Evaluation of Directly Observed Short Course Treatment (DOTS) Program in Kerbala province in Iraq between 2005 and 2017

  • Ali Al Mousawi Department of Family and Community Medicine, College of Medicine, University of Kerbala, Iraq.


Objective: To study the outcomes of treatment among the patients put on DOTS in Karbala governorate since the initiation of DOTS strategy in October 2000.
Methods: All quarterly reports were collected in addition to the annual reports to estimate the outcome indices of DOTS in the governorate.
Results: Between 1988 and 2017 there was a total of 8665 TB patients. Pulmonary TB patients formed 62% and extra-pulmonary TB formed 38%. Gender distribution showed male predilection (60.3%) and a mean age of patients was 41.88±19.74 year and one half of the patients were above 44 year of age, but the most frequent age group was 25-34 year. Positive smear Case Detection rates were below the WHO planned goals ranging from 11.5% and 29.1%. The total reported deaths during the study period were 78 deaths. Defaulters were 97 patients at a rate of 2.39, while treatment failure cases amounted to 33 patients (a rate of 0.81%). Drug sensitivity test was introduced to country in 2010 and was done only in Baghdad till the introduction of Genexpert MTB/RIF test in January 2014 and a total of 72 patients were MDR cases.
Conclusions: The success in DOTS in Karbala is similar to the results in Iraq and in most developing countries and approaching the WHO set goals. However, the case detection rates were behind. Some defect areas need further support to prevent failure and aid TB control.
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How to Cite
AL MOUSAWI, Ali. Evaluation of Directly Observed Short Course Treatment (DOTS) Program in Kerbala province in Iraq between 2005 and 2017. Iraq Medical Journal, [S.l.], v. 2, n. 4, dec. 2018. ISSN 2521-8492. Available at: <http://www.jocms.org/index.php/imj/article/view/530>. Date accessed: 19 may 2019.