Research Article

Determinants of Default from Pulmonary Tuberculosis Treatment in Kuwait

Table 1

Outcome of pulmonary tuberculosis treatment by sputum smear status (for the years 2004ā€“2006).

Treatment outcomeSmear positiveSmear negativeTotal

Cured318 (44.3)ā€”318 (33.4)
Completed 178 (24.8)180 (76.3)358 (37.5)
Died5 (0.7)0 (0.0)5 (0.5)
Failed0 (0.0)0 (0.0)0 (0.0)
Defaulted59 (8.2)51 (21.6)110 (11.5)
Left the country158 (22.0)5 (2.1)163 (17.1)

Total registered718 (100.0)236 (100.0)954 (100.0)

Out of the 954 patients who were treated for tuberculosis in the study period, 110 (11.5%) refused treatment or failed to attend the clinic for more than 2 consecutive months, thereby fulfilling the criteria for treatment default. One hundred fifty-eight smear positive TB cases (22.0% of smear positive) were new comer expatriates; they had taken antituberculous medications until sputum is converted, to be noninfectious during transportation, and then deported to their countries. Cure Rate (cured plus completed) for smear positive cases = 88.6% (with exclusion of who left the country) and 69.1% (without exclusion of who left the country).