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dc.contributor.authorMoses, I
dc.contributor.authorMain, S
dc.contributor.authorCommons, RJ
dc.contributor.authorRobertson, B
dc.contributor.authorMek, A
dc.contributor.authorGale, M
dc.date.accessioned2019-11-20T01:58:12Z
dc.date.available2019-11-20T01:58:12Z
dc.date.issued2019-09-21
dc.date.submitted2019-11-08
dc.identifier.urihttp://hdl.handle.net/10144/619524
dc.description.abstractSetting: Gulf Province, a rural area of mainland Papua New Guinea, is known to have one of the highest burdens of tuberculosis (TB) in the country. Objectives: To describe the characteristics and outcomes of TB patients registered for first-line treatment in Kerema General Hospital in Gulf Province between January and December 2016. Design: This was a retrospective cohort study using routinely collected programme data. Results: Of 347 cases with a recorded TB site, 54% were male and 32% were aged <15 years. No human immunodeficiency virus (HIV) status was recorded for 51% of cases. TB was bacteriologically confirmed in 23% of cases. Among the cohort, there were 145 extrapulmonary TB cases (42%); the site of disease was unknown in 56% of these cases. Of the 297 cases with treatment outcome evaluated, 56% had a favourable outcome and 26% were lost to follow-up. On multivariable analysis, extrapulmonary TB (adjusted OR [aOR] 0.51, 95%CI 0.30–0.88, P = 0.02) and bacteriologically confirmed TB (aOR 0.40, 95%CI 0.21–0.77, P < 0.01) were associated with decreased odds of an unfavourable treatment outcome. Conclusion: The study findings highlight the need to improve TB diagnosis, access to HIV testing, treatment adherence, patient support and the quality of TB programme data in Gulf Province.en_US
dc.language.isoenen_US
dc.publisherInternational Union Against Tuberculosis and Lung Diseaseen_US
dc.rightsWith thanks to the International Union Against Tuberculosis and Lung Disease.en_US
dc.titleA retrospective study of tuberculosis outcomes in Gulf Province, Papua New Guineaen_US
dc.identifier.journalPublic Health Actionen_US
refterms.dateFOA2019-11-20T01:58:12Z


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