Research Article

Characteristics and Treatment Outcomes of Retreatment Tuberculosis Patients in Benin

Table 1

New category of patients and treatment outcomes recommended by the WHO [1].

Definitions

Category of TB patients
New pulmonary bacteriologically confirmed patientsPatients never treated for TB (or treated for less than 1 month) and whose sputum is positive by smear microscopy, culture, or WHO-approved Rapid Diagnostic (such as Xpert MTB/RIF)
Previously treated patientsPatients have received 1 month or more of anti-TB drugs in the past
 Relapse patientsPatients have previously been treated for TB, were declared cured or treatment completed at the end of their most recent course of treatment, and are now diagnosed with a recurrent episode of TB
 Treatment after failure patientsPatients have previously been treated for TB and failed treatment during or at the end of their most recent treatment course
 Treatment after loss to follow-up patients Patients have previously been treated for TB and were declared lost to follow-up during or at the end of their most recent course of treatment
 Other previously treated patientsPatients have previously been treated for TB but their outcome after their most recent course of treatment is unknown or undocumented
 Patients with unknown previous TB treatment historyPatients do not fit into any of the categories listed above

Treatment outcomes
 CuredA pulmonary TB patient with bacteriologically confirmed TB at the beginning of treatment who was smear- or culture-negative in the last month of treatment and on at least one previous occasion
 Treatment completed A TB patient who completed treatment without evidence of failure, but with no record to show that sputum smear or culture results in the last month of treatment and on at least one previous occasion were negative, either because tests were not done or because results were unavailable
 Treatment failedA TB patient whose sputum smear or culture is positive at month 5 or later during treatment
 Died A TB patient who dies for any reason before starting or during the course of treatment
 Loss to follow-upA TB patient who did not start treatment or whose treatment was interrupted for 2 consecutive months or more
 Not evaluatedA TB patient for whom no treatment outcome is assigned; this includes cases “transferred out” to another treatment unit as well as cases for whom the treatment outcome is unknown to the reporting unit
Treatment successThe sum of cured and treatment completed