Assessment treatment outcomes of DOTS programme among tuberculosis patients in Al-Najaf governorate/Iraq

Research Article                                                                         

Muthanna Medical Journal
Volume 2, Issue 2, December 2015, Pages 58–64
 

Fulath Abdul-Redah Muhsen1, Kareem G. Mohamed2*, Abdullah O. Alhatami3

*Corresponding Author: Kareem G. Mohamed:Kareem.aljayashi@uokufa.edu.iq
1Department of Community Health /Al-Kufa Technical Institute, Al-Furat Al-Awsat Technical University
2Department Community Medicine, Faculty of Medicine, University of Kufa
3Department of Microbiology, Faculty of Veterinary Medicine, University of Kufa Received 10 August 2015; Accepted 15 November 2015; Published 29 December 2015 Copyright © 2015 KM.
This is article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Abstract

The study aimed to evaluate the detection rate and treatment outcomes among TB patients in Al-Najaf TB center and compare these outcomes with WHO targets. Cohort study was conducted during the period between January 2012 – December 2012, for patients attending TB center in AL-Najaf Province, the collected data were analyzed for treatment and retreatment outcomes, treatment and retreatment success rates. 162 TB cases were enrolled in the present study; the patients were distributed according to age into seven age groups. The young and middle age groups showed higher frequencies of cases (20.4% and 23.5%, respectively) than other age groups. The male to female ratio was 1.7:1. The case detection rate was 34.6% as only 56 out of 162 cases were sputum-smear positive for AFB, and they were followed in the present study. Treatment outcomes: cured, completed treatment, defaulter, treatment failure, died and transfer out) of 56 patients are (69.6%, 9%, 16%, 3.6%, 0.0% and1.8%) respectively, whereas Retreatment outcomes (cured, completed treatment, defaulter, treatment failure, died and transfer out) are (50%, 0.0%, 50%, 0.0%, 0.0%, 0.0%) respectively. The DOTS treatment success rate 75% and the retreatment success rate was 49%. We concluded that all the estimations of detection rate, success rate of treatment and retreatment outcomes were lower than that of WHO targets.
Keywords: Tuberculosis, DOTS programme

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