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BMC Health Services Research

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Open Access 01-12-2011 | Research article

Risk factors for non-cure among new sputum smear positive tuberculosis patients treated in tuberculosis dispensaries in Yunnan, China

Authors: Hua Jianzhao, Susan van den Hof, Xu Lin, Qiu Yubang, Hou Jinglong, Marieke J van der Werf

Published in: BMC Health Services Research | Issue 1/2011

Abstract

Background

Yunnan province in China has a high tuberculosis (TB) burden. Cure rates in general are high, but they were below the target of 85% in 26 out of 129 counties in 2005. In these 26 counties we assessed which patient-related and treatment-related factors were associated with non-cure.

Methods

We conducted a prospective cohort study. Smear positive pulmonary TB patients treated at the local Center for Disease Control and Prevention (CDC) were interviewed before start of treatment and during the fifth month of treatment using structured questionnaires. Information on treatment outcome was extracted from patient records. Patients cured at the end of treatment were compared to patients with unsuccessful treatment outcomes (failure, default, and death).

Results

A total of 841 patients were registered between January-June 2007 of which 792 (94%) were cured. Independent risk factors for non-cure were having a low income (<3000 RMB per year), not having medical insurance, a delay in health care seeking >30 days, a positive smear test result two months after start of treatment, not being aware of the need to go to the CDC for medical follow up during treatment, and not seeing the need for treatment observation.

Conclusion

Reducing the financial burden of TB disease and providing health education to improve compliance with treatment could increase the proportion of patients with successful treatment outcomes.

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The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1472-6963/11/97/prepub

Title: Risk factors for non-cure among new sputum smear positive tuberculosis patients treated in tuberculosis dispensaries in Yunnan, China
Authors: Hua Jianzhao
Susan van den Hof
Xu Lin
Qiu Yubang
Hou Jinglong
Marieke J van der Werf
Publication date: 01-12-2011
Publisher: BioMed Central
Published in: BMC Health Services Research / Issue 1/2011
Electronic ISSN: 1472-6963
DOI: https://doi.org/10.1186/1472-6963-11-97

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Risk factors for non-cure among new sputum smear positive tuberculosis patients treated in tuberculosis dispensaries in Yunnan, China

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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