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Outcome of Tuberculosis Control Program in Red Sea State, Sudan

Received: 2 March 2017     Accepted: 23 March 2017     Published: 23 October 2017
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Abstract

Tuberculosis (TB) is an endemic disease in Red Sea State. Efforts to control this disease started in 1996 with the establishment of a national tuberculosis control committee. Field application of a national tuberculosis program (NTP) was implemented in Port Sudan by the ministry of health, according to the guidelines of the WHO. A retrospective cross-sectional study was conducted to evaluate the outcome of tuberculosis control after the application of this program since 2002 to 2010. The active TB cases admitted and treated in Red Sea tuberculosis diagnostic center were studied. The outcome of control was evaluated, and comparison was made between the years 2002 to 2010. 12506 subjects were enrolled in this study. 8337 (66.7%) were males and 4169 (33.3%) were females. The ages ranged between 14 – 76 years. The total number of TB cases were decreased by 61% (from 1803 in 2002 to 1100 in 2010). The total Pulmonary TB (PTB) positive cases were reduced from 579 (32%) cases in 2002 to 240 (22%) cases in 2010. Default rate decreased in 2002 (11.9%) and increased in 2010 (16.7%). However, there was no substantial improvement in the cure rate, but inversely increased the default rate and death rate (16.7% and 9.6% respectively). The study demonstrated a positive correlation of mortality rate with the default rate (P< 0.023). Accordingly, the overall outcome of the application of the NTP was relatively satisfactory. A recommendation for speedy improve the infrastructure accompanied by supporting material of the health care system to create a suitable successful program is essential.

Published in American Journal of Internal Medicine (Volume 5, Issue 5)
DOI 10.11648/j.ajim.20170505.13
Page(s) 79-82
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Tuberculosis, Outcome, Red Sea State, TB Control, Sudan

References
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[6] Stabler JM, Nicod L, Janssens JP, Extra pulmonary tuberculosis. Rev Mal Respir. 2012; 29 (4): 566 – 78.
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[17] Vijay S, Balasangameswara VH, Jagannatha PS, Saroja VN et al. Defaults among Tuberculosis patients treated Under DOTS in Bangalore city: A search for solution. Int. J Tub. 2003; 50: 185 – 95.
[18] Thaim S, Lefevre AM, Hane F et al. Effectiveness of a stategy to improve Adherence to Tuberculosis Treatment in a Resource-Poor seting. JAMA. 2007; 297 (4): 367 – 379.
[19] Karumbi J, Garner P. Directly observed therapy for treating tuberculosis. Cochrane Database of systemic Reviews. 2015; issue 5 Art. No.: CD 003343.
[20] Moonan PK, Quitagua T, Pogoda J, Woo G et al. Does directly observed therapy (DOT) reduced drug resistance tuberculosis? BMC Public Health. 2011; 11: 19.
[21] De Queiroz EM, Guanito MC, Ferreira KR, Bertolozzi MR. Tuberculosis: limitations and strengths of directly observed treatment short-course. Rev. Latino Enfermagem, 2012; 20 (2): 369 – 77.
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  • APA Style

    Bashir Abdrhman Bashir, Yousif Mohammed Saeed. (2017). Outcome of Tuberculosis Control Program in Red Sea State, Sudan. American Journal of Internal Medicine, 5(5), 79-82. https://doi.org/10.11648/j.ajim.20170505.13

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    ACS Style

    Bashir Abdrhman Bashir; Yousif Mohammed Saeed. Outcome of Tuberculosis Control Program in Red Sea State, Sudan. Am. J. Intern. Med. 2017, 5(5), 79-82. doi: 10.11648/j.ajim.20170505.13

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    AMA Style

    Bashir Abdrhman Bashir, Yousif Mohammed Saeed. Outcome of Tuberculosis Control Program in Red Sea State, Sudan. Am J Intern Med. 2017;5(5):79-82. doi: 10.11648/j.ajim.20170505.13

