Patient- and provider-related factors in the success of multidrug-resistant tuberculosis treatment in Colombia
Objective. To identify patient- and provider-related factors associated with the success of multidrug-resistant tuberculosis (MDR-TB) treatment in the six municipalities of Colombia with the highest number of MDR-TB cases. Methods. Bivariate and multivariate logistic regressions were used to analyze...
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ftdoajarticles:oai:doaj.org/article:a22d7f49775b4a3793d8c510f2688b56 2023-05-15T15:11:19+02:00 Patient- and provider-related factors in the success of multidrug-resistant tuberculosis treatment in Colombia Gloria Mercedes Puerto Castro Fernando Nicolás Montes Zuluaga Jacqueline Elizabeth Alcalde-Rabanal Freddy Pérez 2021-06-01T00:00:00Z https://doi.org/10.26633/RPSP.2021.74 https://doaj.org/article/a22d7f49775b4a3793d8c510f2688b56 EN ES PT eng spa por Pan American Health Organization https://iris.paho.org/handle/10665.2/54290 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2021.74 https://doaj.org/article/a22d7f49775b4a3793d8c510f2688b56 Revista Panamericana de Salud Pública, Vol 45, Iss 74, Pp 1-9 (2021) tuberculosis multidrug bacterial resistance health personnel health human resources training colombia Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2021 ftdoajarticles https://doi.org/10.26633/RPSP.2021.74 2022-12-31T13:45:38Z Objective. To identify patient- and provider-related factors associated with the success of multidrug-resistant tuberculosis (MDR-TB) treatment in the six municipalities of Colombia with the highest number of MDR-TB cases. Methods. Bivariate and multivariate logistic regressions were used to analyze the association between treatment success (cure or treatment completion) and characteristics of the patients and physicians, nursing professionals, and psychologists involved in their treatment. The importance of knowledge in the management of MDR-TB cases was explored through focus groups with these providers. Results. Of 128 cases of TB-MDR, 63 (49.2%) experienced treatment success. Only 52.9% of the physicians and nursing professionals had satisfactory knowledge about MDR-TB. Logistic regression showed that being HIV negative, being affiliated with the contributory health insurance scheme, being cared for by a male physician, and being cared for by nursing professionals with sufficient knowledge were associated with a successful treatment outcome (p ≤ 0.05). Qualitative analysis showed the need for in-depth, systematic training of health personnel who care for patients with MDR-TB. Conclusions. Some characteristics of patients and healthcare providers influence treatment success in MDR-TB cases. Physicians’ and nurses’ knowledge about MDR-TB must be improved, and follow-up of MDR-TB patients who are living with HIV and of those affiliated with the subsidized health insurance scheme in Colombia must be strengthened, as these patients have a lower likelihood of a successful treatment outcome. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista Panamericana de Salud Pública 45 1 |
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Directory of Open Access Journals: DOAJ Articles |
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English Spanish Portuguese |
topic |
tuberculosis multidrug bacterial resistance health personnel health human resources training colombia Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
tuberculosis multidrug bacterial resistance health personnel health human resources training colombia Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Gloria Mercedes Puerto Castro Fernando Nicolás Montes Zuluaga Jacqueline Elizabeth Alcalde-Rabanal Freddy Pérez Patient- and provider-related factors in the success of multidrug-resistant tuberculosis treatment in Colombia |
topic_facet |
tuberculosis multidrug bacterial resistance health personnel health human resources training colombia Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Objective. To identify patient- and provider-related factors associated with the success of multidrug-resistant tuberculosis (MDR-TB) treatment in the six municipalities of Colombia with the highest number of MDR-TB cases. Methods. Bivariate and multivariate logistic regressions were used to analyze the association between treatment success (cure or treatment completion) and characteristics of the patients and physicians, nursing professionals, and psychologists involved in their treatment. The importance of knowledge in the management of MDR-TB cases was explored through focus groups with these providers. Results. Of 128 cases of TB-MDR, 63 (49.2%) experienced treatment success. Only 52.9% of the physicians and nursing professionals had satisfactory knowledge about MDR-TB. Logistic regression showed that being HIV negative, being affiliated with the contributory health insurance scheme, being cared for by a male physician, and being cared for by nursing professionals with sufficient knowledge were associated with a successful treatment outcome (p ≤ 0.05). Qualitative analysis showed the need for in-depth, systematic training of health personnel who care for patients with MDR-TB. Conclusions. Some characteristics of patients and healthcare providers influence treatment success in MDR-TB cases. Physicians’ and nurses’ knowledge about MDR-TB must be improved, and follow-up of MDR-TB patients who are living with HIV and of those affiliated with the subsidized health insurance scheme in Colombia must be strengthened, as these patients have a lower likelihood of a successful treatment outcome. |
format |
Article in Journal/Newspaper |
author |
Gloria Mercedes Puerto Castro Fernando Nicolás Montes Zuluaga Jacqueline Elizabeth Alcalde-Rabanal Freddy Pérez |
author_facet |
Gloria Mercedes Puerto Castro Fernando Nicolás Montes Zuluaga Jacqueline Elizabeth Alcalde-Rabanal Freddy Pérez |
author_sort |
Gloria Mercedes Puerto Castro |
title |
Patient- and provider-related factors in the success of multidrug-resistant tuberculosis treatment in Colombia |
title_short |
Patient- and provider-related factors in the success of multidrug-resistant tuberculosis treatment in Colombia |
title_full |
Patient- and provider-related factors in the success of multidrug-resistant tuberculosis treatment in Colombia |
title_fullStr |
Patient- and provider-related factors in the success of multidrug-resistant tuberculosis treatment in Colombia |
title_full_unstemmed |
Patient- and provider-related factors in the success of multidrug-resistant tuberculosis treatment in Colombia |
title_sort |
patient- and provider-related factors in the success of multidrug-resistant tuberculosis treatment in colombia |
publisher |
Pan American Health Organization |
publishDate |
2021 |
url |
https://doi.org/10.26633/RPSP.2021.74 https://doaj.org/article/a22d7f49775b4a3793d8c510f2688b56 |
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Arctic |
geographic_facet |
Arctic |
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Arctic |
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Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 45, Iss 74, Pp 1-9 (2021) |
op_relation |
https://iris.paho.org/handle/10665.2/54290 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2021.74 https://doaj.org/article/a22d7f49775b4a3793d8c510f2688b56 |
op_doi |
https://doi.org/10.26633/RPSP.2021.74 |
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Revista Panamericana de Salud Pública |
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