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Title

Positive impact of knowledge about tuberculosis and its treatment on treatment adherence among new smear‑positive tuberculosis patients in ward E of Mumbai, Maharashtra, India

Year: 1394
COI: JR_EPR-2-1_007
Language: EnglishView: 203
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Authors

Priya Y. Kulkarni - Departments of Community Medicine, SMBT Medical College, Nasik
Atul D. Kulkarni - D Y Patil Medical College, Nerul, Navi Mumbai,
Sulabha V. Akarte - Grant Medical College, Mumbai,
Prasad A. Rajhans - Department of Community Medicine, Chief Intesivist, Deenanath Mangeshkar Hospital, Pune, India

Abstract:

Background: Treatment nonadherence is major challenge before tuberculosis (TB) control activities. Treatment adherence is the result of interactions of various factors related to the patient, provider,health setup, type of illness, and sociocultural factors. Aim: The aim was to assess baseline knowledgeof new smear‑positive TB patients about their disease and treatment and to find its impact on treatment adherence. Methods: New sputum‑positive TB patients initiated directly observed treatment short‑course in ward E of Mumbai district in first two‑quarters of the calendar year were enrolled inthe study. They were interviewed by trained interviewer as per pretested semi‑structured interview schedules to collect sociodemographic information and to assess their knowledge after verbal consent. Treatment adherence was noted by screening treatment cards after any final outcome of the treatment asper Revised National Tuberculosis Control Program. Data were entered in Microsoft excel and analyzed using SPSS 15.0 software (developed by IBM, Chicago, USA in 2007). Results: Out of 157 patients enrolled, 150 could be interviewed. The majority were in reproductive age group and from class IV and V socioeconomic class. Good knowledge about infectiousness, reasons behind TB, its spread, curability, andtreatment duration was found in 29.5%, 28.8%, 16%, 59%, and 22.3%, respectively. 72/150 were treatment adherent and good knowledge about all these aspects was significantly associated with treatment adherence. Most significant association was found with good knowledge about infectiousness of TB (odds ratio: 1.764, P < 0.001). Conclusions: Thorough knowledge regarding TB and its treatment should begiven to the TB patients at the initiation of the treatment may help to improve treatment adherence.

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Paper COI Code

This Paper COI Code is JR_EPR-2-1_007. Also You can use the following address to link to this article. This link is permanent and is used as an article registration confirmation in the Civilica reference:

https://civilica.com/doc/442703/

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If you want to refer to this Paper in your research work, you can simply use the following phrase in the resources section:
Kulkarni, Priya Y. and Kulkarni, Atul D. and Akarte, Sulabha V. and Rajhans, Prasad A.,1394,Positive impact of knowledge about tuberculosis and its treatment on treatment adherence among new smear‑positive tuberculosis patients in ward E of Mumbai, Maharashtra, India,https://civilica.com/doc/442703

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