InvestigationofbrucellosistreatmenteffectandinfluencingfactorsinQapqalXibeautonomouscountyofXinjiang

  Objective  To investigate the current status of treatment of brucellosis in Qapqal Xibo autonomous county of Xinjiang, evaluate treatment effect and analyze the related factors, and provide reference for further comprehensive prevention and control of brucellosis.

  Methods  The data were collected through the reviews of the survey results and clinical records as well as household interviews. The same criteria were used to classify the clinical type of brucellosis and evaluate the treatment effect.

  Results  The cure rate of brucellosis in acute phase (74.48%) was significantly higher than that of brucellosis in chronic phase (23.81%), the difference was significant (χ²＝22.92, P＝0.01), The multivariate logistic regression analysis showed that the interval between onset and diagnosis（OR＝11.62, 95% CI: 2.11−64.32, OR＝7.54, 95% CI: 1.82−30.94, drug withdrawal (OR＝11.81, 95% CI: 3.82−36.35), treatment less than 6 weeks (OR＝4.34, 95% CI: 1.62−11.56), treatment in private clinic (OR＝10.39, 95% CI: 1.72−62.03), contacting livestock during treatment (OR＝3.82, 95% CI: 1.42−8.17), drinking raw milk during treatment (OR＝26.15, 95% CI: 1.93−344.07) were the potential factors influencing the treatment effect.

  Conclusion  The treatment effect of brucellosis in Qapqal Xibe autonomous county is not satisfied. In the future, the priority of brucellosis diagnosis and treatment should be the regular follow up for non-hospitalized patients by primary health care providers to observe the treatment effect and supervise their medication according to the prescription and strengthen the patient's self-management for the increase of the cure rate of brucellosis.