Risk factors associated to the death of tubercular patients in treatment in five tuberculosis care centers in northern Cote d'ivoire
Attoh Touré Harvey, Zengbe Acray P, N Guessan K, GHN da Kouame, MI Morokant, KG Akpegni, MN Dhatz-Sanogo, I Tiembre
The objective of this survey was to identify the risk factors for the death of tubercular patients. This was a longitudinal study which took place between January 1st, 2013 and June 30th, 2014. The tubercular patients in any guise of five treatment centers located in northern Côte d'Ivoire were included exhaustively in the survey and followed-up clinically and para- clinically.
On 615 tubercular patients, the pulmonary tuberculosis accounted for 85.6% of all tubercular patients, among of which 90.7% were bacillary form. In total, 15.6% of patients died. The risk factors for death in the multivariate analysis (p <0.05) were bacillary form of the tuberculosis (ORa = 3.3 [1.6-6.7]), the biological anemia (ORa=5,7 [2-16,4]), the HIV1 seropositivity (ORa = 2.2 [1.3-3.7]), decrease in CD4 lymphocyte count (ORa = 6.4 [1, 4-29,3]) and the lack of antiretroviral prescribing in HIV-infected tubercular patients (ORa = 6.2 [1,1-36,3]).