Cargando…

Determinants of Default from Pulmonary Tuberculosis Treatment in Kuwait

Objectives. To determine the prevalence and risk factors of default from pulmonary tuberculosis treatment in Kuwait. Design. Retrospective study. Patients and methods. We studied all patients who were registered for pulmonary tuberculosis treatment between January 1, 2010, and December 31, 2012, and...

Descripción completa

Detalles Bibliográficos
Autores principales: Zhang, Qing, Gaafer, Mohamed, El Bayoumy, Ibrahim
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3997844/
https://www.ncbi.nlm.nih.gov/pubmed/24955415
http://dx.doi.org/10.1155/2014/672825
_version_ 1782313243610447872
author Zhang, Qing
Gaafer, Mohamed
El Bayoumy, Ibrahim
author_facet Zhang, Qing
Gaafer, Mohamed
El Bayoumy, Ibrahim
author_sort Zhang, Qing
collection PubMed
description Objectives. To determine the prevalence and risk factors of default from pulmonary tuberculosis treatment in Kuwait. Design. Retrospective study. Patients and methods. We studied all patients who were registered for pulmonary tuberculosis treatment between January 1, 2010, and December 31, 2012, and admitted into TB wards in El Rashid Center or treated in the outpatient clinic in TB Control Unit. Results. There were 110 (11.5%) patients who defaulted from treatment. Fifty-six percent of those who defaulted did so in the first 2 months of treatment and 86.4% of them were still bacteriologically positive at the time of default. Key risk factors associated with noncompliance were male sex, low educational level, non-Kuwaiti nations, history of default, and history of concomitant diabetes mellitus, liver disease, or lung cancer. Multiple drug resistance was also associated with default from treatment. Conclusion. Default from treatment may be partially responsible for the persistent relatively high rates of tuberculosis in Kuwait. Health professionals and policy makers should ensure that all barriers to treatment are removed and that incentives are used to encourage treatment compliance.
format Online
Article
Text
id pubmed-3997844
institution National Center for Biotechnology Information
language English
publishDate 2014
publisher Hindawi Publishing Corporation
record_format MEDLINE/PubMed
spelling pubmed-39978442014-06-22 Determinants of Default from Pulmonary Tuberculosis Treatment in Kuwait Zhang, Qing Gaafer, Mohamed El Bayoumy, Ibrahim ScientificWorldJournal Research Article Objectives. To determine the prevalence and risk factors of default from pulmonary tuberculosis treatment in Kuwait. Design. Retrospective study. Patients and methods. We studied all patients who were registered for pulmonary tuberculosis treatment between January 1, 2010, and December 31, 2012, and admitted into TB wards in El Rashid Center or treated in the outpatient clinic in TB Control Unit. Results. There were 110 (11.5%) patients who defaulted from treatment. Fifty-six percent of those who defaulted did so in the first 2 months of treatment and 86.4% of them were still bacteriologically positive at the time of default. Key risk factors associated with noncompliance were male sex, low educational level, non-Kuwaiti nations, history of default, and history of concomitant diabetes mellitus, liver disease, or lung cancer. Multiple drug resistance was also associated with default from treatment. Conclusion. Default from treatment may be partially responsible for the persistent relatively high rates of tuberculosis in Kuwait. Health professionals and policy makers should ensure that all barriers to treatment are removed and that incentives are used to encourage treatment compliance. Hindawi Publishing Corporation 2014 2014-04-06 /pmc/articles/PMC3997844/ /pubmed/24955415 http://dx.doi.org/10.1155/2014/672825 Text en Copyright © 2014 Qing Zhang et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Zhang, Qing
Gaafer, Mohamed
El Bayoumy, Ibrahim
Determinants of Default from Pulmonary Tuberculosis Treatment in Kuwait
title Determinants of Default from Pulmonary Tuberculosis Treatment in Kuwait
title_full Determinants of Default from Pulmonary Tuberculosis Treatment in Kuwait
title_fullStr Determinants of Default from Pulmonary Tuberculosis Treatment in Kuwait
title_full_unstemmed Determinants of Default from Pulmonary Tuberculosis Treatment in Kuwait
title_short Determinants of Default from Pulmonary Tuberculosis Treatment in Kuwait
title_sort determinants of default from pulmonary tuberculosis treatment in kuwait
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3997844/
https://www.ncbi.nlm.nih.gov/pubmed/24955415
http://dx.doi.org/10.1155/2014/672825
work_keys_str_mv AT zhangqing determinantsofdefaultfrompulmonarytuberculosistreatmentinkuwait
AT gaafermohamed determinantsofdefaultfrompulmonarytuberculosistreatmentinkuwait
AT elbayoumyibrahim determinantsofdefaultfrompulmonarytuberculosistreatmentinkuwait