العوامل المرتبطة بالتسرب من علاج مرض التدرن في بغداد العراق 2016 - 2018 == Factors Associated with Default in TB Management, Baghdad, Iraq, 2016 - 2018
Author name:
محمد علي كريم راضي
Supervisor name:
ناديه عزيز
General topic:
Medicine
Specific topic:
Applied Epidemiology
Degree:
Higher Diploma
University:
University of Baghdad - Faculty Of Medicine
Language:
English
University location:
Baghdad
First pages:
19T1389 - p.pdf
Abstract:
Tuberculosis (TB) continues to be a global public health problem, with an estimated 9.4 million incident cases of TB and 1.8 million deaths in 2008. Drug resistance and obstacles to successful directly observed therapy short - course (DOTS) impede disease control.OBJECTIVE : The aim of study is to highlighting the epidemiological characteristic of TB defaulter patients by person (age, sex, marital state socioeconomic status), place, time and identifying factors that had put these individuals at risk for default in Iraq, Baghdad, 2016 - 2018.Materials and Methods : Study design : Cross sectional study of all defaulters attended to T. B centers in Baghdad (National specialized center for chest and Respiratory diseases center of T.B in Iraq, T.B center in Baghdad / Karkh, T.B center in Baghdad / Rusafah). Source of data : using already presents clinic registries and Interview with theme using questionnaire especially constructed for this study or by phone calls. Excel and SPSS program will be used for analysis.IIIRESULT : The highest prevalence of defaulter was found among participants aged (>45) years (60%) with significant association (p=0.001) between participant’s age and prevalence of default. a significant association (P=0.001) between prevalence of default and family income, (92.7%) of participants with default ID (250000 - 500000) income. It was (46.6%) of smokers were default with significant association (P=0.001) between prevalence of default and smoking.A significant association (p=0.031) between prevalence of default and alcohol drinking. Concerning the association between prevalence of default and having chronic disease, we found that (77.8%) have DM and (45.6%) have HT, with a significant association (p=0.001).The proportion of participants with public transportation was (37.5%). With significant association (p=0.024). The proportion of participants with vomiting was (100%). With significant association (p=0.001).The proportion of participants with previous defaulting was (21%). With significant association (p=0.001).Conclusions : In this study we found that there are significant associations between TB defaulters and the following factors; age of >45, ID<250000, smoking, Alcohol drinking, DM, previous defaulting, vomiting and low education.These risk factors should be controlled by a good implementation of the direct observed treatment short coarse therapy (DOTS), cooperation between Private and Public sector and also by enhancing more studies on the same filed.
