Survival analysis of time to cure on multi-drug resistance tuberculosis patients in Amhara region, Ethiopia
Open accessAbstract
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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Psychosocial problems are related to adherence to treatment programs in MDR-TB patients.
“Psychosocial problems are related to adherence to treatment programs, and thus, they affect the success and duration of the treatment program.”
From The effects of acceptance and commitment therapy on psychosocial impact and adherence of multidrug-resistant tuberculosis patients (2022) · cites this paper as [7]
The Discussion (page unavailable) reports that poor adherence was associated with longer recovery time in MDR-TB patients. It speculates that alcohol and drug abuse may be related to medication interruption, but does not establish that psychosocial problems generally are related to adherence or affect treatment success. (LLM, conf=0.86)
Experimental — accuracy not yet measuredMDR-TB patients with non-adherence to treatment have longer treatment times than adherent clients.
“MDR-TB patients with non-adherence to treatment have longer treatment times than adherent clients.7”
From The effects of acceptance and commitment therapy on psychosocial impact and adherence of multidrug-resistant tuberculosis patients (2022) · cites this paper as [7]
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“Positive questions (1, 3, 5, 6, 8, 10, 13, 15, 19) answers “correct” score 0 and “wrong” score 1, negative questions (2, 4, 7, 9, 11, 12, 14, 16, 17, 18, 20) answer “correct” is worth 1 and “false” is worth 0.”
Background
- Authors
- Limenih, Y. A., & Workie, D. L.
- Affiliations
- Bahir Dar University (ET)
- Corresponding author
- Workie, Demeke Lakew
- ORCID
- Workie, Demeke Lakew
- Venue
- BMC Public Health
- Published
- 2019-02-07
- Volume
- 19
- Issue
- 1
- Pages
- 165-165
- ISSN
- 1471-2458 (ISSN-L)
- PMC
- PMC6367739
- 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
- gold
- doi.org
- Licence
- 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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