Predictive factors of lost to follow-up status during tuberculosis treatment in Brazzaville

The abandonment of TB treatment has consequences both individual by increasing the risk of drug resistance and collective seeding entourage. The aim of this study is to determine the risk factors to be lost sight of during TB treatment. He acted in a prospective cohort study of patients with microbi...

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Published in:Revue de pneumologie clinique Vol. 73; no. 2; pp. 81 - 89
Main Authors: Bemba, E L P, Bopaka, R G, Ossibi-Ibara, R, Toungou, S N, Ossale-Abacka, B K, Okemba-Okombi, F H, Mboussa, J
Format: Journal Article
Language:French
Published: France 01-04-2017
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Summary:The abandonment of TB treatment has consequences both individual by increasing the risk of drug resistance and collective seeding entourage. The aim of this study is to determine the risk factors to be lost sight of during TB treatment. He acted in a prospective cohort study of patients with microbiologically confirmed tuberculosis, beginning TB treatment and followed for six months. The comparative study between 75 patients lost (PL) and 108 no-patients lost (NPL). The presence of a large distance between the home center [OR=3.73 (1.21-11.05), P=0.022], to alcohol poisoning [OR=3.80 (3.80-11.3), P=0.031], the number of compressed high (depending on the patient) [OR=7.64 (1.96-29.8), P=0.007], stigma [OR=7.85 (1.87-33), P=0.004] were related to PL status. For against the implementation of the directly observed treatment by the community [OR=0.2 (0.03-0.92), P=0.04], be [OR=0.18 (0.05-0.63), P=0.07] were linked to reduced risk of being lost. Reducing the rate of PL requires patient compliance with good attitudes in post-education and ease of access to TB centers.
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ISSN:0761-8417
DOI:10.1016/j.pneumo.2016.11.001