ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ BỆNH NHÂN LAO PHỔI AFB(+) MỚI TẠI THÀNH PHỐ LONG XUYÊN TỈNH AN GIANG NĂM 2020-2021

Abstract

Background: Tuberculosis was a serious global public health problem, was an infectious disease caused by tubercle bacilli that reduces working capacity, increases social burden and has a high mortality rate. Objectives: This article aims to evaluate the treatment results of pulmonary tuberculosis patients with new AFB(+) and identify related factors in Long Xuyen city, An Giang province in 2020-2021. Materials and methods: A cross-sectional descriptive interventional study was conducted on 156 patients came to the hospital have been discoverd and managed TB at Long Xuyen city An giang province from 4/2020 to 6/2021. Collected information includes general information, characteristics of new AFB(+) tuberculosis and treatment results for new type of AFB(+) tuberculosis. Results: The successful treatment rate for new AFB(+) pulmonary tuberculosis in the study was 76.9%. In which, the cure rate in the study was 67.3%, the completion of treatment was 9.6%, the failure rate was 19.2%, the dropout rate was 2.6% and 1.3% of the study subjects died. The results showed that there was a relationship between smoking status (OR=0.327 (CI 95%: 0.133-0.804, p=0.012)), alcohol/beer consumption (OR=0.185 (CI 95%: 0.075-0.454, p<0.001)), TB bacteria density (OR=2.859 (CI 95%:1.160-7.047, p<0.019)), time from detection to treatment (OR=2.162 (CI 95%:1.002-4.667, p=0.047)), knowledge about TB and TB treatment results AFB(+) new (OR=0.312 (CI 95%: 0.134-0.727, p=0.005)) . Conclusion: The new AFB(+) pulmonary TB treatment results are not high and there are many factors related to the treatment results.