Characteristics and Treatment Outcomes of "Transfer-Out" Pulmonary Tuberculosis Patients in Gondar, Ethiopia.

Tuberculosis Research and Treatment Pub Date : 2016-01-01 Epub Date: 2016-05-30 DOI:10.1155/2016/1294876
Tadesse Belayneh, Afework Kassu, Desalgne Tigabu, Gashaw Asmare, Sofanit Tilaye, Eveline Klinkenberg
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引用次数: 16

Abstract

Background. During tuberculosis treatment, patients may transfer to continue treatment at another health facility. To ensure adherence until treatment completion, keeping track of patients is paramount. This study aimed to investigate treatment outcomes of patients who transferred out from the University of Gondar Hospital. Methods. This was a retrospective cohort evaluation of patients registered from 2009 to 2013. Treatment outcomes were collected from the TB registers of receiving units using a standardized data capture format. Results. During the study period 3,707 patients initiated treatment and 47.5% (1,760) transferred out. The study evaluated the outcome of 26% (457/1,760) patients, of whom 403 (88%) arrived in the receiving units. Overall, 79% were successfully treated and 13.8% transferred out for a second time. For all transferred-out cases, treatment outcomes were not reported to the referring unit. Conclusion and Recommendation. About half of the patients were transferred out to complete treatment elsewhere. Although successful treatment outcome was obtained in 79% of patients, these results were not fed back to the referring unit. Implementing a clear mechanism to communicate the arrival of and treatment outcome for transfer-out patients and appropriate patient education on treatment unit selection before treatment and during transfer-out are recommended.

埃塞俄比亚贡达尔“转出”肺结核患者的特点和治疗结果
背景。在结核病治疗期间,患者可转到另一卫生机构继续治疗。为了确保坚持治疗直至治疗完成,对患者的跟踪是至关重要的。本研究旨在调查从贡达尔大学医院转出的患者的治疗结果。方法。这是一项对2009年至2013年登记的患者的回顾性队列评估。采用标准化数据采集格式从接收单位的结核病登记册中收集治疗结果。结果。在研究期间,3707名患者开始接受治疗,47.5%(1760名)患者转出。该研究评估了26%(457/1,760)例患者的结果,其中403例(88%)到达接收单元。总的来说,79%的人成功治疗,13.8%的人第二次转移。对于所有转出的病例,治疗结果没有报告给转诊单位。结论和建议。大约一半的患者被转移到其他地方完成治疗。尽管79%的患者获得了成功的治疗结果,但这些结果并未反馈给转诊单位。建议实施明确的机制,告知转院患者的到达和治疗结果,并在治疗前和转院期间对患者进行适当的治疗单位选择教育。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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