Treatment compliance of patients with paracoccidioidomycosis in Central-West Brazil

To evaluate the treatment compliance of patients with paracoccidioidomycosis. We studied 188 patients with paracoccidioidomycosis admitted to a tertiary referral hospital in the Central-West Region of Brazil from 2000 to 2010, to assess their compliance to treatment. In order to be considered compli...

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Published inJornal brasileiro de pneumologia Vol. 45; no. 2; p. e20180167
Main Authors Andrade, Ursulla Vilella, Oliveira, Sandra Maria do Valle Leone de, Chang, Marilene Rodrigues, Pereira, Edy Firmina, Marques, Ana Paula da Costa, Carvalho, Lidia Raquel de, Mendes, Rinaldo Poncio, Paniago, Anamaria Mello Miranda
Format Journal Article
LanguageEnglish
Portuguese
Published Brazil Sociedade Brasileira de Pneumologia e Tisiologia 18.04.2019
Subjects
Adolescent
Adult
Aged
Aged, 80 and over
Antifungal Agents - therapeutic use
Brazil
Child
Child, Preschool
Female
Follow-Up Studies
Humans
loss to follow-up
Male
Medication Adherence - statistics & numerical data
Middle Aged
mycoses
Original
Paracoccidioidomycosis
Paracoccidioidomycosis - drug therapy
Prospective Studies
RESPIRATORY SYSTEM
Time Factors
Treatment adherence and compliance
Treatment Outcome
Young Adult
Brazil
mycoses
micoses
Cooperação e adesão ao tratamento
loss to follow-up
Paracoccidioidomycosis
Treatment adherence and compliance
Paracoccidioidomicose
perda de seguimento
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Abstract To evaluate the treatment compliance of patients with paracoccidioidomycosis. We studied 188 patients with paracoccidioidomycosis admitted to a tertiary referral hospital in the Central-West Region of Brazil from 2000 to 2010, to assess their compliance to treatment. In order to be considered compliant, patients needed to present two established criteria: (1) receive medicines from the pharmacy, and (2) achieve a self-reported utilization of at least 80% of the dispensed antifungal compounds prescribed since their previous appointment. Most patients were male (95.7%), had the chronic form of the disease (94.2%), and were treated with cotrimoxazole (86.2%). Only 44.6% of patients were treatment compliant. The highest loss to follow-up was observed in the first 4 months of treatment (p < 0.02). Treatment compliance was higher for patients with than for those without pulmonary involvement (OR: 2.986; 95%CI 1.351-6.599), and higher for patients with than without tuberculosis as co-morbidity (OR: 2.763; 95%CI 1.004-7.604). Compliance to paracoccidioidomycosis treatment was low, and the period with the highest loss to follow-up corresponds to the first four months. Pulmonary paracoccidioidal involvement or tuberculosis comorbidity predicts a higher compliance to paracoccidioidomycosis therapy.
AbstractList To evaluate the treatment compliance of patients with paracoccidioidomycosis. We studied 188 patients with paracoccidioidomycosis admitted to a tertiary referral hospital in the Central-West Region of Brazil from 2000 to 2010, to assess their compliance to treatment. In order to be considered compliant, patients needed to present two established criteria: (1) receive medicines from the pharmacy, and (2) achieve a self-reported utilization of at least 80% of the dispensed antifungal compounds prescribed since their previous appointment. Most patients were male (95.7%), had the chronic form of the disease (94.2%), and were treated with cotrimoxazole (86.2%). Only 44.6% of patients were treatment compliant. The highest loss to follow-up was observed in the first 4 months of treatment (p < 0.02). Treatment compliance was higher for patients with than for those without pulmonary involvement (OR: 2.986; 95%CI 1.351-6.599), and higher for patients with than without tuberculosis as co-morbidity (OR: 2.763; 95%CI 1.004-7.604). Compliance to paracoccidioidomycosis treatment was low, and the period with the highest loss to follow-up corresponds to the first four months. Pulmonary paracoccidioidal involvement or tuberculosis comorbidity predicts a higher compliance to paracoccidioidomycosis therapy.
