Treatment outcomes and influencing factors on patients with Pulmonary Tuberculosis: a retrospective study

J. Ayatollahi, A. Halvani, Mohammad Khezri, H. Shahcheraghi
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Abstract

Introduction: Tuberculosis infection caused by Mycobacterium tuberculosis is one of the most common infectious diseases, especially in countries such as Iran. The course of treatment and the number of drugs used vary depending on the severity of the disease and the parts of the body involved. The resistant tuberculosis to treatment has increased in recent years. Thus, this study was conducted to investigate the frequency distribution of response to treatment of patients with tuberculosis in Sirjan, Iran. Methods: This descriptive cross-sectional study investigated all patients with tuberculosis in Sirjan city who had referred to health centers during the years 2011-2019. The data collection tool was a pre-prepared checklist that included information on age, sex, sputum smear results, sputum culture results, diabetes, patients' nationality, drug side effects, and response to treatment. Finally, data was entered into SPSS version 22, and analyzed. Results: In this study, the overall response rate was 83% and the mortality rate was 10%. Between the frequency distribution of response to treatment in terms of gender, age, sputum smear results, sputum culture results, patients' nationality and diabetes was not statistically significant difference. Also, no statistically significant difference was found between the frequency distribution of pulmonary TB treatment response in terms of drug allergy, drug hepatitis and other drug side effects. Conclusion: According to results, can be concluded that none of the variables: age, sex, smear and culture result, and history of diabetes have no an effect on response to treatment and mortality of tuberculosis.
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肺结核患者治疗效果及影响因素的回顾性研究
由结核分枝杆菌引起的结核感染是最常见的传染病之一,特别是在伊朗等国家。治疗过程和使用的药物数量取决于疾病的严重程度和所涉及的身体部位。近年来,对治疗有抗药性的结核病有所增加。因此,本研究旨在调查伊朗锡尔詹肺结核患者治疗反应的频率分布。方法:本描述性横断面研究调查了2011-2019年期间在锡尔詹市转诊的所有结核病患者。数据收集工具是一份预先准备好的检查表,包括年龄、性别、痰涂片结果、痰培养结果、糖尿病、患者国籍、药物副作用和治疗反应等信息。最后,将数据输入SPSS version 22进行分析。结果:本研究总有效率为83%,死亡率为10%。两组患者在性别、年龄、痰涂片结果、痰培养结果、患者国籍、糖尿病等方面治疗反应频次分布差异无统计学意义。在药物过敏、药物肝炎和其他药物副作用方面,肺结核治疗反应的频率分布无统计学差异。结论:根据结果,年龄、性别、涂片培养结果、糖尿病史等因素均对结核病的治疗效果和死亡率无影响。
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