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Tuberculosis Treatment Outcomes and Associated Factors at Zewditu Memorial Hospital, Ethiopia

Received: 1 September 2024     Accepted: 18 September 2024     Published: 10 October 2024
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Abstract

Background: Tuberculosis (TB) remains a leading cause of morbidity and mortality in Ethiopia, with treatment success rates consistently below the WHO target. Various factors contribute to poor treatment outcomes. Objective: To assess treatment outcomes for TB and associated factors at Zewditu Memorial Hospital (ZMH) from 2017 to 2021. Methods: An institutional-based analytical cross-sectional study was conducted using TB logbook data. After bivariable analysis, clinically relevant variables and variables with a p-value < 0.2 were included in multivariable logistic regression analysis. Statistical significance was set at p-value < 0.05. Results: The overall successful treatment outcome (cured or completed) was 197 (83.1%). Factors significantly associated with poor treatment outcomes included age group 35 to 44 years (AOR=4.663; 95% CI: 1.215-17.901), extrapulmonary TB (AOR=3.451; 95% CI: 1.172-10.16), and registration in 2019 (AOR=4.367; 95% CI: 1.2-15.87). Conclusion: The treatment success rate falls short of the national target of 85%, highlighting the need for targeted improvements in TB management. The associations with age and extrapulmonary TB emphasize the necessity for focused control measures. Strengthening targeted TB programs at ZMH is recommended.

Published in International Journal of Infectious Diseases and Therapy (Volume 9, Issue 4)
DOI 10.11648/j.ijidt.20240904.11
Page(s) 55-62
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

TB Treatment, Treatment Outcomes, Zewditu Memorial Hospital, Extrapulmonary TB

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  • APA Style

    Nurfeta, R. A., Ababiya, T. H., Woldeamanuele, N. Y., Ababiya, R. H., Deregasso, B. L., et al. (2024). Tuberculosis Treatment Outcomes and Associated Factors at Zewditu Memorial Hospital, Ethiopia. International Journal of Infectious Diseases and Therapy, 9(4), 55-62. https://doi.org/10.11648/j.ijidt.20240904.11

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    ACS Style

    Nurfeta, R. A.; Ababiya, T. H.; Woldeamanuele, N. Y.; Ababiya, R. H.; Deregasso, B. L., et al. Tuberculosis Treatment Outcomes and Associated Factors at Zewditu Memorial Hospital, Ethiopia. Int. J. Infect. Dis. Ther. 2024, 9(4), 55-62. doi: 10.11648/j.ijidt.20240904.11

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    AMA Style

    Nurfeta RA, Ababiya TH, Woldeamanuele NY, Ababiya RH, Deregasso BL, et al. Tuberculosis Treatment Outcomes and Associated Factors at Zewditu Memorial Hospital, Ethiopia. Int J Infect Dis Ther. 2024;9(4):55-62. doi: 10.11648/j.ijidt.20240904.11

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  • @article{10.11648/j.ijidt.20240904.11,
      author = {Rediet Ajebu Nurfeta and Tsion Habtamu Ababiya and Nebiyou Yemanebrhane Woldeamanuele and Robel Habtamu Ababiya and Bezaye Lemma Deregasso and Lijalem Abera Tema and Selamawit Seifu Hailu and Dereje Kebede Shane and Bemnet Gossaye Teka and Tsion Andrias Lechebo and Saron Negasi Gidey and Eleni Asfaw Kebede},
      title = {Tuberculosis Treatment Outcomes and Associated Factors at Zewditu Memorial Hospital, Ethiopia
    },
      journal = {International Journal of Infectious Diseases and Therapy},
      volume = {9},
      number = {4},
      pages = {55-62},
      doi = {10.11648/j.ijidt.20240904.11},
      url = {https://doi.org/10.11648/j.ijidt.20240904.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijidt.20240904.11},
      abstract = {Background: Tuberculosis (TB) remains a leading cause of morbidity and mortality in Ethiopia, with treatment success rates consistently below the WHO target. Various factors contribute to poor treatment outcomes. Objective: To assess treatment outcomes for TB and associated factors at Zewditu Memorial Hospital (ZMH) from 2017 to 2021. Methods: An institutional-based analytical cross-sectional study was conducted using TB logbook data. After bivariable analysis, clinically relevant variables and variables with a p-value Results: The overall successful treatment outcome (cured or completed) was 197 (83.1%). Factors significantly associated with poor treatment outcomes included age group 35 to 44 years (AOR=4.663; 95% CI: 1.215-17.901), extrapulmonary TB (AOR=3.451; 95% CI: 1.172-10.16), and registration in 2019 (AOR=4.367; 95% CI: 1.2-15.87). Conclusion: The treatment success rate falls short of the national target of 85%, highlighting the need for targeted improvements in TB management. The associations with age and extrapulmonary TB emphasize the necessity for focused control measures. Strengthening targeted TB programs at ZMH is recommended.
    },
     year = {2024}
    }
    

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  • TY  - JOUR
    T1  - Tuberculosis Treatment Outcomes and Associated Factors at Zewditu Memorial Hospital, Ethiopia
    
    AU  - Rediet Ajebu Nurfeta
    AU  - Tsion Habtamu Ababiya
    AU  - Nebiyou Yemanebrhane Woldeamanuele
    AU  - Robel Habtamu Ababiya
    AU  - Bezaye Lemma Deregasso
    AU  - Lijalem Abera Tema
    AU  - Selamawit Seifu Hailu
    AU  - Dereje Kebede Shane
    AU  - Bemnet Gossaye Teka
    AU  - Tsion Andrias Lechebo
    AU  - Saron Negasi Gidey
    AU  - Eleni Asfaw Kebede
    Y1  - 2024/10/10
    PY  - 2024
    N1  - https://doi.org/10.11648/j.ijidt.20240904.11
    DO  - 10.11648/j.ijidt.20240904.11
    T2  - International Journal of Infectious Diseases and Therapy
    JF  - International Journal of Infectious Diseases and Therapy
    JO  - International Journal of Infectious Diseases and Therapy
    SP  - 55
    EP  - 62
    PB  - Science Publishing Group
    SN  - 2578-966X
    UR  - https://doi.org/10.11648/j.ijidt.20240904.11
    AB  - Background: Tuberculosis (TB) remains a leading cause of morbidity and mortality in Ethiopia, with treatment success rates consistently below the WHO target. Various factors contribute to poor treatment outcomes. Objective: To assess treatment outcomes for TB and associated factors at Zewditu Memorial Hospital (ZMH) from 2017 to 2021. Methods: An institutional-based analytical cross-sectional study was conducted using TB logbook data. After bivariable analysis, clinically relevant variables and variables with a p-value Results: The overall successful treatment outcome (cured or completed) was 197 (83.1%). Factors significantly associated with poor treatment outcomes included age group 35 to 44 years (AOR=4.663; 95% CI: 1.215-17.901), extrapulmonary TB (AOR=3.451; 95% CI: 1.172-10.16), and registration in 2019 (AOR=4.367; 95% CI: 1.2-15.87). Conclusion: The treatment success rate falls short of the national target of 85%, highlighting the need for targeted improvements in TB management. The associations with age and extrapulmonary TB emphasize the necessity for focused control measures. Strengthening targeted TB programs at ZMH is recommended.
    
    VL  - 9
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