Treatment outcomes and associated factors among patients with pulmonary TB in selected health centers in Addis Ababa, Ethiopia .

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Date

2020-06

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Addis Abeba University

Abstract

Background: Despite the availability offree and effective treatment for Pulmonary tuberculosis, the success rate is not asthe expected due to different factors which imposes a major challenge particularly for developing countries. Objectives: To determine treatment outcomes andassociatedfactors among patients with pulmonary TB in selected health centers of Addis Ababa Ethiopia in 2020. Methodology: an institution based three years retrospective study was conducted on the documents of pulmonary tuberculosis patients who were treated fromJanuary 1 2017- December 31 st 2019 in selected health centers of Addis Ababa. A structured check list wasused to gather data from patients’ medical records.Data was entered and cleaned using E pi info version 3.5.1 and exported to statistical package for social sciences (SPSS) version 24, computer software was used for analysis. Binary and multivariable logistic regression analyses were employed to assess factors that are associated with treatment outcomes. Results: out of the total 633 patients, 361 (56.7%) were males and 275(43.23%) were females. The mean age and standard deviation of the participants was 37.49± 12.99. The overall treatment success rate was found to be 86.4%. The odds of successful treatment outcome were higher among new cases, HIV negatives, no history of smoking, and those patients who have treatment supporters. Conclusions: the proportions of patients who are successfully treated are below the average which is set by WHO. Strategies to improve the treatment outcomes of patients with pulmonary TB should be improved especially for those patients who are at high risk of developing unsuccessful treatment outcomes. st

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Keywords

Pulmonary TB,patients

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