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Hindi Research Article
Management Outcomes of Tuberculosis Cases in a Tertiary Hospital in Southwestern Nigeria
AA Salako1* and OO Sholeye2*1Department of Community Medicine, Obafemi Awolowo College of Health Sciences, Olabisi Onabanjo University, Ogun state, Nigeria
2Department of Community Medicine, Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun state, Nigeria
- *Corresponding Author:
- OO Sholeye
Department of Community Medicine
Olabisi Onabanjo University Teaching Hospital
Sagamu, Ogun state, Nigeria
Tel: +2348086177954
E-mail: folasholeye@yahoo.com
- AA Salako
Department of Community Medicine
Obafemi Awolowo College of Health Sciences
Olabisi Onabanjo University
Ogun state, Nigeria
Tel: +234 8037256917
E-mail: adesalako768@yahoo.com
Received date: December 26, 2011; Accepted date: February 06, 2012; Published date: February 08, 2012
Citation: Salako AA, Sholeye OO (2012) Management Outcomes of Tuberculosis Cases in a Tertiary Hospital in Southwestern Nigeria. J Community Med Health Edu 2:122. doi:10.4172/jcmhe.1000122
Copyright: © 2012 Salako AA, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Nigeria is currently ranked 5th among the 22 high tuberculosis burden countries in the world. This paper analyses the management outcomes of hospitalized and ambulatory cases of tuberculosis in Olabisi Onabanjo University Teaching Hospital, Sagamu.
A retrospective study was conducted in September 2009, using the records of 263 hospitalized patients managed for tuberculosis between January 2000 and December 2002. Information on the management outcome of 308 ambulatory cases of tuberculosis managed by the community health clinic on directly observed therapy short course was also collected for the same time period for comparison. The case fatality rate of the hospitalized cases was found to be 17.1%, while that of the ambulatory cases was 5.2%. The mortality rate among those having co-infection (with TB/HIV) was found to be almost four times higher in the hospitalized cases than the ambulatory cases.
Intensification of tuberculosis health education involving the community health workers, early diagnosis and treatment with directly observed therapy short course and contact tracing are recommended to nosedive the high mortality associated with late presentation and complications resulting in hospital admissions.
