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Assessment of the risk factors associated with multidrug-resistant tuberculosis in Sudan: a case-control study
Adel Hussein Elduma, Mohammad Ali Mansournia, Abbas Rahimi Foroushani, Hamdan Mustafa Hamdan Ali, Asrar M A Salam Elegail, Asma Elsony, Kourosh Holakouie-Naieni
Epidemiol Health. 2019;41:e2019014.   Published online April 20, 2019
DOI: https://doi.org/10.4178/epih.e2019014
  • 17,440 View
  • 613 Download
  • 13 Web of Science
  • 17 Crossref
AbstractAbstract PDF
Abstract
OBJECTIVES
The emergence of multidrug-resistant tuberculosis (MDR-TB) is a major challenge for the global control of tuberculosis (TB). The aim of this study was to determine the risk factors associated with MDR-TB in Sudan.
METHODS
This case-control study was conducted from May 2017 to February 2019. Patients newly diagnosed with MDR-TB were selected as cases, and controls were selected from TB patients who responded to first-line anti-TB drugs. A questionnaire was designed and used to collect data from study participants. Logistic regression was used to evaluate associations between risk factors and MDR-TB infection. The best multivariate model was selected based on the likelihood ratio test.
RESULTS
A total of 430 cases and 860 controls were selected for this study. A history of previous TB treatment (adjusted odds ratio [aOR], 54.85; 95% confidence interval [CI], 30.48 to 98.69) was strongly associated with MDR-TB infection. We identified interruption of TB treatment (aOR, 7.62; 95% CI, 3.16 to 18.34), contact with MDR-TB patients (aOR, 5.40; 95% CI, 2.69 to 10.74), lower body weight (aOR, 0.89; 95% CI, 0.87 to 0.91), and water pipe smoking (aOR, 3.23; 95% CI, 1.73 to 6.04) as factors associated with MDR-TB infection.
CONCLUSIONS
Previous TB treatment and interruption of TB treatment were found to be the main predictors of MDR-TB. Additionally, this study found that contact with MDR-TB patients and water pipe smoking were associated with MDR-TB infection in Sudan. More efforts are required to decrease the rate of treatment interruption, to strengthen patients’ adherence to treatment, and to reduce contact with MDR-TB patients.
Summary

Citations

Citations to this article as recorded by  
  • Assessment of risk factors associated with drug-resistant tuberculosis in pulmonary tuberculosis patients
    Chanda Vyawahare, Sahjid Mukhida, Sameena Khan, Nageswari R. Gandham, Sriram Kannuri, Shalini Bhaumik
    Indian Journal of Tuberculosis.2024; 71: S44.     CrossRef
  • FACTORS ASSOCIATED WITH THE OCCURRENCE OF PRIMARY MULTIDRUG-RESISTANT TUBERCULOSIS IN MEDAN
    Rizky Aditya Hutomo, Chatarina Umbul Wahyuni, Sorimuda Sarumpaet
    Jurnal Berkala Epidemiologi.2024; 12(1): 34.     CrossRef
  • Risk factors of multidrug resistant tuberculosis among patients with tuberculosis at selected multidrug resistance treatment initiative centres in southern Ethiopia: a case-control study
    Fantahun Admassu, Ermias Abera, Addisalem Gizachew, Tagesse Sedoro, Taye Gari
    BMJ Open.2023; 13(1): e061836.     CrossRef
  • The Targeted Maximum Likelihood estimation to estimate the causal effects of the previous tuberculosis treatment in Multidrug-resistant tuberculosis in Sudan
    Adel Hussein Elduma, Kourosh Holakouie-Naieni, Amir Almasi-Hashiani, Abbas Rahimi Foroushani, Hamdan Mustafa Hamdan Ali, Muatsim Ahmed Mohammed Adam, Asma Elsony, Mohammad Ali Mansournia, Selvakumar Subbian
    PLOS ONE.2023; 18(1): e0279976.     CrossRef
  • Investigating Empirical evidence on the Epidemiology, Diagnosis and Bibliometric analysis of the 100 topmost cited publications on Tuberculosis Disease
    Taha Hussein Musa, Lovel Fornah, Tosin Yinka Akintunde, Idriss Hussein Musa, Hassan Hussein Musa, Gabriel Maxwell Turay , Maram Abdulhakim Abdulkarem Al-sharai
    PAN AFRICA SCIENCE JOURNAL.2023;[Epub]     CrossRef
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    Marsha Zahrani, Rebekah J. Setiabudi, Helmia Hasan, Manik Retno Wahyunitisari
    Current Internal Medicine Research and Practice Surabaya Journal.2023; 4(1): 6.     CrossRef
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    Nianlan Cheng, Shuo Wu, Xianli Luo, Chunyan Xu, Qin Lou, Jin Zhu, Lu You, Bangguo Li
    Infection and Drug Resistance.2021; Volume 14: 1115.     CrossRef
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    Zeeba Zahra Sultana, Farhana Ul Hoque, Joseph Beyene, Md. Akhlak-Ul-Islam, Md Hasinur Rahman Khan, Shakil Ahmed, Delwer Hossain Hawlader, Ahmed Hossain
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    Journal of Evidence Based Medicine and Healthcare.2021; 8(8): 440.     CrossRef
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    Journal of Biomedical Research & Environmental Sciences.2021; 2(4): 232.     CrossRef
  • Prevalence of Tuberculosis by Automated GeneXpert Rifampicin Assay and Associated Risk Factors Among Presumptive Pulmonary Tuberculosis Patients at Ataye District Hospital, North East Ethiopia


