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Improvement of treatment adherence and success in homeless patients with tuberculosis in Iasi, Romania

Adriana Sorete Arbore, Camelia Macarescu, Violeta Cojocariu, Marian Berdan, Doina Balasescu, Catrinel Zaharia, Thomas Juers, Jim Mc Whirter, Ioan Serban, Traian Mihaescu, Christoph Lange
European Respiratory Journal 2012 40: P2664; DOI:
Adriana Sorete Arbore
1Outpatient Service, Clinic of Pulmonary Diseases, Iasi, Romania
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Camelia Macarescu
1Outpatient Service, Clinic of Pulmonary Diseases, Iasi, Romania
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Violeta Cojocariu
1Outpatient Service, Clinic of Pulmonary Diseases, Iasi, Romania
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Marian Berdan
2Rotary Club, Iasi 2000, Iasi, Romania
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Doina Balasescu
2Rotary Club, Iasi 2000, Iasi, Romania
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Catrinel Zaharia
2Rotary Club, Iasi 2000, Iasi, Romania
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Thomas Juers
3Rotary Club Bad Oldesloe, Bad Oldesloe, Germany
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Jim Mc Whirter
4Rotary Club Henley-Bridge, Henley on Thames, United Kingdom
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Ioan Serban
5Moldova and Bucovina Metropolitan Church, Moldova and Bucovina Metropolitan Church, Iasi, Romania
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Traian Mihaescu
1Outpatient Service, Clinic of Pulmonary Diseases, Iasi, Romania
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Christoph Lange
3Rotary Club Bad Oldesloe, Bad Oldesloe, Germany
6Research Center, Research Center, Borstel, Germany
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Abstract

Background: To assess the impact of a program for homeless patients with tuberculosis in Iasi, Romania, on treatment adherence and outcomes.

Methods: Adherence and treatment outcomes were analyzed in homeless patients with tuberculosis in Iasi, Romania, who participated in 2011 in a charity project that offered regular anti tuberculosis treatment together with free food and cloths at a central shelter. WHO recommendations on tuberculosis case definition and treatment results were used. Adherence to treatment and treatment outcomes in these patients were compared with those in homeless tuberculosis patients registered in Iasi between 1998 and 2005 when incentives were not provided.

Results: In 2011, 17 homeless (11 male, 6 female, median age 45 years) with tuberculosis were included in the project following discharge from the hospital. Of 12/17 patients who had completed the treatment at the time of analysis, cumulative adherence to treatment was 1282/1316 (97.4%) doses provided. Of 82 homeless patients with tuberculosis treated in the years 1998 to 2005 (72 male, 10 female, median age 43 years), cumulative adherence to treatment was 5837/10692 (54.4%) doses provided (p<0.001). Treatment success in 2011 was 70.5% compared to 26.8% in 1995-2005 (p<0.001).

Conclusions: Adherence to anti tuberculosis treatment and treatment success significantly improved when food and cloths were offered to homeless patients with tuberculosis on a regular basis at the treatment dispensary.

Acknowledgement: The project for Homeless TB Patients in Iasi, Romania is supported by the Rotary Clubs of Bad Oldesloe, Germany, Henley-Bridge, UK and Iasi, Romania and the Metropolitan Church of Iasi.

  • Epidemiology
  • Tuberculosis - management
  • Treatments
  • © 2012 ERS
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Improvement of treatment adherence and success in homeless patients with tuberculosis in Iasi, Romania
Adriana Sorete Arbore, Camelia Macarescu, Violeta Cojocariu, Marian Berdan, Doina Balasescu, Catrinel Zaharia, Thomas Juers, Jim Mc Whirter, Ioan Serban, Traian Mihaescu, Christoph Lange
European Respiratory Journal Sep 2012, 40 (Suppl 56) P2664;

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Improvement of treatment adherence and success in homeless patients with tuberculosis in Iasi, Romania
Adriana Sorete Arbore, Camelia Macarescu, Violeta Cojocariu, Marian Berdan, Doina Balasescu, Catrinel Zaharia, Thomas Juers, Jim Mc Whirter, Ioan Serban, Traian Mihaescu, Christoph Lange
European Respiratory Journal Sep 2012, 40 (Suppl 56) P2664;
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