埃塞俄比亚吉姆马市一家私立诊所与政府卫生中心结核病患者治疗结果的比较：回顾性研究

Comparing the Treatment Outcomes of Tuberculosis Patients in a Private Clinic with a Governmental Health Center in Jimma City, Ethiopia: Retrospective Study.

作者信息

Abera Eyob Girma, Yeshitla Wondyifraw, Kene Kumsa, Gerema Urge, Assefa Yared

机构信息

Department of Public Health, Jimma University, Jimma, Oromia, Ethiopia.

Department of Biomedical Science, Jimma University, Jimma, Oromia, Ethiopia.

出版信息

Infect Drug Resist. 2022 May 12;15:2491-2511. doi: 10.2147/IDR.S354855. eCollection 2022.

DOI:10.2147/IDR.S354855

PMID:35586560

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9109888/

Abstract

BACKGROUND

Tuberculosis (TB) is a common and often deadly infectious disease caused by various strains of mycobacterium, usually mycobacterium tuberculosis in humans. The disease has major causes of morbidity and mortality, particularly where the diagnostic and control program is not far extended.

OBJECTIVE

To compare the treatment outcomes of tuberculosis patients in a private clinic with a governmental health center in Jimma city, Ethiopia.

METHODS

A 10-year cross-sectional retrospective systemic record review was conducted to compare the treatment outcomes, and to describe the socio-demographic factors associated with the outcome in a private clinic with a governmental health center in Jimma city, Jimma, Ethiopia from September 12, 2007, to September 10, 2017. Finally, SPSS/EPI INFO analyzed data.

RESULTS

The present study revealed that within a 10 year duration the private clinic gives anti-TB treatment coverage for 582 patients whereas the governmental health center treats 510 patients. The treatment success rate of the private clinic is 98.1% which is 1.03-fold that of the governmental health center (95.3%); while the treatment failure of the private clinic was 0.2%, but there was no treatment failure in the governmental health center.

CONCLUSION

Both sectors achieved the expected WHO targets by newly recommended strategy for TB treatment, DOTS (Directly Observed Treatment Short Course) and treatment success is much better to standard. This shows good progress of DOTS strategy and a decrease of noncompliance in this area. Age, educational level, and the types of TB diagnosis and treatment outcome of the patients were statistically associated in both sectors. Better counseling and awareness about the disease should have to be given for every anti-TB treatment receiving patients, despite their educational level and occupational status in both sectors.

摘要

背景

结核病是一种常见且往往致命的传染病，由多种分枝杆菌菌株引起，在人类中通常由结核分枝杆菌引起。该疾病是发病和死亡的主要原因，特别是在诊断和控制计划尚未广泛开展的地区。

目的

比较埃塞俄比亚吉马市一家私人诊所与一家政府卫生中心的结核病患者治疗效果。

方法

进行了一项为期10年的横断面回顾性系统记录审查，以比较治疗效果，并描述2007年9月12日至2017年9月10日期间埃塞俄比亚吉马市一家私人诊所与一家政府卫生中心中与治疗效果相关的社会人口学因素。最后，使用SPSS/EPI INFO分析数据。

结果

本研究显示，在10年期间，私人诊所为582名患者提供了抗结核治疗，而政府卫生中心治疗了510名患者。私人诊所的治疗成功率为98.1%，是政府卫生中心（95.3%）的1.03倍；而私人诊所的治疗失败率为0.2%，但政府卫生中心没有治疗失败的情况。

结论

两个部门都通过新推荐的结核病治疗策略——直接观察短程治疗（DOTS）实现了世界卫生组织的预期目标，并且治疗成功率远高于标准。这显示了DOTS策略的良好进展以及该领域不依从情况的减少。两个部门中患者的年龄、教育水平以及结核病诊断类型和治疗效果在统计学上具有相关性。对于每一位接受抗结核治疗的患者，无论其教育水平和职业状况如何，两个部门都应给予更好的咨询和疾病认知教育。