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Risk factors for the occurrence of multidrug-resistant tuberculosis among patients undergoing multidrug-resistant tuberculosis treatment in East Shoa, Ethiopia

机译:埃塞俄比亚东沙阿接受多药耐药性结核病治疗的患者中发生多药耐药性结核病的危险因素

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Multidrug-resistant tuberculosis (MDR-TB) is resistant to the two main first-line anti-tuberculosis drugs: rifampicin and isoniazid. It is a major threat to public health worldwide. The objective of this study was to assess the potential risk factors for multidrug-resistant tuberculosis among patients undergoing MDR-TB treatment at two community hospitals in Ethiopia. A case-control study design was conducted from February 1, 2016, to April 29, 2016. TB-positive patients with MDR-TB and non-MDR-TB were considered as cases and controls, respectively. A total of 219 study participants were included in the study. An interviewer-administered structured questionnaire was used to collect primary data from the patients, and a checklist was used to collect data from the clinical records. Bivariate and multivariate logistic regression analyses were used to assess the potential risk factors for the occurrence of MDR-TB. The odds of developing MDR-TB were higher in patients previously treated with anti-TB drugs (odds ratio [OR]?=?6.1, 95%CI: 2.92–12.62, P?
机译:耐多药结核病(MDR-TB)对两种主要的一线抗结核药物有耐药性:利福平和异烟肼。这是对全球公共卫生的主要威胁。这项研究的目的是评估埃塞俄比亚两家社区医院接受耐多药结核病治疗的患者中多重耐药结核病的潜在危险因素。病例对照研究设计于2016年2月1日至2016年4月29日进行。分别将结核阳性的MDR-TB和非MDR-TB的患者作为病例和对照。共有219名研究参与者参加了研究。由访调员管理的结构化问卷用于收集患者的主要数据,并使用检查表从临床记录中收集数据。采用双因素和多因素logistic回归分析来评估耐多药结核病发生的潜在危险因素。既往有接触史的患者,以前接受过抗结核药物治疗的患者发生耐多药结核病的几率更高(几率[OR]?=?6.1,95%CI:2.92-12.62,P?<?0.001)。已知的结核病患者(OR?=?2.1,95%CI:1.04-4.43,P?<?0.001),那些居住在农村地区(OR?=?5.6,95%CI:2.14-14.46,P?= ≤0.001),有饮酒史的患者(OR≥= 4.3、95%CI:2.29-10.49,P≤<0.001)和没有工作的人群(OR≥= 2.4、95%CI:1.06-1.0)。 5.42,P <= 0.001。该研究表明,与已知的结核病患者接触,以前的结核病治疗,居住地区,缺乏工作和饮酒是发生耐多药结核病的潜在危险因素。建议加强公共卫生教育,加强对所有结核病患者的直接观察治疗方案,并设计控制策略。

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