    Daniel Gebretsadik, Nuru Ahmed, Edosa Kebede, Miftah Mohammed, Melaku Ashagrie Belete
    Infection and Drug Resistance.2020; Volume 13: 1507.     CrossRef
  • Determinants of Drug-Resistant Tuberculosis in Southern Ethiopia: A Case–Control Study


    Daniel Biru, Endrias Markos Woldesemayat
    Infection and Drug Resistance.2020; Volume 13: 1823.     CrossRef
  • The low cases reported in Sudan regarding a pandemic COVID-19 and Sudan’s Health system responding
    Abdelhakam G Tamomh, Babiker Saad Almugadam, Ahmed Mohammed Elnour Elkhalifa
    Journal of Microbiology & Experimentation.2020; 8(4): 136.     CrossRef
The effects of water-pipe smoking on birth weight: a population-based prospective cohort study in southern Iran
Shahrzad Nematollahi, Mohammad Ali Mansournia, Abbas Rahimi Foroushani, Mahmood Mahmoodi, Azin Alavi, Mohammad Shekari, Kourosh Holakouie-Naieni
Epidemiol Health. 2018;40:e2018008.   Published online March 13, 2018
DOI: https://doi.org/10.4178/epih.e2018008
  • 14,006 View
  • 228 Download
  • 21 Web of Science
  • 20 Crossref
AbstractAbstract PDF
Abstract
OBJECTIVES
Consecutive community health assessments revealed that water-pipe smoking in women and impaired growth in children were among the main health concerns in suburban communities in southern Iran. The aim of the present study was to identify the effects of water-pipe smoking during pregnancy on birth weight.
METHODS
Data from a population-based prospective cohort study of 714 singleton live pregnancies in the suburbs of Bandar Abbas in southern Iran in 2016-2018 were used in this study. Data about water-pipe smoking patterns and birth weight were collected by questionnaires during and after the pregnancy. Low birth weight (LBW) was defined as a birth weight below 2,500 g. Statistical analyses were performed using generalized linear models, and the results were presented in terms of relative risk (RR) and 95% confidence intervals (CI).
RESULTS
Fifty (8.2%) of the study subjects smoked water-pipe. The adjusted risk of LBW increased 2-fold in water-pipe smokers (adjusted RR [aRR], 2.09; 95% CI, 1.18 to 3.71), and by 2.0% for each 1-year increase in the duration of water-pipe smoking (aRR, 1.02; 95% CI, 0.99 to 1.05).
CONCLUSIONS
Our results showed that water-pipe smoking during pregnancy was an important risk factor for LBW in this population sample from southern Iran. The introduction of regulations onto prevent water-pipe smoking and the implementation of community health action plans aiming at empowering women and increasing women’s knowledge and awareness regarding the health consequences of water-pipe smoking are proposed.
Summary

