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Tuberculosis Treatment Compliance In Selangor State Malaysia, 2003

Venugopalan, B. , and Yusof Yaacob, (2004) Tuberculosis Treatment Compliance In Selangor State Malaysia, 2003. Malaysian Journal of Pharmaceutical Sciences, 2 (2). pp. 42-42. ISSN 16575-7319

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Affiliations

Selangor State Health Department, Disease Control Unit.
Selangor State Health Department, Disease Control Unit.

Abstract

BACKGROUND: Selangor is the most populated state in Malaysia with a population of 4.3 million in 2003. From the year 2000 to 2003, the TB cases notified had increased from 1,226 to 1,745 cases. Majority of the cases were from districts in the Kiang valley, namely Petaling, Gombak, Kiang and Hulu Langat. OBJECTIVE: This study was done to review the TB treatment compliance rate in this state for the year 2003. MATERIALS AND METHODS: This was a descriptive study on the TB treatment surveillance data reported from both hospitals and the health clinics. Two sets of data were analyzed; which were the TB cases reported through the mandatory communicable disease notification system and the treatment surveillance reports of TB patients treated in government facilities in Selangor.
RESULT: There were 1,744 TB cases (incidence rate: 39/ 100,000 population) notified in Selangor in 2003. From this, 327 cases (19%) were treated in the private health care sector. Of the patients treated at the government health centers in Selangor, 139 patients (8%) had defaulted
treatment for more than 1 month of which 12 patients were subsequently retrieved for continued treatment. CONCLUSION: The abandonment rate among patients treated in the government health centers is of concern as this indicates continued community transmission with the added risk of the emergence of multi- drug resistant TB (MDRTB). The TB patient treatment compliance in the private sector is presently not monitored. The recommendations were improved case holding activities such as patient treatment counseling services and the establishment of a rapid retrieval system based on Direct Observed Therapy (DOD. This has to be linked with a comprehensive TB treatment surveillance system in the private health care sector.

Item Type:Journal
Additional Information:Paper presented at the National TB Symposium, 2004
Keywords:Tuberculosis, Public health, Malaysia
Subjects:R Medicine, Dentistry, Pharmacy, Nursing
ID Code:6880

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