Sputum Conversion as a Predictor to Treatment Outcome in Tuberculosis Control in Kenya
International Journal of Science and Research (IJSR)

International Journal of Science and Research (IJSR)
www.ijsr.net | Open Access | Fully Refereed | Peer Reviewed International Journal

ISSN: 2319-7064


Amazon Sale


Research Paper | Public Health | Kenya | Volume 9 Issue 3, March 2020

Sputum Conversion as a Predictor to Treatment Outcome in Tuberculosis Control in Kenya

Richard Kiplimo, Ann Mwangi, Mathew Kosgei, Elizabeth Onyango, Joseph Koske

Introduction: Globally in 2017, the estimated tuberculosis (TB) morbidity stood at 10 million while 1.45 million people died due to TB. Among the contributors to the high number of adverse outcomes is delayed sputum conversion during treatment. However, little data about delayed sputum conversion in Kenya exists. The objective was to determine the relationship between month two smear conversion and treatment outcome and established associated risk factors. Method: This was a 3 year’ retrospective cohort study of Pulmonary TB patients using routinely collected data available at the National TB Program, Kenya. Non-conversion was defined as persistent sputum smear positive PTB cases at the end of two months of treatment. Chi-square test for linear trend. A multilevel binary logistic regression models was considered with county as the level-2 variable to evaluate the impact of demographic, clinical and therapeutic data on treatment outcome. Results: Average age was 35.10 (14.82). Female constituted 34 %. Month 2 Sputum bacteriological non conversion was observed in 8: 3 % of the cases notified. Positive predictive value of the month 2 sputum smear non-conversion for unfavourable outcomes was 13: 1 % (95 % CI: [12.4{13.9]). Adjusted for sociodemographic and clinical characteristics, the odds for unfavourable outcomes were 5.18 (95 % CI: [ 4.799 - 5.595]) higher among those that had not converted at the second month. Treatment history (aOR = 1.909; 95 % CI = 1.736 - 2.10) ; Female gender aOR (0.752 (95 %CI: [0.695 - 0.815]) ; HIV negative aOR (0.579 ( 95 %CI: [0.535 - 0.626]) and Moderate malnutrition aOR (0.800 ( 95 %CI: [0.730 - 0.878]) compared to severe malnutrition; were all protective of unfavorable outcomes. Bacteriologically confirmed cases, especially men and those with identified risk factors for non-conversion, should be closely monitored throughout their treatment period.

Keywords: TB, conversion, Multi-level

Edition: Volume 9 Issue 3, March 2020

Pages: 460 - 465

Share this Article

How to Cite this Article?

Richard Kiplimo, Ann Mwangi, Mathew Kosgei, Elizabeth Onyango, Joseph Koske, "Sputum Conversion as a Predictor to Treatment Outcome in Tuberculosis Control in Kenya", International Journal of Science and Research (IJSR), https://www.ijsr.net/search_index_results_paperid.php?id=ART20204043, Volume 9 Issue 3, March 2020, 460 - 465

119 PDF Views | 105 PDF Downloads

Download Article PDF


Amazon Sale


Similar Articles with Keyword 'TB'

Survey Paper, Public Health, Russia, Volume 9 Issue 10, October 2020

Pages: 458 - 463

Review of the Direct and Indirect Challenges of Mother-Child Health Care System in Nigeria

Alice John Emaimo, O.E Konovalov, Mhanna Lujain

Share this Article

Case Studies, Public Health, India, Volume 9 Issue 8, August 2020

Pages: 631 - 636

A Case Study on the Spanish Flu 1918 - How it burrowed Into the City of New Orleans

Nabanita Mukherjee

Share this Article

Research Paper, Public Health, Uganda, Volume 9 Issue 7, July 2020

Pages: 53 - 60

The Role of the eELMIS as a Tool of Public Health Emergency Supply Chain Management during Uganda's COVID-19 Emergency Response

John Hans Wasswa, Martin Olowo Oteba, Michael Kavuma, Sam Muwanguzi, Jude Opolot, Ahmed Katumba, Henry Oundo, Sarah Taratwebirwe, Jakira Ambrose

Share this Article

Review Papers, Public Health, India, Volume 9 Issue 7, July 2020

Pages: 105 - 110

Outbreak of Corona Virus (SARS-CoV-2) COVID-19: An Overview on Health System in West Bengal till 30th June, 2020

Dipanwita Das

Share this Article

Research Paper, Public Health, Kenya, Volume 9 Issue 3, March 2020

Pages: 460 - 465

Sputum Conversion as a Predictor to Treatment Outcome in Tuberculosis Control in Kenya

Richard Kiplimo, Ann Mwangi, Mathew Kosgei, Elizabeth Onyango, Joseph Koske

Share this Article
Top