Abstract
Objectives: We aimed to describe the treatment outcome of bacteriologically confirmed pulmonary tuberculosis patients and identify factors associated with poor treatment outcome.
Method: We retrospectively reviewed medical charts of patients with smear and/or culture positive pulmonary tuberculosis who were treated between 2005 and 2011 in Kocaeli Tuberculosis Dispanseria, Turkey. Exclusion critera were as follows: patients who transferred out , younger than 18 years and whose medical charts were not obtained. Patients were categorised as having succesful ( cured or treatment completed) or poor teratment outcome (treatment default, treatment failure, death). Logistic regretion analises were used to evaluate risk factors for poor outcome.
Results: Of 738 bacteriologically comfirmed pulmonary patients (258 female (35%), and 480 male (65%)), 683 (92.6%) had succesful teratment outcome and 55 (7.4%) had poor teratment outcome. Of those with a poor outcome 29 (3.9%)had teratment default, 18(2.4%) died and 8 (1.1%) failured and. Mean age of patients was 39.97 years. Factors associated with treatment outcomes were age, comorbidity, education, retreatment. Gender, rural residence, cavity on radiography, smear positivity, culture positivity, DOTS, occupation group weren't associated with poor treatment.
Conclusion: Age >65 years, comorbidity, low education, drug resistance were factors associated with unsuccesful treatment outcomes.
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