[Dynamic of indicators of ambulatory care of tuberculosis in the antituberculous center of Adjamé]

Rev Pneumol Clin. 2016 Apr;72(2):129-35. doi: 10.1016/j.pneumo.2015.09.002. Epub 2015 Dec 2.
[Article in French]

Abstract

Introduction: Tuberculosis (TB) remains a real problem of public health in Côte d'Ivoire. The aim of our study is to describe the dynamic of anti-TB fight indicators in anti-TB center (CAT) of Adjamé.

Methodology: We realized a retrospective study, comparing the anti-TB activities of two periods (1999-2001 versus 2010-2012) at the CAT of Adjamé. Over two periods, 24,520 cases of TB were recorded in the registers of TB declaration.

Results: Logistic regression results were the following ones. The proportion of the patients of Adjamé municipality increased to detriment of the patients coming from other municipalities. Our study showed an increase of TB contagious forms, a reduction of new cases of TB. The rate of screening of HIV infection increased. We noted a reduction of TB-HIV co-infection prevalence. The proportion of smear positive at the 2nd month decreased. We noted an increase of the rate therapeutic success and a reduction of lost at follow-up.

Conclusion: Important progresses were realized in the TB fight and TB-HIV co-infection.

Keywords: Abidjan; Evolution; Fight; Indicateurs; Indicators; Lutte; Tuberculose; Tuberculosis; Évolution.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Ambulatory Care / standards*
  • Cote d'Ivoire / epidemiology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Prevalence
  • Quality Indicators, Health Care* / statistics & numerical data
  • Retrospective Studies
  • Tertiary Care Centers / standards
  • Tuberculosis / epidemiology
  • Tuberculosis / therapy*
  • Young Adult