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Investigation analysis on characteristics and correlated risk factors of drug resistance of pulmonary tuberculosis in middle aged and old patients |
Mao Xiaoyan,Cheng Murong,Xu Yuehuan. |
Tuberculosis Department,Integrated Traditional Chinese and Western Medicine Hospital in Zhejiang Province,Hangzhou 310003,China |
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Abstract Objective To explore the characteristics and correlated risk factors of drug resistance of pulmonary tuberculosis in midde-aged and old patients. Methods Totally 645 middle aged and old patients with pulmonary tuberculosis were carried out a retrospective survey, and these patients were divided into the drug resistance group and the sensitive group according to the result of drug sensitivity test. The differences of different factors were compared between the two groups, and the risk factors of drug resistance of pulmonary tubereulosis were screened by multiple factors logistic regression method. Results The incidence rate of pulmonary tuberculosis in middle aged and old patients was 21.24% (137/645),and mainly in multidrug resistance(61.31%). Multiple factor result showed that the risk factors of drug resistance of pulmonary tubereulosis mainly included floating population (OR=2.824),complicated with underlying diseases(OR-3.473),retreatment (OR-4.108), merged cavity (OR=4.522), bad treatment compliance (OR=2.550) and unreasonable drug use(OR=5.317). Conclusion Middle-aged and elderly patients with pulmonary tubereulosis have a high incidence rate of drug resistance, and mainly in multidrug resistance. The above risk factors should be considered,and the preventive measures should be adopted,to cut down the incidence rate of drug resistance of pulmonary tuberculosis.
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Received: 26 October 2019
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