ABSTRACT Objective: To evaluate the treatment compliance of patients with paracoccidioidomycosis. Methods: We studied 188 patients with paracoccidioidomycosis admitted to a tertiary referral hospital in the Central-West Region of Brazil from 2000 to 2010, to assess their compliance to treatment. In order to be considered compliant, patients needed to present two established criteria: (1) receive medicines from the pharmacy, and (2) achieve a self-reported utilization of at least 80% of the dispensed antifungal compounds prescribed since their previous appointment. Results: Most patients were male (95.7%), had the chronic form of the disease (94.2%), and were treated with cotrimoxazole (86.2%). Only 44.6% of patients were treatment compliant. The highest loss to follow-up was observed in the first 4 months of treatment (p < 0.02). Treatment compliance was higher for patients with than for those without pulmonary involvement (OR: 2.986; 95%CI 1.351-6.599), and higher for patients with than without tuberculosis as co-morbidity (OR: 2.763; 95%CI 1.004-7.604). Conclusions: Compliance to paracoccidioidomycosis treatment was low, and the period with the highest loss to follow-up corresponds to the first four months. Pulmonary paracoccidioidal involvement or tuberculosis comorbidity predicts a higher compliance to paracoccidioidomycosis therapy.
ABSTRACT Objective: To evaluate the treatment compliance of patients with paracoccidioidomycosis. Methods: We studied 188 patients with paracoccidioidomycosis admitted to a tertiary referral hospital in the Central-West Region of Brazil from 2000 to 2010, to assess their compliance to treatment. In order to be considered compliant, patients needed to present two established criteria: (1) receive medicines from the pharmacy, and (2) achieve a self-reported utilization of at least 80% of the dispensed antifungal compounds prescribed since their previous appointment. Results: Most patients were male (95.7%), had the chronic form of the disease (94.2%), and were treated with cotrimoxazole (86.2%). Only 44.6% of patients were treatment compliant. The highest loss to follow-up was observed in the first 4 months of treatment (p < 0.02). Treatment compliance was higher for patients with than for those without pulmonary involvement (OR: 2.986; 95%CI 1.351-6.599), and higher for patients with than without tuberculosis as co-morbidity (OR: 2.763; 95%CI 1.004-7.604). Conclusions: Compliance to paracoccidioidomycosis treatment was low, and the period with the highest loss to follow-up corresponds to the first four months. Pulmonary paracoccidioidal involvement or tuberculosis comorbidity predicts a higher compliance to paracoccidioidomycosis therapy. RESUMO Objetivo: Avaliar a adesão ao tratamento de paracoccidioidomicose. Métodos: Estudo conduzido com 188 pacientes com paracoccidioidomicose atendidos em um hospital terciário na Região Centro-Oeste do Brasil, de 2000 a 2010, para avaliar adesão ao tratamento. Foram considerados aderentes pacientes que tiveram o seguinte critério: retiraram os medicamentos na farmácia e autorrelataram a utilização de, no mínimo, 80% de dispensação dos antifúngicos prescritos na última consulta. Resultados: A maioria dos pacientes era homem (95,7%), tinha a forma crônica da doença (94,2%) e foi tratada com sulfametoxazol/trimetropim (86,2%). Apenas 44,6% dos pacientes aderiram ao tratamento. A maior perda de seguimento foi observada nos primeiros 4 meses de tratamento (p < 0,02). Adesão ao tratamento foi maior em pacientes com do que sem envolvimento pulmonar (RC: 2,986; IC95% 1,351-6,6599) e maior para os pacientes com do que sem tuberculose associada (RC 2,763; IC95% 1,004-7,604). Conclusões: A adesão ao tratamento da paracoccidioidomicose foi baixa e os primeiros 4 meses constituíram o período com maior evasão. Pacientes com envolvimento paracocidióidico pulmonar ou tuberculose associada revelaram maior adesão ao tratamento da paracoccidioidomicose.
