TB patient treatment progress
notes from directly observed treatment short-course (DOTS) providers in the community,
the state DR-TB central register, and treatment card. Data were analyzed using Statistical Package for Social Sciences (SPSS) Software
(Version 23; SPSS, Chicago, IL, USA). The median age of clients that participated in the study
was 34 years [27- 49.5]. Most of the participants were male
(56.2%), and a greater proportion of the enrollees were all new cases (76.3%). The
study determined
some of the sociodemographic characteristics of patients that received treatment
for drug-resistant tuberculosis using the Community-Initiated
model, their health outcomes, and assessed the predictors of some of the health
outcomes.
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