Abstract
Introduction :
Loss to follow-up or loss of sight, in addition to spreading tuberculosis, promotes the emergence of multidrug-resistant tuberculosis. The objective of this study was to determine the factors associated with loss to follow-up in urban settings in Zinder region.
Materials and methods :
This was a cross-sectional, descriptive study using data from patients treated for tuberculosis and reported lost to follow-up in diagnostic centers in the Zinder region. Data analysis was done using Epi Info version 7 software.
Results :
The prevalence of lost to follow-up was 10.5%. The average annual inclusion rate was 28 patients, i.e. 84 patients over 3 years. 77 patients were male and 7 female. 68% of the patients were not in school compared to 32%. Single patients represented 61% of the patients compared to 31% of single patient. The average age of the patients was 35 years. 54 patients were tested for HIV with the results of 4 patients positive for HIV. 93% of the patients were new cases of tuberculosis. 89% were cases of pulmonary tuberculosis. We identified 6 causes of loss of sight including distance from the treatment center, denial of the disease, lack of improvement, use of traditional medicine and feeling cured.
Conclusion :
Better communication with the patient about the disease and collaboration between practitioners can contribute to significantly reduce the scourge of lost to follow-up.
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