Journal: | The brazilian journal of infectious diseases |
Database: | PERIÓDICA |
System number: | 000290716 |
ISSN: | 1413-8670 |
Authors: | Rabahi, Marcelo Fouad1 Rodrigues, Adriana Batista2 Mello, Fernanda Queiroz de Almeida-Netto, Joaquim Caetano de Kritski, Afranio Lineu3 |
Institutions: | 1Universidade Federal de Goias, Hospital de Doencas Tropicais Anuar Auad, Goiania, Goias. Brasil 2Universidade Federal de Goias, Instituto de Patologia Tropical e Saude Publica, Goiania, Goias. Brasil 3Universidade Federal do Rio de Janeiro, Hospital Universitario Clementino Fraga Filho, Rio de Janeiro. Brasil |
Year: | 2002 |
Season: | Abr |
Volumen: | 6 |
Number: | 2 |
Pages: | 63-73 |
Country: | Brasil |
Language: | Inglés |
Document type: | Artículo |
Approach: | Analítico, descriptivo |
English abstract | Introduction: In developing countries, there is little information about the risk factors that predict noncompliance with tuberculosis (TB) treatment in hospitals. Objective: This study analyzes possible factors associated with noncompliance with TB treatment among patients treated at HAA. Design: A retrospective cohort study was made including all patients who initiated TB treatment at HAA, from January to December 1998. A standard form was used to review medical records and to collect data on each patient. This data was evaluated in comparison with data from the state TB control program. Results: Of the 341 patients included in the study, 186 (61.2%) were considered cured and 67 (22%) were non-compliant. The factors associated with noncompliance were: previous anti-TB treatment (RR = 1.95, 95% CI 1.29 to 2.93), prescription of drugs other than the standard first-line regimen proposed by the Brazilian Health Ministry (Rifampin + Isoniazide + Pyrazinamide) (RR = 0.54, 95% CI 0.35 to 0.83), the need for hospitalization (RR = 2.19, 95% CI 1.46 to 3.29) and non-inclusion in the hospital's TB Control Program for treatment follow up (RR = 0.54, 95% CI 0.35 to 0.82). Setting: Anuar Auad Hospital (HAA) - Goiânia, Goiás, Brazil. Conclusion: Our results indicate the importance of establishing Tuberculosis Control Programs in hospitals, while paying special attention to patients with risk factors for noncompliance with TB treatment |
Disciplines: | Medicina |
Keyword: | Hospitales, Neumología, Terapéutica y rehabilitación, Tuberculosis, Tratamiento, Programas de control |
Keyword: | Medicine, Hospitals, Pneumology, Therapeutics and rehabilitation, Tuberculosis, Treatment, Control programs |
Full text: | Texto completo (Ver HTML) |