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Tuberculosis Patients' Perception Towards Directly Observed Treatment Short Course, Results of a Pilot Study in Penang, Malaysia FREE TO VIEW

Lalitha Pereirasamy*, MMed; Amer Hayat Khan, PhD; Irfhan Ali Hyder Ali, MMed
Author and Funding Information

Department of Respiratory Medicine, Penang General Hospital, Georgetown, Malaysia

Chest. 2012;142(4_MeetingAbstracts):199A. doi:10.1378/chest.1382162
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SESSION TYPE: Respiratory Infections Posters I

PRESENTED ON: Wednesday, October 24, 2012 at 01:30 PM - 02:30 PM

PURPOSE: This study aims to understand the socio-demographic characteristics and to describe Tuberculosis patients’ perception towards Directly Observed Treatment Short course (DOTS).

METHODS: This was a cross sectional study conducted at two DOTS centers, Hospital Pulau Pinang (HPP) and Hospital Bukit Mertajam (HBM), Pulau Pinang, Malaysia. A total of 52 adult patients (29 at HPP and 23 at HBM) who attended the DOTS centers were evaluated through a self administered questionnaire.

RESULTS: The majority of patients (57.7%) were males. Mean age of the patients was 44.4 ± 16.1 years. Study population was ethnically diverse. A notable proportion of patients (34.6%) were unemployed while 59.6% involved the working population. The most common mode of transport was car (42.3%) followed by motorcycle (40.4%). The majority of patients (46.2%) were living an estimated distance of 1-5 Km from DOTS centers. Duration of each DOTS clinic session was 30.42 ± 27.23 minutes. Average travel cost to DOTS clinic per day was 8.81 ± 7.79 MYR. Only 13.5% of the patients were unaware of why DOTS is done, while all were of the idea that DOTS has improved their compliance to medications. A notable proportion (34.6%) of patients had negative attitudes towards DOTS therapy. More than one third patients (34.6%) preferred monthly packing of medications, while 30.8%, 25% and 9.6% preferred weekly, two weekly and daily packing respectively. Statistically significant association was observed between attitudes toward DOTS therapy and the clinic attended (p=0.02). Patients who attended HPP clinic were more positive towards DOTS as compared to those who attended HBM clinic. No statistically significant association was observed between any other factor and attitudes towards DOTS therapy.

CONCLUSIONS: Despite the well established efficacy, the negative attitudes of a notable proportion of patients towards DOTS therapy, makes it a worrisome issue. Remedial measures like patients’ educational and awareness campaigns about TB and DOTS therapy are needed in future.

CLINICAL IMPLICATIONS: 1. DOTS clinics must be easily accessible and made both cost and time effective. 2. Public-private mix must be developed and strengthened to improve availabiliy of DOTS to the target groups.

DISCLOSURE: The following authors have nothing to disclose: Lalitha Pereirasamy, Amer Hayat Khan, Irfhan Ali Hyder Ali

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Department of Respiratory Medicine, Penang General Hospital, Georgetown, Malaysia




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