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THE SITUATION OF MULTI-RESISTANT TB AND TREATMENT RESULTS DURING 3 YEARS 2018-2020 IN DONG THAP PROVINCE
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Abstract
Background: Tuberculosis is still a global health problem, one of the 10 leading causes of death worldwide, especially multidrug-resistant tuberculosis. Currently, the drug-resistance of MTB is a dangerous medical problem, with morbidity and mortality rates constantly increasing in the world, in Vietnam and in Dong Thap. Objectives: 1) Determine the rate and characteristics of drug-resistant tuberculosis in new AFB (+) tuberculosis patients in the 3 years 2018-2020 in Dong Thap province, 2) Evaluate the results of multidrug-resistant tuberculosis treatment in the year 2020 in Dong Thap Province. Subjects and methods: A cross-sectional descriptive and analytical study was conducted on all 229 multi-drug-resistant tuberculosis patients enrolled for treatment from 2018-2020 in Dong Thap. Record the prevalence of drug-resistant TB/new TB AFB (+), the rate of multi-resistant TB/100.00 people in Dong Thap province. Describe the epidemiological characteristics of multi-drug-resistant tuberculosis patients and evaluate the results of multi-drug-resistant tuberculosis treatment in 3 years 2018-2020 in Dong Thap. Results: In 3 years (2018-2020), 229 cases of drug-resistant TB were recovered, the rate of multi-resistant TB/ number of new TB patients AFB (+) was 1.5%, The rate of multi-resistant tuberculosis/patient treated for tuberculosis is 20%. The rate of multi-drug-resistant tuberculosis/number of tuberculosis cases is 2.6%. The epidemiological characteristics of drug-resistant tuberculosis: The ratio of male/female patients is 4.6; Most of patients are in rural areas (73.80%); are farmers (34.06%) and reside in region 3 (39.7%) according to administrative boundaries. Following 229 MDR TB patients for 3 years from 2018 to 2020, the cure rate was 58.95% (135/229), completion of treatment was 13.54% (31). /229), The treatment success rate (including cure and completion rates) was 72.5% (166/229) and 27.5% (63/229) unsuccessful treatment (including failure rate, dropout rate). treatment, death and transfer to another place).
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Keywords
Multi-drug resistance, Dong Thap province.
References
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