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  • @article{10.11648/j.ajim.20170505.13,
      author = {Bashir Abdrhman Bashir and Yousif Mohammed Saeed},
      title = {Outcome of Tuberculosis Control Program in Red Sea State, Sudan},
      journal = {American Journal of Internal Medicine},
      volume = {5},
      number = {5},
      pages = {79-82},
      doi = {10.11648/j.ajim.20170505.13},
      url = {https://doi.org/10.11648/j.ajim.20170505.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.20170505.13},
      abstract = {Tuberculosis (TB) is an endemic disease in Red Sea State. Efforts to control this disease started in 1996 with the establishment of a national tuberculosis control committee. Field application of a national tuberculosis program (NTP) was implemented in Port Sudan by the ministry of health, according to the guidelines of the WHO. A retrospective cross-sectional study was conducted to evaluate the outcome of tuberculosis control after the application of this program since 2002 to 2010. The active TB cases admitted and treated in Red Sea tuberculosis diagnostic center were studied. The outcome of control was evaluated, and comparison was made between the years 2002 to 2010. 12506 subjects were enrolled in this study. 8337 (66.7%) were males and 4169 (33.3%) were females. The ages ranged between 14 – 76 years. The total number of TB cases were decreased by 61% (from 1803 in 2002 to 1100 in 2010). The total Pulmonary TB (PTB) positive cases were reduced from 579 (32%) cases in 2002 to 240 (22%) cases in 2010. Default rate decreased in 2002 (11.9%) and increased in 2010 (16.7%). However, there was no substantial improvement in the cure rate, but inversely increased the default rate and death rate (16.7% and 9.6% respectively). The study demonstrated a positive correlation of mortality rate with the default rate (P< 0.023). Accordingly, the overall outcome of the application of the NTP was relatively satisfactory. A recommendation for speedy improve the infrastructure accompanied by supporting material of the health care system to create a suitable successful program is essential.},
     year = {2017}
    }
    

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    AU  - Bashir Abdrhman Bashir
    AU  - Yousif Mohammed Saeed
    Y1  - 2017/10/23
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    UR  - https://doi.org/10.11648/j.ajim.20170505.13
    AB  - Tuberculosis (TB) is an endemic disease in Red Sea State. Efforts to control this disease started in 1996 with the establishment of a national tuberculosis control committee. Field application of a national tuberculosis program (NTP) was implemented in Port Sudan by the ministry of health, according to the guidelines of the WHO. A retrospective cross-sectional study was conducted to evaluate the outcome of tuberculosis control after the application of this program since 2002 to 2010. The active TB cases admitted and treated in Red Sea tuberculosis diagnostic center were studied. The outcome of control was evaluated, and comparison was made between the years 2002 to 2010. 12506 subjects were enrolled in this study. 8337 (66.7%) were males and 4169 (33.3%) were females. The ages ranged between 14 – 76 years. The total number of TB cases were decreased by 61% (from 1803 in 2002 to 1100 in 2010). The total Pulmonary TB (PTB) positive cases were reduced from 579 (32%) cases in 2002 to 240 (22%) cases in 2010. Default rate decreased in 2002 (11.9%) and increased in 2010 (16.7%). However, there was no substantial improvement in the cure rate, but inversely increased the default rate and death rate (16.7% and 9.6% respectively). The study demonstrated a positive correlation of mortality rate with the default rate (P< 0.023). Accordingly, the overall outcome of the application of the NTP was relatively satisfactory. A recommendation for speedy improve the infrastructure accompanied by supporting material of the health care system to create a suitable successful program is essential.
    VL  - 5
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Author Information
  • Medical Laboratory Sciences Division, Port Sudan Ahlia College, Port Sudan, Sudan

  • Consultant Chest Physician, Port Sudan Teaching Hospital, Port Sudan, Sudan

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