Cargando…

Household Air Pollution Is Associated with Chronic Cough but Not Hemoptysis after Completion of Pulmonary Tuberculosis Treatment in Adults, Rural Eastern Democratic Republic of Congo

Little is known about the respiratory health damage related to household air pollution (HAP) in survivors of pulmonary tuberculosis (PTB). In a population-based cross-sectional study, we determined the prevalence and associated predictors of chronic cough and hemoptysis in 441 randomly selected PTB...

Descripción completa

Detalles Bibliográficos
Autores principales: Katoto, Patrick D.M.C., Murhula, Aime, Kayembe-Kitenge, Tony, Lawin, Herve, Bisimwa, Bertin C., Cirhambiza, Jean Paul, Musafiri, Eric, Birembano, Freddy, Kashongwe, Zacharie, Kirenga, Bruce, Mfinanga, Sayoki, Mortimer, Kevin, De Boever, Patrick, Nawrot, Tim S., Nachega, Jean B., Nemery, Benoit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6265859/
https://www.ncbi.nlm.nih.gov/pubmed/30445808
http://dx.doi.org/10.3390/ijerph15112563
_version_ 1783375709900636160
author Katoto, Patrick D.M.C.
Murhula, Aime
Kayembe-Kitenge, Tony
Lawin, Herve
Bisimwa, Bertin C.
Cirhambiza, Jean Paul
Musafiri, Eric
Birembano, Freddy
Kashongwe, Zacharie
Kirenga, Bruce
Mfinanga, Sayoki
Mortimer, Kevin
De Boever, Patrick
Nawrot, Tim S.
Nachega, Jean B.
Nemery, Benoit
author_facet Katoto, Patrick D.M.C.
Murhula, Aime
Kayembe-Kitenge, Tony
Lawin, Herve
Bisimwa, Bertin C.
Cirhambiza, Jean Paul
Musafiri, Eric
Birembano, Freddy
Kashongwe, Zacharie
Kirenga, Bruce
Mfinanga, Sayoki
Mortimer, Kevin
De Boever, Patrick
Nawrot, Tim S.
Nachega, Jean B.
Nemery, Benoit
author_sort Katoto, Patrick D.M.C.
collection PubMed
description Little is known about the respiratory health damage related to household air pollution (HAP) in survivors of pulmonary tuberculosis (PTB). In a population-based cross-sectional study, we determined the prevalence and associated predictors of chronic cough and hemoptysis in 441 randomly selected PTB survivors living in 13 remote health zones with high TB burden in the South Kivu province of the Democratic Republic of Congo (DRC). Trained community and health-care workers administered a validated questionnaire. In a multivariate logistic regression, chronic cough was independently associated with HAP (adjusted odds ratios (aOR) 2.10, 95% CI: 1.10–4.00) and PTB treatment >6 months (aOR 3.80, 95% CI: 1.62–8.96). Among women, chronic cough was associated with cooking ≥3 h daily (aOR 2.74, 95% CI: 1.25–6.07) and with HAP (aOR 3.93, 95% CI: 1.15–13.43). Independent predictors of hemoptysis were PTB retreatment (aOR 3.04, 95% CI: 1.04–5.09) and ignorance of treatment outcome (aOR 2.24, 95% CI: 1.09–4.58) but not HAP (aOR 1.86, 95% CI: 0.61–5.62). Exposure to HAP proved a major risk factor for chronic cough in PTB survivors, especially in women. This factor is amenable to intervention.
format Online
Article
Text
id pubmed-6265859
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-62658592018-12-15 Household Air Pollution Is Associated with Chronic Cough but Not Hemoptysis after Completion of Pulmonary Tuberculosis Treatment in Adults, Rural Eastern Democratic Republic of Congo Katoto, Patrick D.M.C. Murhula, Aime Kayembe-Kitenge, Tony Lawin, Herve Bisimwa, Bertin C. Cirhambiza, Jean Paul Musafiri, Eric Birembano, Freddy Kashongwe, Zacharie Kirenga, Bruce Mfinanga, Sayoki Mortimer, Kevin De Boever, Patrick Nawrot, Tim S. Nachega, Jean B. Nemery, Benoit Int J Environ Res Public Health Article Little is known about the respiratory health damage related to household air pollution (HAP) in survivors of pulmonary tuberculosis (PTB). In a population-based cross-sectional study, we determined the prevalence and associated predictors of chronic cough and hemoptysis in 441 randomly selected PTB survivors living in 13 remote health zones with high TB burden in the South Kivu province of the Democratic Republic of Congo (DRC). Trained community and health-care workers administered a validated questionnaire. In a multivariate logistic regression, chronic cough was independently associated with HAP (adjusted odds ratios (aOR) 2.10, 95% CI: 1.10–4.00) and PTB treatment >6 months (aOR 3.80, 95% CI: 1.62–8.96). Among women, chronic cough was associated with cooking ≥3 h daily (aOR 2.74, 95% CI: 1.25–6.07) and with HAP (aOR 3.93, 95% CI: 1.15–13.43). Independent predictors of hemoptysis were PTB retreatment (aOR 3.04, 95% CI: 1.04–5.09) and ignorance of treatment outcome (aOR 2.24, 95% CI: 1.09–4.58) but not HAP (aOR 1.86, 95% CI: 0.61–5.62). Exposure to HAP proved a major risk factor for chronic cough in PTB survivors, especially in women. This factor is amenable to intervention. MDPI 2018-11-15 2018-11 /pmc/articles/PMC6265859/ /pubmed/30445808 http://dx.doi.org/10.3390/ijerph15112563 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Katoto, Patrick D.M.C.
