Powered by OpenAIRE graph
Found an issue? Give us feedback
addClaim

Analysis of the multi-drug resistant tuberculosis treatment outcomes: Experience from the special hospital for pulmonary diseases "Ozren" - Sokobanja

Analiza ishoda lečenja multirezistentne tuberkuloze - iskustvo u Specijalnoj bolnici za plućne bolesti "Ozren" - Sokobanja
Authors: Gordana Antonijević; Maja Stošić;

Analysis of the multi-drug resistant tuberculosis treatment outcomes: Experience from the special hospital for pulmonary diseases "Ozren" - Sokobanja

Abstract

Multidrug-resistant tuberculosis (MDR TB) is currently considered to be the most significant and dangerous obstacle to the TB elimination, and the work on preventing this form of disease is considered as a major contribution to human health and resource management. The purpose of the article is to analyse treatment outcomes in patients treated for multiresistant tuberculosis at the Special Hospital for Pulmonary Diseases "Ozren" - Sokobanja in the period from 2009 to 2019 and identify factors associated with treatment outcomes. We performed a retrospective analysis of the treatment outcomes in all (n=89) cases of MDR TB treated over the period from 2009-2019 at the Special Hospital for Pulmonary Diseases Ozren - Sokobanja. Descriptive statistical analysis of all available MDR TB characteristics was used. Logistic regression analysis was used to identify factors associated with successful treatment (treatment outcomes "cured" and "treatment completed") and mortality. Patient mortality was statistically significantly associated with undernutrition (OR = 5.55; 95% CI: 1.39-20.00), alcohol consumption (OR = 4.54; 95% CI: 1.22-10.67), bilateral cavitary lesions (OR = 16.67; 95% CI: 3.03-100.00), multiple prior treatment episodes (p<0.001), longer time to diagnosis (p<0.001), higher average number of hospitalizations and previous treatment episodes (p<0.001), and the following comorbidities: pulmonary (OR = 14.29; 95% CI: 2.70-100.00), cardiovascular diseases (OR = 7.14; 95% CI: 1.79-25.00), diabetes (OR = 5.88; 95% CI: 1.39-25.00) and malignant diseases (OR = 12.50; 95% CI: 1.85-100.00). The success of MDR TB treatment is very good. To maintain and further improve this success, it is necessary to focus interventions on resolving social issues and comorbidities among patients from risk groups associated with poor treatment outcomes, as well as on education of health professionals related to suspicion of TB, its recognition and referral to specialized institutions for MDR TB diagnostics and treatment.

  • BIP!
    Impact byBIP!
    selected citations
    These citations are derived from selected sources.
    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    0
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Average
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Average
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Average
Powered by OpenAIRE graph
Found an issue? Give us feedback
selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
Upload OA version
Are you the author of this publication? Upload your Open Access version to Zenodo!
It’s fast and easy, just two clicks!