Tubercle and Lung Disease
Volume 73, Issue 6, 1992, Pages 384-387

10-year assessment of treatment outcome among Cambodian refugees with sputum smear-positive tuberculosis in Khao-l-Dang, Thailand (Article)

Sukrakanchana-Trikham P. , Puéchal X. , Rigal J.* , Rieder H.L.
  • a Médecins sans Frontières Tuberculosis Programme, Khao-I-Dang, Prachinburi, Thailand, Formerly Thai/Swiss Red Cross Tuberculosis Programme, Khao-I-Dang, Prachinburi, Thailand
  • b Médecins sans Frontières, Khao-I-Dang, Prachinburi, Thailand
  • c Médécins Sans Frontières, Paris, France
  • d Federal Office of Public Health, Switzerland, International Union Against Tuberculosis and Lung Disease, Paris, France, Formerly Thai/Swiss Red Cross Tuberculosis Programme, Khao-I-Dang, Prachinburi, Thailand

Abstract

Tuberculosis control among displaced persons is fraught with difficulties to ensure adherence of patients to treatment for a prolonged period of time. In the Khao-I-Dang camp for Cambodian refugees an approach with daily, directly observed treatment throughout the course of 6 months duration was chosen to address the problem. Of a total 929 patients with sputum smear-positive tuberculosis who were enrolled from 1981 to 1990, 5.0% died, 75.5% completed treatment and were bacteriologically cured with a day-to-day adherence of more than 98%, none failed bacteriologically, 19.2% were transferred to another camp where continuation of treatment was guaranteed, and only 0.4% absconded from treatment. These data suggest that the approach to tuberculosis control in this refugee camp was very effective in cutting the chain of transmission of tuberculosis in a highly mobile population and in reducing substantially unnecessary morbidity and mortality. © 1992.

Author Keywords

[No Keywords available]

Index Keywords

Cambodia Thailand human Refugees Mycobacterium tuberculosis Aged disease course Sputum Adolescent Treatment Outcome Infant, Newborn male Tuberculosis, Pulmonary female tuberculosis Infant Child, Preschool Article streptomycin patient compliance Support, Non-U.S. Gov't adult major clinical study isoniazid Sex Factors Age Factors tuberculosis control rifampicin pyrazinamide Middle Age Child
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-0027064563&partnerID=40&md5=bd4703dc0a3df8fa458fb23f0d6fb141
ISSN: 09628479
Cited by: 22
Original Language: English