Evidence map›Paper›PMID 32832153›Full record

ArticleTuberculosis research and treatment2020

Predictors of Adverse TB Treatment Outcome among TB/HIV Patients Compared with Non-HIV Patients in the Greater Accra Regional Hospital from 2008 to 2016.

Kenneth Mawuta Hayibor, Delia Akosua Bandoh, Adwoa Asante-Poku, Ernest Kenu

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Article in Tuberculosis research and treatment, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

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20citing papers in PubMed
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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

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  14. Heliyon · 2024
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  17. The in-hospital tuberculosis diagnostic cascade and early clinical outcomes among people living with HIV before and during the COVID-19 pandemic - a prospective multisite cohort study from Ghana.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2023
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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Kenneth Mawuta HayiborNoguchi Memorial Institute for Medical Research, University of Ghana, Ghana.ORCID https://orcid.org/0000-0002-5451-7860
Delia Akosua BandohSchool of Public Health, University of Ghana, Ghana.ORCID https://orcid.org/0000-0002-0281-5321
Adwoa Asante-PokuNoguchi Memorial Institute for Medical Research, University of Ghana, Ghana.ORCID https://orcid.org/0000-0001-8929-193X
Ernest KenuSchool of Public Health, University of Ghana, Ghana.ORCID https://orcid.org/0000-0001-8007-0073

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe convergence of TB and HIV dual epidemics is a major public health challenge in Ghana as well as many developing countries. Treatment outcome monitoring is a vital part of the surveillance needed to successfully eliminate TB. The impact of HIV status and demographic and treatment-related factors on adverse TB treatment outcome has not been studied in the Greater Accra Regional Hospital. This study determined factors associated with TB treatment outcome in patients with TB-HIV coinfection and TB-only infection in the hospital.

methodA cross-sectional study was carried out in the Greater Accra Regional Hospital. We reviewed TB treatment cards of patients who received treatment for tuberculosis in the hospital from 2008 to 2016. Data on treatment outcome and sociodemographic and clinical characteristics were extracted on TB-only-infected and TB/HIV-coinfected patients. The chi-squared test and binary and multiple logistic regression models were used to assess factors associated with adverse treatment outcome.

resultsOut of the 758 patient records analyzed, 174 (22.9%) were TB-HIV-coinfected patients. Overall treatment success for all TB patients was 88.1% (668/758). About 11.9% (90/758) of the patients had an adverse treatment outcome, including treatment failure 0.9% (7/758), defaulting 0.9% (7/758), and death 10.0% (76/758). TB-HIV-coinfected patients' treatment success was 78.1% (136/174). TB-only patients' treatment success was 91.4% (532/582). Independent predictors of adverse treatment outcome were found to be as follows: being HIV positive (aOR: 3.85, 95% CI: 2.19-6.75;

conclusionTreatment outcome for TB-HIV-coinfected patients is below the WHO target. HIV status, age, and category of patient of the TB patients were associated with adverse treatment outcome. Strengthening the TB/HIV collaborative efforts by stakeholders is required for good treatment outcomes.

Identifiers

PMID32832153
PMCPMC7424490

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