Citations

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  • The Diversity in Tobacco Use Among Women of Reproductive Age (15–49 Years) in Pakistan: A Secondary Analysis of a Multiple Indicator Cluster Survey 2016–2018
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    Nicotine and Tobacco Research.2024; 26(7): 931.     CrossRef
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    Zain Zaki Zakaria, Shaima Ahmad Aladwi, Fatiha Benslimane, Enas S. Al-Absi, Mashael Al-Shafai, Huseyin C. Yalcin, Ashraf Khalil, Ala-Eddin Al Moustafa, Maha Al-Asmakh
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    Addiction Science & Clinical Practice.2020;[Epub]     CrossRef
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    Shahrzad Nematollahi, Koroush Holakouie-Naieni, Abdolhossain Madani, Hossein Shabkhiz, Elham Torabi, Samane Lotfi
    BMC Pregnancy and Childbirth.2020;[Epub]     CrossRef
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    C. Garabedian, P. Berveiller, P. Guerby
    Gynécologie Obstétrique Fertilité & Sénologie .2020; 48(7-8): 583.     CrossRef
  • Predictors of Hookah Smoking among Women in Bandar Abbas, Southern Iran: A Cross-Sectional Study Based on the Intervention Mapping Protocol
    Sakineh Dadipoor, Ali Heyrani, Teamur Aghamolaei, Amin Ghanbarnezhad, Mohtasham Ghaffari
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Associations between diabetes self-management and microvascular complications in patients with type 2 diabetes
Fatemeh Mehravar, Mohammad Ali Mansournia, Kourosh Holakouie-Naieni, Ensie Nasli-Esfahani, Nasrin Mansournia, Amir Almasi-Hashiani
Epidemiol Health. 2016;38:e2016004.   Published online January 25, 2016
DOI: https://doi.org/10.4178/epih.e2016004
  • 21,697 View
  • 295 Download
  • 34 Web of Science
  • 25 Crossref
AbstractAbstract PDF
Abstract
OBJECTIVES
Diabetes is a major public health problem that is approaching epidemic proportions globally. Diabetes self-management can reduce complications and mortality in type 2 diabetic patients. The purpose of this study was to examine associations between diabetes self-management and microvascular complications in patients with type 2 diabetes.
METHODS
In this cross-sectional study, 562 Iranian patients older than 30 years of age with type 2 diabetes who received treatment at the Diabetes Research Center of the Endocrinology and Metabolism Research Institute of the Tehran University of Medical Sciences were identified. The participants were enrolled and completed questionnaires between January and April 2014. Patients’ diabetes self-management was assessed as an independent variable by using the Diabetes Self-Management Questionnaire translated into Persian. The outcomes were the microvascular complications of diabetes (retinopathy, nephropathy, and neuropathy), identified from the clinical records of each patient. A multiple logistic regression model was used to estimate odds ratios (ORs) and 95% confidence intervals (CIs) between diabetes self-management and the microvascular complications of type 2 diabetes, adjusting for potential confounders.
RESULTS
After adjusting for potential confounders, a significant association was found between the diabetes self-management sum scale and neuropathy (adjusted OR, 0.64; 95% CI, 0.45 to 0.92, p=0.01). Additionally, weak evidence was found of an association between the sum scale score of diabetes self-management and nephropathy (adjusted OR, 0.71; 95% CI, 0.47 to 1.05, p=0.09).
CONCLUSIONS
Among patients with type 2 diabetes, a lower diabetes self-management score was associated with higher rates of nephropathy and neuropathy.
Summary

Citations

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Risk factors for amputation in patients with diabetic foot ulcer in southwest Iran: a matched case-control study
Mohammad Kogani, Mohammad Ali Mansournia, Amin Doosti-Irani, Kourosh Holakouie-Naieni
Epidemiol Health. 2015;37:e2015044.   Published online October 5, 2015
DOI: https://doi.org/10.4178/epih/e2015044
  • 21,309 View
  • 293 Download
  • 16 Web of Science
  • 15 Crossref
AbstractAbstract PDF
Abstract
OBJECTIVES
Amputation is a multifactorial complication in diabetic patients. The aim of this study was to determine the risk factors associated with amputation in patients with diabetic foot ulcers.
METHODS
This matched case-control study was conducted based on new cases of amputation from March 2012 to November 2014. We selected new cases who had undergone amputation, and the control group was chosen from the cities or areas where the cases resided. Each case was matched with two controls based on the duration of diabetes and location. Conditional logistic regression was used to evaluate the associations between potential risk factors and amputation.
RESULTS
A total of 131 cases were compared with 262 controls. The results of the adjusted model showed that sex (odds ratio [OR], 8.66; 95% confidence interval [CI], 2.68 to 27.91), fewer than two hemoglobin A1c (HbA1c) tests per year (OR, 13.97; 95% CI, 4.97 to 39.26), unsuitable shoes (OR, 5.50; 95% CI, 2.20 to 13.77), smoking (OR, 3.44; 95% CI, 1.45 to 8.13), and body mass index (OR, 1.20; 95% CI, 1.03 to 1.41) were associated with amputation in diabetic patients.
CONCLUSIONS
The most important factors associated with amputation were females, irregular monitoring of HbA1c levels, improper footwear, and smoking. Developing educational programs and working to ensure a higher quality of care for diabetic patients are necessary steps to address these issues.
Summary

Citations

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