Evaluation of treatment outcomes among adult patients diagnosed with tuberculosis in Ghana: A 10 year retrospective review.

Clinically diagnosed Extra-pulmonary Outcome Treatment success rate Tuberculosis

Journal

IJID regions
ISSN: 2772-7076
Titre abrégé: IJID Reg
Pays: England
ID NLM: 9918418183106676

Informations de publication

Date de publication:
Mar 2024
Historique:
received: 05 08 2023
revised: 05 11 2023
accepted: 06 11 2023
medline: 4 12 2023
pubmed: 4 12 2023
entrez: 4 12 2023
Statut: epublish

Résumé

The study determined tuberculosis (TB) treatment outcomes in Southern Ghana from 2012 to 2021. A retrospective analysis of service data on TB cases was conducted. Treatment success was defined as TB cure or completion of treatment course, whereas unsuccessful outcomes was defined as death, failure of treatment and lost to follow up. Bivariate and multivariate logistic regression was used to determine factors associated with treatment outcomes. A total of 4106 adult TB cases were reported with a median age of 41 (interquartile range 32-52) years. Of these, 93.1% (n = 3823) were newly diagnosed. The treatment success rate declined from 71.0% in 2012 to 55.7% in 2021 (ktau-b = -0.56, Tuberculosis treatment success rate declined over the period. There is a need for the TB Control Programme to review the national and sub-national TB data to ascertain poor performing TB treatment sites to identify and address context specific challenges with treatment interventions and system inadequacies to improve treatment success rates.

Identifiants

pubmed: 38045863
doi: 10.1016/j.ijregi.2023.11.004
pii: S2772-7076(23)00112-1
pmc: PMC10687693
doi:

Types de publication

Journal Article

Langues

eng

Pagination

9-14

Informations de copyright

© 2023 The Author(s).

Déclaration de conflit d'intérêts

The authors have no competing interests to declare

Références

BMC Public Health. 2021 Nov 26;21(1):2167
pubmed: 34836521
Br Med J. 1964 Dec 5;2(5422):1454-5
pubmed: 20790376
BMC Infect Dis. 2021 Feb 3;21(1):139
pubmed: 33535974
Asian Pac J Trop Med. 2014 Dec;7(12):977-84
pubmed: 25479627
Int J Gen Med. 2017 Jun 06;10:161-169
pubmed: 28652801
Tuberc Res Treat. 2020 Aug 04;2020:1097581
pubmed: 32832153
Glob Health Action. 2014 Sep 19;7:25382
pubmed: 25242174
BMC Res Notes. 2016 Jun 29;9:330
pubmed: 27357834
BMJ Open. 2019 Sep 6;9(9):e029400
pubmed: 31494610
Int J Tuberc Lung Dis. 2013 Dec;17(12):1518-23
pubmed: 24200262
Ann Med Surg (Lond). 2020 Nov 15;60:531-541
pubmed: 33299558
Int J Tuberc Lung Dis. 2015 Aug;19(8):969-78
pubmed: 26162364
BMJ Open. 2022 Feb 14;12(2):e056496
pubmed: 35165113
PLoS One. 2020 Jun 24;15(6):e0234878
pubmed: 32579568
BMC Infect Dis. 2019 Aug 28;19(1):749
pubmed: 31455234
Int J Tuberc Lung Dis. 2020 Mar 1;24(3):321-328
pubmed: 32228763
Int J Infect Dis. 2022 Nov;124 Suppl 1:S30-S40
pubmed: 35364287
Tuberc Res Treat. 2021 Jul 19;2021:9952806
pubmed: 34336281
BMC Infect Dis. 2017 Jul 19;17(1):504
pubmed: 28724359
Acta Clin Croat. 2019 Dec;58(4):590-594
pubmed: 32595242

Auteurs

Peter Puplampu (P)

Department of Medicine & Therapeutics, University of Ghana Medical School, Accra, Ghana.
Infectious disease unit, Department of Medicine, Korle Bu Teaching Hospital, Accra, Ghana.

Isaac Kyeremateng (I)

Ghana Health Service, Accra, Ghana.

Olive Asafu-Adjaye (O)

Greater Accra Regional Hospital, Accra, Ghana.

Anita Ago Asare (AA)

Infectious disease unit, Department of Medicine, Korle Bu Teaching Hospital, Accra, Ghana.
Department of Community Health, University of Ghana Medical School, Accra, Ghana.

Kofi Agyabeng (K)

Department of Biostatistics, School of Public Health, University of Ghana, Accra, Ghana.

Roderick Sarkodee (R)

Infectious disease unit, Department of Medicine, Korle Bu Teaching Hospital, Accra, Ghana.

Oladele Oluwakemi (O)

Infectious disease unit, Department of Medicine, Korle Bu Teaching Hospital, Accra, Ghana.

Vincent Ganu (V)

Infectious disease unit, Department of Medicine, Korle Bu Teaching Hospital, Accra, Ghana.

Classifications MeSH