Factors contributing to drug resistance of TB in Mbarara Regional Referral Hospital
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Date
2017-10
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Publisher
Kampala International University, School of Health Sciences
Abstract
Drug-resistant TB occurs when bacteria become resistant to the drugs used to treat TB. Drug resistance among tuberculosis patients is an increasing phenomenon worldwide. Although tuberculosis is a curable and preventable disease defaulting from treatment can prolong infectiousness leading to increased transmission, relapse and death. Uganda is one of the 22 high tuberculosis (TB) burden countries in the world. The multidrug resistance TB among previously treated patients is still high at 25.3% and raises concerns. This study therefore, focused on assessing the factors contributing to drug resistance to TB in Mbarara Regional Referral. The study covered a sample of 34 respondents out of the targeted 45 respondents. TB infected male and female adult patients were selected at random from the list of patients recorded in the patients’ record book at Mbarara Regional Referral hospital and acted as a representative sample for the study. Risk factors for non-adherence to TB resistance included; irregular supply of anti-TB drugs and laboratory reagents, shortage of trained health workers, poor commitment of health workers, lack of adherence to TB treatment guideline and lack of family support as well as alcohol consumption and smoking. While studying the TB control it was noted that TB diagnostic services and treatments were provided free of cost at Directly Observed Therapy especially at the hospitals run by the government like Mbarara Regional Referral Hospital. It was also noted that family support received by patients play important role in improving treatment adherence. However, there was still a problem of patient follow-up. Treatment providers should spend adequate time to follow-up, inform and educate TB patient regarding importance of regular treatment, correct duration of the treatment and laboratory diagnosis. Non-adherent patients need to be committed until the full course of therapy is completed.
Description
A research report submitted to Uganda Nurses and Midwives Examination Board in partial fulfillment for the award of a Diploma in Nursing Science of Kampala International University Western Campus
Keywords
Drug resistance, Tuberculosis, Mbarara Regional Referral Hospital