Evidence map›Paper›PMID 39348935›Full record

ArticleInternational health2025

Sputum culture conversion and its predictors among drug-resistant pulmonary tuberculosis patients in eastern Ethiopia.

Mulugeta Gamachu, Alemayehu Deressa, Lemma Demissei Regassa, Miesso Bayu, Ibsa Mussa, Fekede Asefa Kumsa, Tariku Dingeta

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Article in International health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1 citing paper in PubMed.

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5 · Who and what money

Authors and funding

7 authors.

Mulugeta GamachuSchool of Medicine, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.ORCID 0000-0003-3890-5203
Alemayehu DeressaSchool of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Lemma Demissei RegassaSchool of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Miesso BayuSchool of Medicine, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Ibsa MussaSchool of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Fekede Asefa KumsaSchool of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Tariku DingetaSchool of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.

Funding

Haramaya University
6 · The paper itself

Abstract

backgroundEvidence of time to culture conversion is used to predict the time of cure from the disease and the overall drug-resistant tuberculosis (TB) treatment duration. Even though evidence about sputum culture conversion is enormous in TB treatment, no study has yet been done in our areas, where cases are common. The study aimed to assess the time to sputum conversion and its predictors among drug-resistant TB patients from October 2013 to September 2021 in eastern Ethiopia. METHODOLOGY: A retrospective cohort study was conducted in eastern Ethiopia among 273 drug-resistant TB patients who were treated from October 2013 to September 2021 at Dire Dawa City and Harari regional treatment centres. The Kaplan-Meier method was used to estimate the median time of sputum culture conversion. Cox proportional hazards regression was employed to detect the predictors of sputum culture conversion. An adjusted hazard ratio (aHR) with 95% confidence interval (CI) was used to determine the strength and significance of the association.

resultsOf the 273 drug-resistant TB patients, the sputum culture of 216 (79.12%) patients became negative in a median time of 3 months (interquartile range 2-7). The time to sputum culture conversion was negatively associated with underweight (aHR 0.65 [95% CI 0.49 to 0.90]) and poor adherence (aHR 0.41 [95% CI 0.24 to 0.69]). The time to sputum culture conversion was also positively associated with patients resistant to two or more drugs (aHR 1.58 [95% CI 1.07 to 2.32]) and patients receiving a short treatment regimen (aHR 2.24 [95% CI 1.10 to 2.55]).

conclusionsA shorter culture conversion rate was observed compared with the median time recommended by the World Health Organization. Being underweight, poor adherence to treatment, resistance to two or more drugs and receiving a short treatment regimen were found to be predictors of time to sputum culture conversion. Implementing nutrition assessment, counselling and support of drug adherence may improve sputum culture conversion.

Indexed as

Antitubercular AgentsSputumTuberculosis, Multidrug-ResistantTuberculosis, PulmonaryAdolescentAdultEthiopiaFemaleHumansMaleMiddle AgedMycobacterium tuberculosisProportional Hazards ModelsRetrospective StudiesTime FactorsYoung AdultAntitubercular Agentsdrug resistanceEthiopiapredictorssputum culture conversiontuberculosis

Identifiers

PMID39348935
PMCPMC12045090

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