PURPOSE: To determine treatment completeness and social factors affecting treatment adherence of tuberculosis patients at Samitivej Srinakarin Hospital.
METHODS: Retrospective study (Charts review).
RESULTS: There were 50 tuberculosis patients during period of a one-year study. Mean age 39 years (16 to 84). Male to female ratio was 1:1. Forty five cases were diagnosed as isolated pulmonary tuberculosis. HIV seropositivity was found in 2 cases. Ninety two percents of cases were treated by fixed dose combination of antituberculous drugs. There were reports of drug toxicities of 26 percents of cases. During patients followed up periods (at the end of the 2nd week, the end of the 2nd, the 4th and the 6th month respectively), the hospital staffs phoned to recall every patients for the appointment with physicians. The patients who completed and did not complete 6-month treatment was 36 and 38 percents respectively. The remainders are under ongoing treatment. Clinical factors that were associated with completeness of regimens are male and the presence of symptoms at diagnosis. Fifty seven percents of patients who did not complete regimens recieved treatment of less than 2 weeks duration. The main reasons of incomplete 6-month treatment were patients’ desire for referring to the other hospitals and patients did not return to clinic. All of non-referred cases whose incompleted treatment needed to pay cost of treatment by themselves. Fifty five percent of cases whose completed course of treatment had provider(s) for payment such as insurance company or employer. The number of patients graduated bachelor degree or higher were not different between patients who completed and did not complete 6-month tuberculosis treatment.
CONCLUSION: The completeness of tuberculosis treatment may be influenced by providers for cost payment.
CLINICAL IMPLICATIONS: The intensive follow up strategies to improve tuberculosis treatment adherence should be focused on patients who have no healthcare cost provider(s).
DISCLOSURE: Theerasuk Kawamatawong, None.