马来西亚金塔Pkd肺结核患者痰转换率监测治疗结果

Shamsol Lot, Abdullah Y. Al-Mahdi, Sandeep Poddar, Mehru Nisha, Ruma Poddar
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引用次数: 0

摘要

导言:采用了一项称为直接观察短程治疗(DOTS)的控制规划,以促进结核病的早期发现和有效治疗。DOTS规划成功的一个指标是痰转换率(SCR),该指标在两个月强化治疗结束时获得,以SCR衡量治疗结果。本研究确定了2017年在Kinta区卫生办公室(PKD Kinta) DOTS诊所就诊的结核病患者的SCR与几个因素之间的关系。方法:影响因素包括社会人口学因素、体质因素、结核病患者的知识、态度和行为。本研究采用横断面问卷调查法招募2017年1月至9月在PKD Kinta接受治疗的所有150例痰涂片阳性肺结核患者。进行了统计分析,以确定变量与DOTS规划中结核病患者SCR之间的关系。结果:2个月强化期结束时,SCR为96.0%。对社会人口因素与SCR的相关性进行统计分析,各变量之间无统计学差异。同样,在目前的研究中,没有发现身体特征与SCR之间的关联。结论:SCR方法是常规医学监测结核病治疗的理想方法。确定影响直接督导下的短程化疗规划的因素对于确保该规划成功地在社会上根除结核病至关重要。
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Treatment Outcome Monitoring by Using Sputum Conversion Rate of Tuberculosis Patients in Pkd Kinta, Malaysia
Introduction: A control programme termed Directly Observed Treatment Short-Course (DOTS) is adopted to promote early TB detection and effective TB treatment. An indicator of a successful DOTS programme is the Sputum Conversion Rate (SCR) which is obtained at the end of the two-month intensive treatment to measure the treatment outcome by SCR. The present study determined the association between several factors and the SCR among TB patients attending the DOTS clinic at the Kinta District Health Office (PKD Kinta) in 2017. Methods: The factors included are sociodemographic factors, physical factors, knowledge, attitude, and practice of TB patients. All groups of 150 sputum smear positive pulmonary TB patients enrolled for treatment at PKD Kinta between January and September 2017 were recruited for this study by the cross-sectional questionnaire method. A statistical analysis was performed to determine the association between the variables and the SCR of the TB patients in the DOTS programme. Results: At the end of the two-month intensive period, an SCR of 96.0% was obtained. According to the statistical analysis of the association among sociodemographic factors and SCR, there are no statistical differences between the variables. Similarly, no association was found between the physical characteristics and SCR in the current study. Conclusion: SCR methods are perfect methods used in regular medicine to monitor TB cases’ treatment. The identification of factors influencing the DOTS programme is critical to ensuring the program’s success in eradicating TB in society.
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期刊介绍: The Malaysian Journal of Medicine and Health Sciences (MJMHS) is published by the Faculty of Medicine and Health Sciences, Universiti Putra Malaysia. The main aim of the MJMHS is to be a premier journal on all aspects of medicine and health sciences in Malaysia and internationally. The focus of the MJMHS will be on results of original scientific research and development, emerging issues and policy analyses pertaining to medical, biomedical and clinical sciences.
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