To evaluate the treatment compliance of patients with paracoccidioidomycosis.OBJECTIVETo evaluate the treatment compliance of patients with paracoccidioidomycosis.We studied 188 patients with paracoccidioidomycosis admitted to a tertiary referral hospital in the Central-West Region of Brazil from 2000 to 2010, to assess their compliance to treatment. In order to be considered compliant, patients needed to present two established criteria: (1) receive medicines from the pharmacy, and (2) achieve a self-reported utilization of at least 80% of the dispensed antifungal compounds prescribed since their previous appointment.METHODSWe studied 188 patients with paracoccidioidomycosis admitted to a tertiary referral hospital in the Central-West Region of Brazil from 2000 to 2010, to assess their compliance to treatment. In order to be considered compliant, patients needed to present two established criteria: (1) receive medicines from the pharmacy, and (2) achieve a self-reported utilization of at least 80% of the dispensed antifungal compounds prescribed since their previous appointment.Most patients were male (95.7%), had the chronic form of the disease (94.2%), and were treated with cotrimoxazole (86.2%). Only 44.6% of patients were treatment compliant. The highest loss to follow-up was observed in the first 4 months of treatment (p < 0.02). Treatment compliance was higher for patients with than for those without pulmonary involvement (OR: 2.986; 95%CI 1.351-6.599), and higher for patients with than without tuberculosis as co-morbidity (OR: 2.763; 95%CI 1.004-7.604).RESULTSMost patients were male (95.7%), had the chronic form of the disease (94.2%), and were treated with cotrimoxazole (86.2%). Only 44.6% of patients were treatment compliant. The highest loss to follow-up was observed in the first 4 months of treatment (p < 0.02). Treatment compliance was higher for patients with than for those without pulmonary involvement (OR: 2.986; 95%CI 1.351-6.599), and higher for patients with than without tuberculosis as co-morbidity (OR: 2.763; 95%CI 1.004-7.604).Compliance to paracoccidioidomycosis treatment was low, and the period with the highest loss to follow-up corresponds to the first four months. Pulmonary paracoccidioidal involvement or tuberculosis comorbidity predicts a higher compliance to paracoccidioidomycosis therapy.CONCLUSIONSCompliance to paracoccidioidomycosis treatment was low, and the period with the highest loss to follow-up corresponds to the first four months. Pulmonary paracoccidioidal involvement or tuberculosis comorbidity predicts a higher compliance to paracoccidioidomycosis therapy.
Author Chang, Marilene Rodrigues
Marques, Ana Paula da Costa
Pereira, Edy Firmina
Oliveira, Sandra Maria do Valle Leone de
Carvalho, Lidia Raquel de
Paniago, Anamaria Mello Miranda
Andrade, Ursulla Vilella
Mendes, Rinaldo Poncio
AuthorAffiliation 2 . Universidade Estadual de São Paulo, Botucatu, SP, Brazil
1 . Universidade Federal de Mato Grosso do Sul, Campo Grande, MS, Brazil
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Issue 2
Keywords mycoses
micoses
Cooperação e adesão ao tratamento
loss to follow-up
Paracoccidioidomycosis
Treatment adherence and compliance
Paracoccidioidomicose
perda de seguimento
Language English
Portuguese
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Conflicts of interest: The authors declare that they have no conflict of interest.
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SSID ssj0056960
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Snippet To evaluate the treatment compliance of patients with paracoccidioidomycosis. We studied 188 patients with paracoccidioidomycosis admitted to a tertiary...
ABSTRACT Objective: To evaluate the treatment compliance of patients with paracoccidioidomycosis. Methods: We studied 188 patients with paracoccidioidomycosis...
To evaluate the treatment compliance of patients with paracoccidioidomycosis.OBJECTIVETo evaluate the treatment compliance of patients with...
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StartPage e20180167
SubjectTerms Adolescent
Adult
Aged
Aged, 80 and over
Antifungal Agents - therapeutic use
Brazil
Child
Child, Preschool
Female
Follow-Up Studies
Humans
loss to follow-up
Male
Medication Adherence - statistics & numerical data
Middle Aged
mycoses
Original
Paracoccidioidomycosis
Paracoccidioidomycosis - drug therapy
Prospective Studies
RESPIRATORY SYSTEM
Time Factors
Treatment adherence and compliance
Treatment Outcome
Young Adult
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Title Treatment compliance of patients with paracoccidioidomycosis in Central-West Brazil
URI https://www.ncbi.nlm.nih.gov/pubmed/31017226
https://www.proquest.com/docview/2213915003/abstract/
https://pubmed.ncbi.nlm.nih.gov/PMC6733749
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