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Table 4 Factors associated with unsuccessful outcomes

From: High rate of successful treatment outcomes among childhood rifampicin/multidrug-resistant tuberculosis in Pakistan: a multicentre retrospective observational analysis

Variable

Unsuccessful outcomes

No. (%)

Univariate analysis

OR (95% CI)

p-value

Multivariate analysis

OR (95% CI)

p-value

Gender

 Female

28 (17.5)

Referent

   

 Male

11 (20.8)

1.23 (0.57–2.69)

0.59

  

Age (years)

 < 5

3 (21.4)

Referent

   

 5–9

5 (20.8)

1.04 (0.21–5.19)

0.96

  

 10–14

31 (17.8)

1.27 (0.33–4.81)

0.72

  

Baseline body weight

 Normal

15 (15.6)

Referent

   

 Below normal

24 (20.5)

1.39 (0.68–2.84)

0.36

  

Co-morbidity

 No

37 (18.7)

Referent

   

 Yes

2 (13.3)

0.67 (0.14–3.09)

0.60

  

Previous TB treatment

 No

15 (19.0)

Referent

   

 Yes

23 (18.4)

0.96 (0.47–1.98)

0.91

  

 Unknown

1 (11.1)

0.53 (0.06–4.59)

0.56

  

History of treatment with SLD

 No

36 (17.6)

Referent

 

Referent

 

 Yes

3 (37.5)

2.82 (0.64–12.32)

0.16

2.70 (0.55–13.29)

0.22

Type of drug-resistant TB

 Rifampicin resistant

17 (20.2)

Referent

   

 Multidrug resistant

22 (17.1)

0.81 (0.40–1.64)

0.55

  

Site of DR-TB

 Ex-PTB

4 (15.4)

Referent

   

 Pulmonary TB

35 (18.7)

1.27 (0.41–3.91)

0.68

  

Sputum smear grading

 Negative

6 (13.0)

Referent

   

 Scanty (1–9 AFB/100 HPF), + 1 (10–99 AFB/100 HPF)

18 (19.8)

1.64 (0.60–4.47)

0.33

  

 + 2 (1–9 AFB/HPF), + 3 (> 9 AFB/100 HPF)

15 (19.7)

1.64 (0.59–4.58)

0.34

  

Number of resistant drugs

 1

17 (20.5)

Referent

   

 2–4

14 (15.6)

0.71 (0.33–1.56)

0.40

  

 > 4

8 (20.0)

0.97 (0.38–2.49)

0.95

  

Resistant to all five first FLD

 No

33 (17.9)

Referent

   

 Yes

6 (20.7)

1.19 (0.45–3.16)

0.72

 

Resistance to pyrazinamide

 No

24 (16.6)

Referent

   

 Yes

15 (22.1)

1.43 (0.69–2.93)

0.33

  

Resistance to ethambutol

 No

26 (14.4)

Referent

   

 Yes

13 (24.1)

1.62 (0.76–3.44)

0.20

  

Resistance to any SLD

 No

30 (18.4)

Referent

   

 Yes

9 (18.0)

0.97 (0.43–2.22)

0.94

  

Resistance to fluoroquinolone

 No

30 (17.9)

Referent

   

 Yes

9 (20.0)

1.15 (0.50–2.64)

0.74

  

Resistance to ethionamide

 

 No

37 (17.8)

Referent

  

 Yes

2 (40.0)

3.08 (0.49–19.09)

0.22

  

Treatment strategy

 Shorter treatment regimen

1 (6.7)

Referent

   

 Longer treatment regimen

38 (19.2)

3.32 (0.42–26.07)

0.25

  

Use of isoniazid

 No

36 (18.9)

Referent

   

 Yes

3 (3.0)

0.64 (0.18–2.28)

0.49

  

Use of ethambutol

 No

32 (22.7)

Referent

 

Referent

 

 Yes

7 (9.7)

0.37 (0.153–0.89)

0.02

0.36 (0.14–0.89)

0.02

Use of amikacin

 No

9 (32.1)

Referent

 

Referent

 

 Yes

30 (16.2)

0.41 (0.17–0.99)

0.04

0.51 (0.20–1.28)

0.15

Use of capreomycin

 No

37 (18.6)

Referent

   

 Yes

2 (16.7)

0.89 (0.19–4.22)

0.88

  

Use of levofloxacin

 No

9 (16.1)

Referent

   

 Yes

30 (19.1)

1.23 (0.54–2.79)

0.61

  

Use of moxifloxacin

 No

31 (19.5)

Referent

   

 Yes

8 (14.8)

0.72 (0.31–1.67)

0.44

  

Use of para-amino salicylic acid

 No

23 (16.1)

Referent

   

 Yes

16 (22.9)

1.55 (0.76–3.16)

0.23

  

Use of linezolid

 No

32 (17.3)

Referent

   

 Yes

7 (25.0)

1.59 (0.62–4.06)

0.32

  

Use of bedaquiline

 No

39 (18.8)

Referent

   

 Yes

Non-computable

   

Use of clofazimine

 No

36 (18.7)

Referent

   

 Yes

3 (15.0)

1.59 (0.62–4.06)

0.32

  

Use of delamanid

 No

38 (18.2)

Referent

   

 Yes

1 (25.0)

1.50 (0.15–14.82)

0.72

  1. AFB acid fast bacilli, DR-TB drug-resistant tuberculosis, FLD first line anti-TB drugs, HPF high power field, SLD second line anti-TB drugs