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摘要:
Introduction: Tuberculosis remains a public health problem in Zimbabwe. Understanding the treatment outcomes is an important proxy indicator on the performance of the tuberculosis program. This study analyzed treatment outcomes of new sputum smear positive tuberculosis patients in Kwekwe district. Materials and Methods: A retrospective records review of new sputum smear positive tuberculosis patients registered in the district tuberculosis register in Kwekwe was conducted. Treatment outcomes were categorized according to the national tuberculosis control program and multivariate logistic regression model was used. P values less than 0.05 were considered statistically significant. Results: From a total of 1115 new sputum smear positive tuberculosis patients, cure rate ranged from 40.8% to 62.8% and death rate of patients decreased from 11 (8.0%) in 2007 to 17 (5.3%) in 2011 (p = 0.016). However, defaulter rate increased from 10 (7.3%) in 2007 to 30 (9.3%) in 2011. In multivariate logistic model, HIV positive tuberculosis patients were more likely to experience (adjusted RR = 1.84, 95% CI: 1.10 - 3.08) unfavorable treatment outcome when compared to negative counterparts. Urban residents were also at risk 1.91 (95% CI: 1.14 - 3.20) unfavorable outcome compared to rural residents. Conclusion: The cure rate was low (ranged from 40.8% to 62.8%) and the defaulter rate needed urgent attention. The district should conduct defaulter tracing and follow up.
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篇名 Trends for Tuberculosis Treatment Outcomes, New Sputum Smear Positive Patients in Kwekwe District, Zimbabwe, 2007-2011: A Cohort Analysis
来源期刊 结核病研究(英文) 学科 医学
关键词 SPUTUM SMEAR POSITIVE Treatment OUTCOME TUBERCULOSIS Kwekwe Zimbabwe
年,卷(期) 2015,(4) 所属期刊栏目
研究方向 页码范围 126-135
页数 10页 分类号 R73
字数 语种
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研究主题发展历程
节点文献
SPUTUM
SMEAR
POSITIVE
Treatment
OUTCOME
TUBERCULOSIS
Kwekwe
Zimbabwe
研究起点
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研究去脉
引文网络交叉学科
相关学者/机构
期刊影响力
结核病研究(英文)
季刊
2329-843X
武汉市江夏区汤逊湖北路38号光谷总部空间
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165
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0
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