01863nas a2200265 4500000000100000008004100001260000900042653001500051653001000066653003000076653001100106653001200117653000900129653003100138653002200169100001400191700001200205700001000217700001500227245012100242300001000363490000600373520120400379022001401583 1994 d c199410aAdolescent10aAdult10aDrug Therapy, Combination10aHumans10aleprosy10aMali10aSurveys and Questionnaires10aTreatment Refusal1 aSylla P M1 aBlanc L1 aSow S1 aDiallo A S00a[Determining factors of non-compliance among patients undergoing polychemotherapy in the district of Bamako (Mali)]. a69-750 v93 a
In order to examine the factors determining irregularity among patients undergoing multidrug therapy in Bamako district, we conducted a non-experimental study based, in the first instance, on medical records and later on a questionnaire. One thousand one hundred and seventy-five (1,175) treatment cards were reviewed in this way. The results of our study show that 3.1% of the patients fail to attend treatment sessions regularly and that multibacillary patients have more irregular attendance than paucibacillary patients. We have not observed any statistically meaningful difference between old and new patients as far as irregularity in attending multidrug therapy sessions is concerned. The second part of our research based on a questionnaire targeting a group of cases (36 patients who did not attend regularly) and a random control group (50 patients who attended treatment regularly but had missed at least one treatment) has shown that it is only for Item VI ("Have you ever missed your appointment because you perhaps considered yourself cured?") that a statistically meaningful difference emerges between cases and controls regarding the rates of affirmative responses (p < 0.05).
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