Prevalence of comorbidities & risk factors for Multidrug Resistance among Tuberculosis patients in Institute of Respiratory Medicine, Kuala Lumpur / Alia Azmi

Globally, the issue of Multidrug Resistant Tuberculosis (MDR-TB) was acknowledged as a threat to the successful prevention and treatment of TB. In Malaysia, TB remains a major health issue and incidence has been rising slowly for the past decade indicating poor success rate in current TB control pr...

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Main Author: Azmi, Alia
Format: Thesis
Language:English
Published: 2013
Subjects:
Online Access:http://ir.uitm.edu.my/id/eprint/15474/
http://ir.uitm.edu.my/id/eprint/15474/1/TM_ALIA%20AZMI%20HS%2013_5.PDF
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recordtype eprints
spelling uitm-154742016-11-23T06:56:14Z http://ir.uitm.edu.my/id/eprint/15474/ Prevalence of comorbidities & risk factors for Multidrug Resistance among Tuberculosis patients in Institute of Respiratory Medicine, Kuala Lumpur / Alia Azmi Azmi, Alia Building fittings and their installation Building control systems Globally, the issue of Multidrug Resistant Tuberculosis (MDR-TB) was acknowledged as a threat to the successful prevention and treatment of TB. In Malaysia, TB remains a major health issue and incidence has been rising slowly for the past decade indicating poor success rate in current TB control programme. Currently, very little epidemiological data can be found regarding the situation of TB and MDR-TB in Malaysia. Therefore, this study aims to bridge the gap in information regarding TB and MDR-TB by identifying the population at risk. The objective of this study is also to identify the independent risk factors associated with MDR-TB in Malaysia. 477 TB patients from the Institute of Respiratory Medicine (IPR) were universally sampled based on the records of patients in 2010. Among 477 patients sampled, 67.9% were male with mean age 37.2 (SD 14.9). 30% of patients were foreign born with the majority were from Myanmar (14.9%), Indonesia (9.4%) and Bangladesh (2.7%). Prevalence of TB/HIV and TB/Diabetes among the patients sampled was 0.059 and 0.155 respectively. In multivariate analysis, BCG Status (AOR=0.292, 95%CI 0.13-0.67) was found to be a protective risk factor while history of previous TB (AOR=4.36, 95%CI 1.80-10.56) was a risk factor for MDR-TB.Whilst history of previous TB is a commonly acknowledged risk factor, the evidence of BCG as a protective factor for MDR-TB indicates that BCG vaccination is still a viable preventive measure. Association was found between BCG Status and foreign bom patients (p-value <0.01) indicating a need for active screening of immigrants. 2013 Thesis NonPeerReviewed text en http://ir.uitm.edu.my/id/eprint/15474/1/TM_ALIA%20AZMI%20HS%2013_5.PDF Azmi, Alia (2013) Prevalence of comorbidities & risk factors for Multidrug Resistance among Tuberculosis patients in Institute of Respiratory Medicine, Kuala Lumpur / Alia Azmi. Masters thesis, Universiti Teknologi MARA.
repository_type Digital Repository
institution_category Local University
institution Universiti Teknologi MARA
building UiTM Institutional Repository
collection Online Access
language English
topic Building fittings and their installation
Building control systems
spellingShingle Building fittings and their installation
Building control systems
Azmi, Alia
Prevalence of comorbidities & risk factors for Multidrug Resistance among Tuberculosis patients in Institute of Respiratory Medicine, Kuala Lumpur / Alia Azmi
description Globally, the issue of Multidrug Resistant Tuberculosis (MDR-TB) was acknowledged as a threat to the successful prevention and treatment of TB. In Malaysia, TB remains a major health issue and incidence has been rising slowly for the past decade indicating poor success rate in current TB control programme. Currently, very little epidemiological data can be found regarding the situation of TB and MDR-TB in Malaysia. Therefore, this study aims to bridge the gap in information regarding TB and MDR-TB by identifying the population at risk. The objective of this study is also to identify the independent risk factors associated with MDR-TB in Malaysia. 477 TB patients from the Institute of Respiratory Medicine (IPR) were universally sampled based on the records of patients in 2010. Among 477 patients sampled, 67.9% were male with mean age 37.2 (SD 14.9). 30% of patients were foreign born with the majority were from Myanmar (14.9%), Indonesia (9.4%) and Bangladesh (2.7%). Prevalence of TB/HIV and TB/Diabetes among the patients sampled was 0.059 and 0.155 respectively. In multivariate analysis, BCG Status (AOR=0.292, 95%CI 0.13-0.67) was found to be a protective risk factor while history of previous TB (AOR=4.36, 95%CI 1.80-10.56) was a risk factor for MDR-TB.Whilst history of previous TB is a commonly acknowledged risk factor, the evidence of BCG as a protective factor for MDR-TB indicates that BCG vaccination is still a viable preventive measure. Association was found between BCG Status and foreign bom patients (p-value <0.01) indicating a need for active screening of immigrants.
format Thesis
author Azmi, Alia
author_facet Azmi, Alia
author_sort Azmi, Alia
title Prevalence of comorbidities & risk factors for Multidrug Resistance among Tuberculosis patients in Institute of Respiratory Medicine, Kuala Lumpur / Alia Azmi
title_short Prevalence of comorbidities & risk factors for Multidrug Resistance among Tuberculosis patients in Institute of Respiratory Medicine, Kuala Lumpur / Alia Azmi
title_full Prevalence of comorbidities & risk factors for Multidrug Resistance among Tuberculosis patients in Institute of Respiratory Medicine, Kuala Lumpur / Alia Azmi
title_fullStr Prevalence of comorbidities & risk factors for Multidrug Resistance among Tuberculosis patients in Institute of Respiratory Medicine, Kuala Lumpur / Alia Azmi
title_full_unstemmed Prevalence of comorbidities & risk factors for Multidrug Resistance among Tuberculosis patients in Institute of Respiratory Medicine, Kuala Lumpur / Alia Azmi
title_sort prevalence of comorbidities & risk factors for multidrug resistance among tuberculosis patients in institute of respiratory medicine, kuala lumpur / alia azmi
publishDate 2013
url http://ir.uitm.edu.my/id/eprint/15474/
http://ir.uitm.edu.my/id/eprint/15474/1/TM_ALIA%20AZMI%20HS%2013_5.PDF
first_indexed 2023-09-18T22:53:56Z
last_indexed 2023-09-18T22:53:56Z
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