Predictors for Mortality among Multidrug-Resistant Tuberculosis Patients in Tanzania.
Edson W MollelJaffu O ChilongolaPublished in: Journal of tropical medicine (2017)
Cough was the commonest finding among these MDRTB patients, with 179 (92.75%) of them presenting with cough, followed by chest X-ray consolidation in 156 patients (80.83%) and history of previous TB treatment in 151 patients (78.24%). Cigarette smoking, HIV positivity, and low CD4 counts were significantly associated with MDRTB mortality, p values of 0.034, 0.044, and 0.048, respectively. Fever on the other hand was at the borderline with p value of 0.059. We conclude that cigarette smoking and HIV status are significant risk factors for mortality among MDRTB patients. HIV screening should continually be emphasized among patients and the general community for early ARTs initiation. Based on the results from our study, policy makers and public health personnel should consider addressing tobacco cessation as part of national TB control strategy.
Keyphrases
- end stage renal disease
- public health
- ejection fraction
- newly diagnosed
- antiretroviral therapy
- multidrug resistant
- hiv infected
- chronic kidney disease
- hiv aids
- human immunodeficiency virus
- prognostic factors
- healthcare
- mental health
- hiv positive
- risk factors
- emergency department
- cardiovascular disease
- type diabetes
- magnetic resonance imaging
- computed tomography
- magnetic resonance
- patient reported outcomes
- coronary artery disease
- cystic fibrosis
- quality improvement
- electronic health record
- acinetobacter baumannii