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Schoenbaechler V, Guilavogui Y, Onivogui S, Hébélamou J, Mugglin C, Furrer H, Henzen C, Bavogui EK, Kolié C, Zoumanigui P, Béavogui I, Leuenberger D, Staehelin C. Rate of treatment success and associated factors in the program for drug-susceptible tuberculosis in the Forest Region, Republic of Guinea, 2010-2017: A real-world retrospective observational cohort study. Int J Infect Dis 2021; 110:6-14. [PMID: 34118429 DOI: 10.1016/j.ijid.2021.06.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2021] [Revised: 06/04/2021] [Accepted: 06/05/2021] [Indexed: 12/01/2022] Open
Abstract
OBJECTIVES To analyze the treatment success rate (TSR = sum of cured or treatment completed) in the tuberculosis (TB) program for drug-susceptible TB (DS-TB) at the "Centre Hospitalier Régional Spécialisé" in Macenta, Forest Region, Republic of Guinea. METHODS This cohort study included patients who started treatment for DS-TB between 2010 and 2017. Data collection was part of the documentation for the national TB program. Descriptive analysis was applied to determine the TSR in various patient groups. Further, logistic regression was performed to determine factors influencing the TSR in new and relapsed cases versus all other previously treated cases. A subgroup analysis for only microbiologically confirmed pulmonary TB was added. RESULTS The study included 3969 patients. The TSR increased from 68.3% in 2010 to 80.8% in 2017 (p < 0.001). Mortality (11.2%) mainly occurred in early treatment months, while loss to follow-up (5.9%) increased towards later treatment months. Risk factors for low TSR were advanced age, positive HIV status, long travel distances (>100 km) to the clinic, and late treatment refill. CONCLUSION The TSR in the Forest Region of Guinea remained below the WHO goal of 90%. Reaching this target remains a challenge in rural areas with high early mortality and increased risk of loss to follow-up.
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Affiliation(s)
- Valérie Schoenbaechler
- Department of Infectious Diseases, Inselspital, Bern University Hospital, University of Bern, Switzerland
| | - Yakpazouo Guilavogui
- Centre Hospitalier Régional Spécialisé, Quartier Fassankoni, Commune Urbaine Macenta, Région N'Zérékoré, Région Forestière, Republic of Guinea
| | - Sosso Onivogui
- Centre Hospitalier Régional Spécialisé, Quartier Fassankoni, Commune Urbaine Macenta, Région N'Zérékoré, Région Forestière, Republic of Guinea
| | - Jean Hébélamou
- Centre Hospitalier Régional Spécialisé, Quartier Fassankoni, Commune Urbaine Macenta, Région N'Zérékoré, Région Forestière, Republic of Guinea
| | - Catrina Mugglin
- Department of Infectious Diseases, Inselspital, Bern University Hospital, University of Bern, Switzerland
| | - Hansjakob Furrer
- Department of Infectious Diseases, Inselspital, Bern University Hospital, University of Bern, Switzerland
| | - Corina Henzen
- Department of Infectious Diseases, Inselspital, Bern University Hospital, University of Bern, Switzerland
| | - Esther Kolou Bavogui
- Centre Hospitalier Régional Spécialisé, Quartier Fassankoni, Commune Urbaine Macenta, Région N'Zérékoré, Région Forestière, Republic of Guinea
| | - Cécé Kolié
- Centre Hospitalier Régional Spécialisé, Quartier Fassankoni, Commune Urbaine Macenta, Région N'Zérékoré, Région Forestière, Republic of Guinea
| | - Pévé Zoumanigui
- Centre Hospitalier Régional Spécialisé, Quartier Fassankoni, Commune Urbaine Macenta, Région N'Zérékoré, Région Forestière, Republic of Guinea
| | - Ismaël Béavogui
- Centre Hospitalier Régional Spécialisé, Quartier Fassankoni, Commune Urbaine Macenta, Région N'Zérékoré, Région Forestière, Republic of Guinea
| | - David Leuenberger
- Centre Hospitalier Régional Spécialisé, Quartier Fassankoni, Commune Urbaine Macenta, Région N'Zérékoré, Région Forestière, Republic of Guinea.
| | - Cornelia Staehelin
- Centre Hospitalier Régional Spécialisé, Quartier Fassankoni, Commune Urbaine Macenta, Région N'Zérékoré, Région Forestière, Republic of Guinea; Department of Infectious Diseases, Inselspital, Bern University Hospital, University of Bern, Switzerland
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