Table 5.
Results from logistic regression models of the probability of death during tuberculosis treatment.
No. of patients |
No. of deaths (%) |
Model 1 aOR (95% CI) |
Model 2 aOR (95% CI) |
Model 3 aOR (95% CI) |
|
---|---|---|---|---|---|
Concordance / discordance
of DST results | |||||
Concordance | 466 | 46 (9.9) | 1 | ||
Discordance potentially leading to under treatment |
22 | 9 (40.9) | 7.33 (2.70–19.95) | ||
Discordance potentially leading to over treatment |
61 | 6 (9.8) | 0.81 (0.31–2.11) | ||
Other discordance | 24 | 6 (25.0) | 4.92 (1.69–14.33) | ||
Drug resistance a | |||||
Pan-susceptible | 359 | 23 (6.4) | 1 | ||
Mono-resistance | 39 | 10 (25.6) | 6.05 (2.36–15.56) | ||
MDR | 146 | 24 (16.4) | 3.83 (1.88–7.81) | ||
Pre-XDR/XDR | 29 | 10 (34.5) | 15.19 (5.45–42.36) | ||
Treatment adequacy by drug resistance |
|||||
Pan-susceptible, compatible with WHO guidelines |
336 | 20 (6.0) | 1 | ||
Pan-susceptible, over treatment |
23 | 3 (13.0) | 3.31 (0.82–13.45) | ||
Any resistance, compatible with WHO guidelines |
200 | 36 (18.0) | 4.66 (2.16–9.14) | ||
Any resistance, under treatment |
14 | 8 (57.1) | 19.32 (5.59–66.73) | ||
Sex | |||||
Female | 219 | 20 (9.1) | 1 | 1 | 1 |
Male | 354 | 47 (13.3) | 1.47 (0.81–2.67) | 1.42 (0.78–2.60) | 1.46 (0.80–2.70) |
Age (per 1 year increase) | 573 | 67 (11.7) | 1.04 (1.01–1.06) | 1.04 (1.01–1.06) | 1.04 (1.01–1.06) |
Sputum microscopy | |||||
Negative | 111 | 10 (9.0) | 1 | 1 | 1 |
Positive | 462 | 57 (12.3) | 1.14 (0.51–2.56) | 1.03 (0.45 −2.37) | 0.90 (0.40–2.07) |
HIV status | |||||
Negative | 337 | 43 (12.8) | 1 | 1 | 1 |
Positive | 236 | 24 (10.2) | 0.90 (0.50–1.61) | 1.19 (0.65–2.20) | 1.19 (0.65–2.20) |
Models based on 573 patients with complete data for all variables shown (see supplementary Figure S1).
Model 1 was adjusted for concordance / discordance of DST results, sex, age, sputum microscopy and HIV status; model 2 was adjusted for drug resistance, sex, age, sputum microscopy and HIV status; model 3 was adjusted for treatment adequacy, sex, age, sputum microscopy and HIV status.
Abbreviations: DST, drug susceptibility testing; MDR, multidrug resistant; XDR, extensively drug-resistant
Results from the Swiss National Reference Center for Mycobacteria