Table 7. Risk factors for TB recurrence in successfully treated new smear positive pulmonary TB patients [N = 1108].
Characteristics | No. successfully treated N = 1108 |
TB recurrence | RR [95% CI] | p value | ARR[95% CI] | p value | ||||
---|---|---|---|---|---|---|---|---|---|---|
Yes N = 158 |
No N = 950 |
|||||||||
N | n | % | N | % | ||||||
Sex | Male | 769 | 132 | 17 | 637 | 83 | 2.23[1.47–3.40] | <0.001 | 2.43[1.29–4.58] | 0.006 |
Female | 339 | 26 | 8 | 313 | 92 | Ref | Ref | |||
Age-group (years) | ≥65 | 90 | 9 | 10 | 81 | 90 | 0.75[0.35–1.61] | 0.47 | ||
55–64 | 163 | 17 | 10 | 146 | 90 | 0.79[0.43–1.45] | 0.45 | |||
45–54 | 227 | 34 | 15 | 193 | 85 | 1.13[0.68–1.88] | 0.61 | |||
35–44 | 190 | 33 | 17 | 157 | 83 | 1.31[0.79–2.19] | 0.28 | |||
25–34 | 233 | 38 | 16 | 195 | 84 | 1.23[0.75–2.02] | 0.39 | |||
18–24 | 205 | 27 | 13 | 178 | 87 | Ref | ||||
Body Mass Index | ≥23 | 88 | 9 | 10 | 79 | 90 | 0.99[0.47–2.07] | 0.97 | 0.77[0.26–2.27] | 0.64 |
16–18.4 | 360 | 53 | 15 | 307 | 85 | 1.42[0.91–2.21] | 0.12 | 0.99[0.59–1.67] | 0.99 | |
< 16 | 361 | 65 | 18 | 296 | 82 | 1.73[1.13–2.66] | 0.01 | 1.22[0.73–2.05] | 0.44 | |
18.5–22.9 | 299 | 31 | 10 | 268 | 90 | Ref | Ref | |||
Baseline sputum | 2+ / 3+ | 607 | 94 | 15 | 513 | 85 | 1.21[0.88–1.66] | 0.23 | ||
smear grade | Scanty/ 1+ | 501 | 64 | 13 | 437 | 87 | Ref | |||
Baseline sputum | 2+ / 3+ | 487 | 77 | 16 | 410 | 84 | 1.05[0.76–1.46] | 0.73 | ||
culture grade | Cols/ 1+ | 468 | 70 | 15 | 398 | 85 | Ref | |||
Baseline drug | Resistant | 71 | 10 | 14 | 61 | 86 | 0.92[0.48–1.76] | 0.81 | ||
Susceptibility test | Sensitive | 848 | 129 | 15 | 719 | 85 | Ref | |||
Diabetes mellitus and anti-diabetic medications | Diabetic not on anti-diabetic treatment | 85 | 6 | 7 | 79 | 93 | 0.45[0.20–1.02] | 0.06 | 0.34[0.12–1.12] | 0.07 |
Diabetic on anti-diabetic treatment | 138 | 14 | 10 | 124 | 90 | 0.65[0.37–1.12] | 0.12 | 1.02[0.48–2.20] | 0.94 | |
Non-diabetic | 885 | 138 | 16 | 747 | 84 | Ref | Ref | |||
HIV status | Reactive, not on ART | 2 |
0 |
0 |
2 |
Indeterminate | ||||
Reactive, on ART | 19 | 4 | 21 | 15 | 79 | 1.49[0.55–4.01] | 0.43 | |||
Non-reactive | 1087 | 154 | 14 | 933 | 86 | Ref | ||||
Duration of | 3 months | 128 | 14 | 11 | 114 | 89 | 0.73[0.42–1.27] | 0.28 | ||
Intensive Phase | 2 months | 973 | 144 | 15 | 829 | 85 | Ref | |||
Type of DOT | Community based | 402 | 57 | 14 | 345 | 86 | 0.98[0.70–1.35] | 0.89 | ||
Health center based | 690 | 100 | 14 | 590 | 86 | Ref | ||||
Smoking during | Yes | 429 | 78 | 18 | 351 | 82 | 1.53[1.12–2.10] | 0.007 | 1.13[0.70–1.84] | 0.61 |
treatment and or | No | 651 | 77 | 12 | 574 | 88 | Ref | Ref | ||
follow-up | ||||||||||
Taking alcohol | Yes | 428 | 76 | 18 | 352 | 82 | 1.46[1.07–2.00] | 0.017 | 1.06[0.66–1.71] | 0.81 |
during treatment | No | 652 | 79 | 12 | 573 | 88 | Ref | Ref | ||
and or follow-up | ||||||||||
Respiratory | No | 614 | 101 | 16 | 513 | 84 | 2.33[0.95–5.7] | 0.06 | 2.43[0.97–6.07] | 0.06 |
symptom at end | Any | 71 | 5 | 7 | 66 | 93 | Ref | Ref | ||
of treatment | symptom | |||||||||
Duration of | >28 | 294 | 42 | 14 | 252 | 86 | 1.85[0.25–13.49] | 0.54 | ||
anti-TB treatment | >24 to 28 | 796 | 115 | 14 | 681 | 86 | 1.87[0.26–13.44] | 0.53 | ||
[weeks] | 24 | 13 | 1 | 8 | 12 | 92 | Ref | |||
Weight gain (kg) | >14 | 34 | 3 | 9 | 31 | 91 | 0.61[0.19–1.94] | 0.40 | ||
from baseline to | 10.01–14.0 | 64 | 7 | 11 | 57 | 89 | 0.76[0.35–1.65] | 0.48 | ||
end of treatment | 6.01–10.0 | 202 | 28 | 14 | 174 | 86 | 0.96[0.62–1.49] | 0.85 | ||
≤ 2 | 187 | 31 | 17 | 156 | 83 | 1.15[0.75–1.75] | 0.53 | |||
No | 141 | 21 | 15 | 120 | 85 | 1.02[0.63–1.68] | 0.90 | |||
2.01 to 6.0 | 470 | 68 | 14 | 402 | 86 | Ref | ||||
Missed doses in | >12 | 11 | 4 | 36 | 7 | 64 | 2.72[1.00–7.36] | 0.05 | 1.22[0.73–2.05] | 0.44 |
Intensive phase | 7 to 12 | 20 | 4 | 20 | 16 | 80 | 1.50[0.55–4.05] | 0.43 | 0.99[0.59–1.67] | 0.99 |
of treatment | 1 to 6 | 121 | 23 | 19 | 98 | 81 | 1.42[0.91–2.22] | 0.12 | 0.77[0.26–2.27] | 0.64 |
No | 950 | 127 | 13 | 823 | 87 | Ref | Ref |
RR—Relative risk, ARR—Adjusted relative risk, CI: Confidence Interval