Daka S, Matsuoka Y, Ota M, Hirao S, Phiri A
Japan Anti-Tuberculosis Association, Lusaka, Zambia.
Research Institute of Tuberculosis, Tokyo, Japan.
Public Health Action. 2021 Mar 21;11(1):22-25. doi: 10.5588/pha.20.0059.
An urban TB diagnostic centre in Lusaka, Zambia.
To re-evaluate treatment outcomes of all bacteriologically confirmed TB patients registered in 2018.
This was a retrospective cohort study on TB patients. Treatment outcomes of patients who were transferred out were retrieved.
A total of 182 patients were registered, 26 of whom had missing documents; these were excluded from the study. Of the remaining 156 patients who were reviewed, 86 (55.1%) were correctly evaluated by the centre, 35 (22.4%) were incorrectly evaluated and 35 (22.4%) were 'transferred out' (not evaluated). As a result of this review, the number of evaluated patients increased from 86 (55.1%) to 150 (96.2%). The cure and treatment success rates rose from 43.6% and 44.2%, respectively, to 57.7% and 73.1%, respectively. Of note, 14 of the 35 patients who were initially declared 'transferred out' did not actually reach their treatment facilities and ended up being lost to follow-up.
This study shows that it is possible to evaluate almost all TB patients. Re-evaluation of treatment outcomes of TB patients revealed the problems in the TB services that need to be improved in the future.
赞比亚卢萨卡的一家城市结核病诊断中心。
重新评估2018年登记的所有细菌学确诊结核病患者的治疗结果。
这是一项针对结核病患者的回顾性队列研究。检索了转出患者的治疗结果。
共登记了182例患者，其中26例文件缺失；这些患者被排除在研究之外。在其余接受审查的156例患者中，该中心正确评估了86例（55.1%），错误评估了35例（22.4%），“转出”（未评估）35例（22.4%）。通过此次审查，评估患者数量从86例（55.1%）增加到150例（96.2%）。治愈率和治疗成功率分别从43.6%和44.2%升至57.7%和73.1%。值得注意的是，最初宣布“转出”的35例患者中有14例实际上未到达其治疗机构，最终失访。
本研究表明几乎所有结核病患者都有可能得到评估。对结核病患者治疗结果的重新评估揭示了结核病服务中未来需要改进的问题。
