ABSTRACT
Background
Globally, tuberculosis (TB) remains the leading cause of death from a single infectious disease. TB treatment outcome is an indicator for the effectiveness of a national TB control programs. This study aimed to assess treatment outcome of TB patients and its determinants in Batkhela, Khyber Pakhtunkhwa, Pakistan.
Methods
A retrospective cohort study was designed using all TB patients who were enrolled at District Head Quarter (DHQ) Hospital Batkhela, Pakistan. Distribution of TB types, treatment outcome and associated factor with successful treatment was computed using SPSS version 20.0 software for windows.
Results
A total of 515 TB patients were registered, of which 237 (46%) were males and 278 (53.98%) females. Of the total, 234 (45.44%) were cured and 210 (40.77%) completed treatment with overall treatment success rate was 444 (86.21%). Age 0-20 years (AOR= 3.47; 95% CI= 1.54-7.81; P= 0.003), smear-positive pulmonary TB (SPPTB) (AOR= 3.58; 95% CI= 1.89-6.78; P= <0.001), treatment category (AOR= 4.71; 95% CI= 1.17-18.97; P= 0.029), and year of enrollment 2012 (AOR= 6.26; 95% CI= 2.52-15.59; P= <0.001) were significantly associated with successful treatment outcome.
Conclusions
The overall treatment success rate is satisfactory but still need to be improved to achieve the international targeted treatment outcome. An increase was observed in overall case-fatality rate during the study duration which is an alarming signal for public health.

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On 28 May, 2020
Received 12 Mar, 2020
On 11 Mar, 2020
Invitations sent on 11 Mar, 2020
On 11 Mar, 2020
On 10 Mar, 2020
On 10 Mar, 2020
On 12 Feb, 2020
Received 29 Jan, 2020
On 28 Jan, 2020
On 23 Dec, 2019
Received 23 Dec, 2019
Invitations sent on 18 Dec, 2019
On 27 Nov, 2019
On 26 Nov, 2019
On 26 Nov, 2019
Posted 18 Apr, 2019
On 11 Nov, 2019
Received 03 Sep, 2019
On 28 May, 2019
Received 07 May, 2019
On 06 May, 2019
Invitations sent on 05 May, 2019
On 26 Apr, 2019
On 16 Apr, 2019
On 16 Apr, 2019
On 14 Apr, 2019
On 28 May, 2020
Received 12 Mar, 2020
On 11 Mar, 2020
Invitations sent on 11 Mar, 2020
On 11 Mar, 2020
On 10 Mar, 2020
On 10 Mar, 2020
On 12 Feb, 2020
Received 29 Jan, 2020
On 28 Jan, 2020
On 23 Dec, 2019
Received 23 Dec, 2019
Invitations sent on 18 Dec, 2019
On 27 Nov, 2019
On 26 Nov, 2019
On 26 Nov, 2019
Posted 18 Apr, 2019
On 11 Nov, 2019
Received 03 Sep, 2019
On 28 May, 2019
Received 07 May, 2019
On 06 May, 2019
Invitations sent on 05 May, 2019
On 26 Apr, 2019
On 16 Apr, 2019
On 16 Apr, 2019
On 14 Apr, 2019
ABSTRACT
Background
Globally, tuberculosis (TB) remains the leading cause of death from a single infectious disease. TB treatment outcome is an indicator for the effectiveness of a national TB control programs. This study aimed to assess treatment outcome of TB patients and its determinants in Batkhela, Khyber Pakhtunkhwa, Pakistan.
Methods
A retrospective cohort study was designed using all TB patients who were enrolled at District Head Quarter (DHQ) Hospital Batkhela, Pakistan. Distribution of TB types, treatment outcome and associated factor with successful treatment was computed using SPSS version 20.0 software for windows.
Results
A total of 515 TB patients were registered, of which 237 (46%) were males and 278 (53.98%) females. Of the total, 234 (45.44%) were cured and 210 (40.77%) completed treatment with overall treatment success rate was 444 (86.21%). Age 0-20 years (AOR= 3.47; 95% CI= 1.54-7.81; P= 0.003), smear-positive pulmonary TB (SPPTB) (AOR= 3.58; 95% CI= 1.89-6.78; P= <0.001), treatment category (AOR= 4.71; 95% CI= 1.17-18.97; P= 0.029), and year of enrollment 2012 (AOR= 6.26; 95% CI= 2.52-15.59; P= <0.001) were significantly associated with successful treatment outcome.
Conclusions
The overall treatment success rate is satisfactory but still need to be improved to achieve the international targeted treatment outcome. An increase was observed in overall case-fatality rate during the study duration which is an alarming signal for public health.

Figure 1
This is a list of supplementary files associated with this preprint. Click to download.
Loading...