Cited by 27Tuberculosis Research and EpidemiologyInfectious Diseases and TuberculosisDiagnosis and treatment of tuberculosis

Survival analysis of time to cure on multi-drug resistance tuberculosis patients in Amhara region, Ethiopia

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Limenih, Yigzaw Alemu, Workie, Demeke Lakew·2019·BMC Public Health

Abstract

BACKGROUND: Multidrug-resistant tuberculosis (MDR-TB) is caused by bacteria that are resistant to the most effective anti-tuberculosis drug. The MDR-TB is an increasing global problem and the spread of MDR-TB has different recovery time for different patients. Therefore, this study aimed to investigate the recovery time of MDR-TB patients in Amhara region, Ethiopia. METHOD: A retrospective study was carried out in seven hospitals having MDR-TB treatment center of Amhara region, Ethiopia from September 2015 to February 2018. An accelerated failure time and parametric shared frailty models were employed. RESULTS: The study revealed that the recovery time of MDR-TB patients in Amhara region was 21 months. Out of the total MDR-TB patients, 110 (35.4%) censored and 201 (64.6%) cured of MDR-TB. The clustering effect of frailty model was hospitals and the Weibull-gamma shared frailty model was selected among all and hence used for this study. The study showed that extra pulmonary MDR-TB patients had longer recovery time than that of seamier pulmonary MDR-TB patients in Amhara region, Ethiopia. According to this study, male MDR-TB patients, MDR-TB patients with co-morbidity and clinical complication were experiencing longer recovery time than that of the counter groups. This study also showed that MDR-TB patients with poor adherence had longer recovery time than those with good adherence MDR-TB patients. CONCLUSION: Among different factors considered in this study, MDR-TB type, clinical complication, adherence, co-morbidities, sex, and smoking status had a significant effect on recovery time of MDR-TB patients in Amhara region, Ethiopia. In conclusion, the Regional and Federal Government of Ethiopia should take immediate steps to address causes of recovery time of MDR-TB patients in Amhara region through encouraging adherence, early case detection, and proper handling of drug-susceptibility according to WHO guidelines.

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  1. [19]Cochran WG Sampling Techniques 1977 3 New York Wiley
  2. [44]Miller Jr, R.G. Survival Analysis. Vol. 66. Chichaster: Wily; 2011.

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Authors
Limenih, Y. A., & Workie, D. L.
Affiliations
Bahir Dar University (ET)
Corresponding author
Workie, Demeke Lakew
Venue
BMC Public Health
Published
2019-02-07
Volume
19
Issue
1
Pages
165-165
ISSN
1471-2458 (ISSN-L)
OpenAlex
W2918285439
Cited by
27
References
56
Citations by year
2025: 4 · 2024: 4 · 2023: 3 · 2022: 2 · 2021: 11 · 2020: 3
FWCI
3.06
Type
journal article
Language
en
Open access
Locations
  • BMC Public Health (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Greater South Information System
Topics
  • Health Sciences › Medicine › Infectious Diseases › Tuberculosis Research and Epidemiology
  • Health Sciences › Medicine › Surgery › Infectious Diseases and Tuberculosis
  • Health Sciences › Medicine › Surgery › Diagnosis and treatment of tuberculosis
Keywords
multidrug-resistant tuberculosis, time to cure, recovery time, extrapulmonary tuberculosis, pulmonary tuberculosis, medication adherence, comorbidities, medical complications, smoking, shared frailty model, Amhara region
MeSH terms
Ethiopia, Female, Humans, Male, Retrospective Studies, Time Factors, Survival Analysis, Treatment Outcome, Tuberculosis, Multidrug-Resistant

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