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Factors Associated with Treatment Success Among Patients with Pulmonary Tuberculosis: Exploring from NTIP Record
Sasicha Kwangdam1, Sulida Toekasem1, Wanpen Yingyuat2
1Faculty of Health and Sports Science, Thaksin University Phatthalung Campus, Thailand.
Abstract:
This cross-sectional analytical study examined treatment success rates and associated factors among pulmonary tuberculosis (TB) patients. Data from the National Tuberculosis Information Program (NTIP) were analyzed for 305 patients treated at Pak Phanang Hospital, Nakhon Si Thammarat, between October 1, 2018, and September 30, 2023. Binary logistic regression identified key factors influencing treatment success. The overall success rate was 80.98% (247 patients), while 19.02% (58 patients) experienced unsuccessful treatment. Significant factors associated with success included body mass index (BMI) (adjusted OR 2.72, 95% CI = 1.12-3.93, p = 0.035), adherence to medical appointments (adjusted OR 26.85, 95% CI = 16.24-35.56, p = 0.001), history of HIV screening, hospitalization for TB, and CD4 testing. To enhance TB treatment outcomes, hospitals should improve patient management, ensure continuous monitoring, and promote adherence and education. Strengthening these measures may reduce treatment failure and improve public health outcomes.
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