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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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2014
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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 |
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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 |
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