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Effect of intensive education on compliance of tuberculosis patients in low socio-economic status in Bangladesh

Abstract number: P1569

Jang H-C., Lee S.W., Kim D.Y., Seo J.H., Park S.W., Oh M-D., Choe K.W.

Objectives: Directly observed therapy short-course (DOTS) is main strategy facing TB in endemic area. However, Bangladesh is still one of eight countries in which new cases were not detected by DOTS program. We treated tuberculosis patients who were functionally out of reach of DOTS in Bangladesh-Korea Friendship Hospital in Bangladesh. Because compliance is the key of successful outcome in hospital-based treatment, we performed this study to evaluate whether education improves compliance of tuberculosis patients in low socio-economic status (SES) or not.

Methods: All patients who were diagnosed as tuberculosis from Jan 2005 to Mar 2007 were enrolled prospectively. We introduced intensive education strategy to the tuberculosis patients from May 2006. 6-month treatment complete rate in patients who were educated intensively were compared with the rate in control patients.

Results: During the period, 339 patients with tuberculosis visited the hospital. 26 patients who were transferred or stopped medication by physician's decision were excluded. 115 cases (37%) were educated intensively, while 198 (63%) weren't. Age (36.3 vs. 34.7, P = 0.37) and sex (male 58% vs. 64%, P = 0.40) were not different between the two groups. Treatment complete rate was 74.8% in intensively educated patients and 70.7% in control patients (P = 0.51).

Conclusion: Intensive education had no significant effect on compliance of tuberculosis patients in low SES in Bangladesh. Effective functioning of DOTS system is required in this area.

Session Details

Date: 19/04/2008
Time: 00:00-00:00
Session name: 18th European Congress of Clinical Microbiology and Infectious Diseases
Subject:
Location: Barcelona, Spain
Presentation type:
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