Time to sputum culture conversion and its predictors among drug-resistant tuberculosis patients in Ethiopia: a systematic review and meta-analysis.
Daniel Mulat Eshetu, Thomas Kidanemariam Yewodiaw, Birhanu Feleke Shitu et al.
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In 30 seconds
This systematic review and meta-analysis examined the time to sputum culture conversion and its predictors among 2851 drug-resistant tuberculosis patients in Ethiopia. The pooled median time to conversion was found to be 68.92 days. The study highlights significant predictors of delayed conversion, including previous anti-tuberculosis treatment and underweight status.
Key findings
- The pooled median time to sputum culture conversion was 68.92 days (IQR: 57.64-80.19).
- Previous anti-tuberculosis treatment was associated with delayed conversion (aHR = 0.46; 95% CI: 0.33-0.64).
- Underweight status was linked to delayed conversion (aHR = 0.75; 95% CI: 0.65-0.84).
- Lung cavitation was associated with delayed conversion (aHR = 0.48; 95% CI: 0.33-0.69).
Why it matters
Understanding the time to sputum culture conversion and its predictors is crucial for managing drug-resistant tuberculosis. Early identification of at-risk patients can facilitate timely interventions, potentially improving treatment outcomes and reducing transmission.