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Factors affecting treatment interruption among TB patients in Lagos Nigeria: Is there a need for treatment supporters? International Journal of Clinical Medicine 2016; 7:389-398.

Authors: O.a. , Olusoji , Otesanya, , ASHIPA Temitope , ADEJUMO Esther , Husseine A. Abdur-razzaq

Publication Type: Journal article

Journal: International Journal Of Clinical Medicine

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Abstract

Background: This study assessed treatment interruption of tuberculosis (TB) patients managed by
treatment supporters and health care workers and other predictors of treatment interruption.
Methods: A descriptive cross-sectional study was conducted. Four hundred and seventy new
smear positive TB patients above 14 years of age were consecutively recruited between October 1
and December 31 2012 from 34 (23 public and 11 private) directly observed treatment short
course (DOTS) facilities that offered TB treatment and microscopy services. They were followed
up till treatment was completed. Logistic regression was used to assess the predictors of treatment
interruption. Results: A significantly higher proportion of smokers (58.6% vs 38.3%, p =
0.030), patients supervised by treatment supporters (44.4% vs 34.7%, p = 0.032), patients not
counselled before initiation of treatment (55.6% vs 38.2%, p = 0.041), patients managed at private
DOTS facilities (50% vs 36.3%, p = 0.010) and TB/HIV co-infected patients (54.2% vs 38.6%, p =
0.038) had treatment interruption. Predictors of treatment interruption were supervision by
treatment supporters, smoking, lack of pre-treatment counselling and TB/HIV co-infection. Conclusion:
A higher proportion of patients supervised by treatment supporters had treatment interruption
than those supervised by health care workers. There may be a need to review the concept
of treatment supervision by treatment supporters in Lagos state Nigeria.

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O.a.,A. Olusoji,D. Otesanya,,A. ASHIPA,T. ADEJUMO,E. Husseine,A.A . (2016). Factors affecting treatment interruption among TB patients in Lagos Nigeria: Is there a need for treatment supporters? International Journal of Clinical Medicine 2016; 7:389-398., 7 (), 389-389.

O.a.,A. Olusoji,D. Otesanya,,A. ASHIPA,T. ADEJUMO,E. Husseine,A.A . "Factors affecting treatment interruption among TB patients in Lagos Nigeria: Is there a need for treatment supporters? International Journal of Clinical Medicine 2016; 7:389-398." 7, no (), (2016): 389-389.

O.a.,A. and Olusoji,D. and Otesanya,,A. and ASHIPA,T. and ADEJUMO,E. and Husseine,A.A and . (2016). Factors affecting treatment interruption among TB patients in Lagos Nigeria: Is there a need for treatment supporters? International Journal of Clinical Medicine 2016; 7:389-398., 7 (), pp389-389.

O.a.A, OlusojiD, Otesanya,A, ASHIPAT, ADEJUMOE, HusseineAA, . Factors affecting treatment interruption among TB patients in Lagos Nigeria: Is there a need for treatment supporters? International Journal of Clinical Medicine 2016; 7:389-398.. 2016, 7 ():389-389.

O.a.,Adejumo , Olusoji,Daniel , Otesanya,,A.f. , ASHIPA,Temitope , ADEJUMO,Esther , and Husseine,A. Abdur-razzaq . "Factors affecting treatment interruption among TB patients in Lagos Nigeria: Is there a need for treatment supporters? International Journal of Clinical Medicine 2016; 7:389-398.", 7 . (2016) : 389-389.

O.Adejumo O.Daniel O.A.f. A.Temitope A.Esther & H.A. Abdur-razzaq , "Factors affecting treatment interruption among TB patients in Lagos Nigeria: Is there a need for treatment supporters? International Journal of Clinical Medicine 2016; 7:389-398." vol.7, no., pp. 389-389, 2016.

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