Murhula, Aime
Kayembe-Kitenge, Tony
Lawin, Herve
Bisimwa, Bertin C.
Cirhambiza, Jean Paul
Musafiri, Eric
Birembano, Freddy
Kashongwe, Zacharie
Kirenga, Bruce
Mfinanga, Sayoki
Mortimer, Kevin
De Boever, Patrick
Nawrot, Tim S.
Nachega, Jean B.
Nemery, Benoit
Household Air Pollution Is Associated with Chronic Cough but Not Hemoptysis after Completion of Pulmonary Tuberculosis Treatment in Adults, Rural Eastern Democratic Republic of Congo
title Household Air Pollution Is Associated with Chronic Cough but Not Hemoptysis after Completion of Pulmonary Tuberculosis Treatment in Adults, Rural Eastern Democratic Republic of Congo
title_full Household Air Pollution Is Associated with Chronic Cough but Not Hemoptysis after Completion of Pulmonary Tuberculosis Treatment in Adults, Rural Eastern Democratic Republic of Congo
title_fullStr Household Air Pollution Is Associated with Chronic Cough but Not Hemoptysis after Completion of Pulmonary Tuberculosis Treatment in Adults, Rural Eastern Democratic Republic of Congo
title_full_unstemmed Household Air Pollution Is Associated with Chronic Cough but Not Hemoptysis after Completion of Pulmonary Tuberculosis Treatment in Adults, Rural Eastern Democratic Republic of Congo
title_short Household Air Pollution Is Associated with Chronic Cough but Not Hemoptysis after Completion of Pulmonary Tuberculosis Treatment in Adults, Rural Eastern Democratic Republic of Congo
title_sort household air pollution is associated with chronic cough but not hemoptysis after completion of pulmonary tuberculosis treatment in adults, rural eastern democratic republic of congo
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6265859/
https://www.ncbi.nlm.nih.gov/pubmed/30445808
http://dx.doi.org/10.3390/ijerph15112563
work_keys_str_mv AT katotopatrickdmc householdairpollutionisassociatedwithchroniccoughbutnothemoptysisaftercompletionofpulmonarytuberculosistreatmentinadultsruraleasterndemocraticrepublicofcongo
AT murhulaaime householdairpollutionisassociatedwithchroniccoughbutnothemoptysisaftercompletionofpulmonarytuberculosistreatmentinadultsruraleasterndemocraticrepublicofcongo
AT kayembekitengetony householdairpollutionisassociatedwithchroniccoughbutnothemoptysisaftercompletionofpulmonarytuberculosistreatmentinadultsruraleasterndemocraticrepublicofcongo
AT lawinherve householdairpollutionisassociatedwithchroniccoughbutnothemoptysisaftercompletionofpulmonarytuberculosistreatmentinadultsruraleasterndemocraticrepublicofcongo
AT bisimwabertinc householdairpollutionisassociatedwithchroniccoughbutnothemoptysisaftercompletionofpulmonarytuberculosistreatmentinadultsruraleasterndemocraticrepublicofcongo
AT cirhambizajeanpaul householdairpollutionisassociatedwithchroniccoughbutnothemoptysisaftercompletionofpulmonarytuberculosistreatmentinadultsruraleasterndemocraticrepublicofcongo
AT musafirieric householdairpollutionisassociatedwithchroniccoughbutnothemoptysisaftercompletionofpulmonarytuberculosistreatmentinadultsruraleasterndemocraticrepublicofcongo
AT birembanofreddy householdairpollutionisassociatedwithchroniccoughbutnothemoptysisaftercompletionofpulmonarytuberculosistreatmentinadultsruraleasterndemocraticrepublicofcongo
AT kashongwezacharie householdairpollutionisassociatedwithchroniccoughbutnothemoptysisaftercompletionofpulmonarytuberculosistreatmentinadultsruraleasterndemocraticrepublicofcongo
AT kirengabruce householdairpollutionisassociatedwithchroniccoughbutnothemoptysisaftercompletionofpulmonarytuberculosistreatmentinadultsruraleasterndemocraticrepublicofcongo
AT mfinangasayoki householdairpollutionisassociatedwithchroniccoughbutnothemoptysisaftercompletionofpulmonarytuberculosistreatmentinadultsruraleasterndemocraticrepublicofcongo
AT mortimerkevin householdairpollutionisassociatedwithchroniccoughbutnothemoptysisaftercompletionofpulmonarytuberculosistreatmentinadultsruraleasterndemocraticrepublicofcongo
AT deboeverpatrick householdairpollutionisassociatedwithchroniccoughbutnothemoptysisaftercompletionofpulmonarytuberculosistreatmentinadultsruraleasterndemocraticrepublicofcongo
AT nawrottims householdairpollutionisassociatedwithchroniccoughbutnothemoptysisaftercompletionofpulmonarytuberculosistreatmentinadultsruraleasterndemocraticrepublicofcongo
AT nachegajeanb householdairpollutionisassociatedwithchroniccoughbutnothemoptysisaftercompletionofpulmonarytuberculosistreatmentinadultsruraleasterndemocraticrepublicofcongo
AT nemerybenoit householdairpollutionisassociatedwithchroniccoughbutnothemoptysisaftercompletionofpulmonarytuberculosistreatmentinadultsruraleasterndemocraticrepublicofcongo