Vol. 5, Issue 6 (2017)
Factors affecting therapeutic compliance among the patients with rheumatic heart disease in Bangladesh
Author(s): Mohammad Omar Faruque, Md. Nuruzzaman, Mohammad Abu Bin Nyeem, Md. Monir Ahammed and Md. Abdul Mannan
Abstract: Background: Acute rheumatic fever can recur as a result of subsequent GAS infections and each recurrence can worsen rheumatic heart disease that has evoked a substantial disease lburden in developing countries, including Bangladesh. The aim of this study is to determine the penicillin compliance for rheumatic fever patients in a NCCRF/HD referral hospital in Dhaka, Bangladesh. Materials and Methods: A matched cross sectional study was conducted among 160 patients from a selected NCCRF/HD hospital in Dhaka. Data was collected via face-to-face interview using a standard structured questionnaire, posing questions about socio-demographic, clinical and behavioral factors. Crude and multivariate logistic regression analyses were used to analyze the data. Results: The multiple logistic regression analyses indicated that duration of diagnosis>5 beyond the duration of diagnosis<5 (OR=2.484, CI=1.170-5.421),age(OR=0.548,CI=0.217-0.574),sex (OR=0.916, CI=0.422-1.964),education (OR=1.963, CI= 0.737-05.361), marital status(OR=0.700, CI=0.272-1.774),and fathers education (OR=0.482 CI=0.176 -1.279), family member (OR= 0.619 CI= 0.2 97 -1.261) were significantly or almost significantly associated with RHD status. Conclusions: Acute rheumatic fever result of subsequent GAS infection. In this study, the identified risk groups for rheumatic heart disease reflect a complex interaction between socioeconomic conditions and chronic disease status. Interventions focused on education and poverty will undoubtedly be useful, but not sufficient. Rheumatic heart disease control would benefit from a collaboration of broad public health activities aimed at the prevention and control other chronic diseases. The integration of rheumatic heart disease control activities with non communicable disease programme is crucial in Bangladesh.
Pages: 2103-2106 | 886 Views 47 Downloads
How to cite this article:
Mohammad Omar Faruque, Md. Nuruzzaman, Mohammad Abu Bin Nyeem, Md. Monir Ahammed, Md. Abdul Mannan. Factors affecting therapeutic compliance among the patients with rheumatic heart disease in Bangladesh. Int J Chem Stud 2017;5(6):2103-2106.