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Patient- and provider-related factors in the success of multidrug-resistant tuberculosis treatment in Colombia()
OBJECTIVE. To identify patient- and provider-related factors associated with the success of multidrug-resistant tuberculosis (MDR-TB) treatment in the six municipalities of Colombia with the highest number of MDR-TB cases. METHODS. Bivariate and multivariate logistic regressions were used to analyze...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Organización Panamericana de la Salud
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8216496/ https://www.ncbi.nlm.nih.gov/pubmed/34168683 http://dx.doi.org/10.26633/RPSP.2021.74 |
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author | Puerto Castro, Gloria Mercedes Montes Zuluaga, Fernando Nicolás Alcalde-Rabanal, Jacqueline Elizabeth Pérez, Freddy |
author_facet | Puerto Castro, Gloria Mercedes Montes Zuluaga, Fernando Nicolás Alcalde-Rabanal, Jacqueline Elizabeth Pérez, Freddy |
author_sort | Puerto Castro, Gloria Mercedes |
collection | PubMed |
description | OBJECTIVE. To identify patient- and provider-related factors associated with the success of multidrug-resistant tuberculosis (MDR-TB) treatment in the six municipalities of Colombia with the highest number of MDR-TB cases. METHODS. Bivariate and multivariate logistic regressions were used to analyze the association between treatment success (cure or treatment completion) and characteristics of the patients and physicians, nursing professionals, and psychologists involved in their treatment. The importance of knowledge in the management of MDR-TB cases was explored through focus groups with these providers. RESULTS. Of 128 cases of TB-MDR, 63 (49.2%) experienced treatment success. Only 52.9% of the physicians and nursing professionals had satisfactory knowledge about MDR-TB. Logistic regression showed that being HIV negative, being affiliated with the contributory health insurance scheme, being cared for by a male physician, and being cared for by nursing professionals with sufficient knowledge were associated with a successful treatment outcome (p ≤ 0.05). Qualitative analysis showed the need for in-depth, systematic training of health personnel who care for patients with MDR-TB. CONCLUSIONS. Some characteristics of patients and healthcare providers influence treatment success in MDR-TB cases. Physicians’ and nurses’ knowledge about MDR-TB must be improved, and follow-up of MDR-TB patients who are living with HIV and of those affiliated with the subsidized health insurance scheme in Colombia must be strengthened, as these patients have a lower likelihood of a successful treatment outcome. |
format | Online Article Text |
id | pubmed-8216496 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Organización Panamericana de la Salud |
record_format | MEDLINE/PubMed |
spelling | pubmed-82164962021-06-23 Patient- and provider-related factors in the success of multidrug-resistant tuberculosis treatment in Colombia() Puerto Castro, Gloria Mercedes Montes Zuluaga, Fernando Nicolás Alcalde-Rabanal, Jacqueline Elizabeth Pérez, Freddy Rev Panam Salud Publica Original Research OBJECTIVE. To identify patient- and provider-related factors associated with the success of multidrug-resistant tuberculosis (MDR-TB) treatment in the six municipalities of Colombia with the highest number of MDR-TB cases. METHODS. Bivariate and multivariate logistic regressions were used to analyze the association between treatment success (cure or treatment completion) and characteristics of the patients and physicians, nursing professionals, and psychologists involved in their treatment. The importance of knowledge in the management of MDR-TB cases was explored through focus groups with these providers. RESULTS. Of 128 cases of TB-MDR, 63 (49.2%) experienced treatment success. Only 52.9% of the physicians and nursing professionals had satisfactory knowledge about MDR-TB. Logistic regression showed that being HIV negative, being affiliated with the contributory health insurance scheme, being cared for by a male physician, and being cared for by nursing professionals with sufficient knowledge were associated with a successful treatment outcome (p ≤ 0.05). Qualitative analysis showed the need for in-depth, systematic training of health personnel who care for patients with MDR-TB. CONCLUSIONS. Some characteristics of patients and healthcare providers influence treatment success in MDR-TB cases. Physicians’ and nurses’ knowledge about MDR-TB must be improved, and follow-up of MDR-TB patients who are living with HIV and of those affiliated with the subsidized health insurance scheme in Colombia must be strengthened, as these patients have a lower likelihood of a successful treatment outcome. Organización Panamericana de la Salud 2021-06-21 /pmc/articles/PMC8216496/ /pubmed/34168683 http://dx.doi.org/10.26633/RPSP.2021.74 Text en https://creativecommons.org/licenses/by/2.5/This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 IGO License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited. No modifications or commercial use of this article are permitted. In any reproduction of this article there should not be any suggestion that PAHO or this article endorse any specific organization or products. The use of the PAHO logo is not permitted. This notice should be preserved along with the article’s original URL.Open access logo and text by PLoS, under the Creative Commons Attribution-Share Alike 3.0 Unported license. |
spellingShingle | Original Research Puerto Castro, Gloria Mercedes Montes Zuluaga, Fernando Nicolás Alcalde-Rabanal, Jacqueline Elizabeth Pérez, Freddy Patient- and provider-related factors in the success of multidrug-resistant tuberculosis treatment in Colombia() |
title | Patient- and provider-related factors in the success of multidrug-resistant tuberculosis treatment in Colombia() |
title_full | Patient- and provider-related factors in the success of multidrug-resistant tuberculosis treatment in Colombia() |
title_fullStr | Patient- and provider-related factors in the success of multidrug-resistant tuberculosis treatment in Colombia() |
title_full_unstemmed | Patient- and provider-related factors in the success of multidrug-resistant tuberculosis treatment in Colombia() |
title_short | Patient- and provider-related factors in the success of multidrug-resistant tuberculosis treatment in Colombia() |
title_sort | patient- and provider-related factors in the success of multidrug-resistant tuberculosis treatment in colombia() |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8216496/ https://www.ncbi.nlm.nih.gov/pubmed/34168683 http://dx.doi.org/10.26633/RPSP.2021.74 |
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