Epidemiological aspects and therapeutic results of tuberculosis cases in the department of respiratory diseases, Befelatanana University Hospital

2020 
Introduction: One of the ways to assess the quality of the treatment of tuberculosisis to analyze the treatment of outcomes the patients followed up. Our objective isto describe the epidemiological aspects and the therapeutic results of tuberculosispatients seen at the Joseph Raseta Befelatanana University Hospital Center.Methods: This is a retrospective and descriptive cohort study from January 1st, 2014to December 31, 2017. Data were collected from the tuberculosis registry.Results: We included 759 cases, the average age were 36.48 years. There was malepredominance a sex ratio of 1.62. The pulmonary forms tuberculosis predominated(62.50%). Pleural (51.58%) and lymph node (16.49%) lesions were the most frequentextra pulmonary forms. The prevalence of TB-HIV coinfection was 5.80%. The treatmentsuccess rate for all forms was 84.46%, it was 90.50% for the smear positivepulmonary tuberculosis. Age, type of tuberculosis and HIV status influenced treatmentoutcomes (p <0.05).Conclusion: The data on the therapeutic outcome of our study meets the objectiveof the WHO. Other multicenter studies are necessary to answer certain questionsthat were not clarified during our study in relation to the other factors influencingtherapeutic outcomes in Madagascar.Key words: epidemiology–tuberculosis–treatment outcome–Madagascar
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