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Evaluation of Compliance to Clinical, Paraclinical and Therapeutic Follow-Up in Patients with Chronic Hepatitis B Virus at the Yalgado Ouedraogo University Hospital in Ouagadougou

¹ Department of Hepato-Gastroenterology, Yalgado Ouedraogo University Hospital, Ouagadougou, Burkina Faso
² Department of Hepato-Gastroenterology, Yalgado Ouedraogo University Hospital, Ouagadougou, Burkina Faso
³ Department of Hepato-Gastroenterology, Fada N’Gourma Regional Hospital, Fada N’Gourma, Burkina Faso
⁴ Department of Hepato-Gastroenterology, Yalgado Ouedraogo University Hospital, Ouagadougou, Burkina Faso
⁵ Department of Hepato-Gastroenterology, Yalgado Ouedraogo University Hospital, Ouagadougou, Burkina Faso
⁶ Department of Hepato-Gastroenterology, Fada N’Gourma Regional Hospital, Fada N’Gourma, Burkina Faso
⁷ Department of Hepato-Gastroenterology, Yalgado Ouedraogo University Hospital, Ouagadougou, Burkina Faso
⁸ Department of Hepato-Gastroenterology, Yalgado Ouedraogo University Hospital, Ouagadougou, Burkina Faso
⁹ Department of Hepato-Gastroenterology, Yalgado Ouedraogo University Hospital, Ouagadougou, Burkina Faso
¹⁰ Department of Hepato-Gastroenterology, Niamey National Hospital, Niamey, Niger
¹¹ Department of Hepato-Gastroenterology, Donka National Hospital, Conakry, Guinea
¹² Department of Hepato-Gastroenterology, Tengandogo University Hospital, Ouagadougou, Burkina Faso
¹³ Department of Hepato-Gastroenterology, Yalgado Ouedraogo University Hospital, Ouagadougou, Burkina Faso
¹⁴ Department of Hepato-Gastroenterology, Yalgado Ouedraogo University Hospital, Ouagadougou, Burkina Faso
¹⁵ Department of Hepato-Gastroenterology, Yalgado Ouedraogo University Hospital, Ouagadougou, Burkina Faso
¹⁶ Health Sciences Training and Research Unit (UFR/SDS), Joseph KI-ZERBO University, Ouagadougou, Burkina Faso

Open Journal of Gastroenterology·Volume 15 (2025)·Pages 69–77·Published 14 March 2025·DOI10.4236/ojgas.2025.153007

Abstract

Aims: To evaluate the clinical, paraclinical and therapeutic compliance of patients with chronic hepatitis B virus at the Department of Hepato-Gastroenterology in Yalgado Ouedraogo University Hospital. Patients and Methods: This is a prospective, descriptive and analytical cross-sectional study conducted over a period of 3 months on patients who were chronic carriers of the hepatitis B virus and who had given their consent. Compliance was assessed using the GIRERD adherence assessment test and the visual analogue scale (VAS). Results: A total of 104 patients were included, 61 of whom were men (58.6%). The mean age was 40.2 years with a standard deviation of 12.6 years. Sixty-three patients (60.6%) were treated with tenofovir. Three-quarters of the patients were compliant with their six-monthly clinical follow-up and 25% had adequate paraclinical follow-up. Tenofovir supply disruption was the cause of treatment discontinuation in 30.4% of cases. Factors associated with compliance were female sex, monthly income and age. Factors associated with regularity of the follow-up were distance, higher level of education and being a shopkeeper. Conclusions: Our study showed good compliance to clinical follow-up but an inadequate adherence to paraclinical follow-up. A good understanding of the determinants of compliance is needed to incorporate them into clinical practice to ensure optimal patient care.

KeywordsComplianceMedical Follow-upHepatitis BAfrica

Shiha, G., Soliman, R., Hassan, A., Farahat, A., Salem, A., Taha, A., et al . (2024) Management of Patients with CHB Outside the Guidelines: Insights from Egyptian Cohort with Long-Term Follow-Up. Clinical Liver Disease , 23, e0183. https://doi.org/10.1097/cld.0000000000000183
Zampino, R. (2015) Hepatitis B Virus Burden in Developing Countries. World Journal of Gastroenterology , 21, Article 11941. https://doi.org/10.3748/wjg.v21.i42.11941
https://www.afro.who.int/sites/default/files/2019-07/Viral_Hepatatis_Scorecard_2019_v3_Print_Single_SC_A4%20%282%29.pdf
WHO (2024) Guidelines for the Prevention, Diagnosis, Care and Treatment for People with Chronic Hepatitis B Infection. https://www.who.int/publications/i/item/9789240090903
Ghany, M.G. (2017) Current Treatment Guidelines of Chronic Hepatitis B: The Role of Nucleos(t)ide Analogues and Peginterferon. Best Practice & Research Clinical Gastroenterology , 31, 299-309. https://doi.org/10.1016/j.bpg.2017.04.012
Rouillon, F. (2009) Épidémiologie du trouble bipolaire. Annales Médico- Psychologiques , revue psychiatrique , 167, 793-795. https://doi.org/10.1016/j.amp.2009.09.015
Haynes, R.B., Taylor, D.W. and Sackett, D.L. (1979) Compliance in Health Care. Johns Hopkins University Press.
Sombié, R., Sangaré, L., Guingané, A., Tiendrébéogo, A., Kaboré, D. and Bougouma, A. (2015) Traitement de l’hépatite B chronique par les analogues de nucléos(t)ides. Journal Africain d ’ Hépato - Gastroentérologie , 9, 114-118. https://doi.org/10.1007/s12157-015-0601-4
Anzouan-Kacou, H.Y.K., Dehinsala, M., Bangoura, A.D., Kouamé, D.H., Doffou, A.S., Mahassadi, A.K., et al . (2022) Socio-Economic Aspects of the Management of Chronic Viral Hepatitis in Côte-d’Ivoire. Annales Africaines de Medecine , 15, e4770-e4778. https://doi.org/10.4314/aamed.v15i4.3
Zohoncon, T.M., Ilboudo, D.P., Dahourou, L., Da, T.R.C.I., Zongo, L. and Simpore, J. (2023) Clinical and Paraclinical Profiling of Patients with Viral Hepatitis B and C Attending Saint Camille Hospital in Ouagadougou (HOSCO). Journal of Biosciences and Medicines , 11, 225-240. https://doi.org/10.4236/jbm.2023.1110021
Sombié, R., Bougouma, A., Diallo, O., Bonkoungou, G., Cissé, R., Sangare, L., et al . (2010) Hépatite B chronique: Aspects épidémiologique, diagnostique, thérapeutique et évolutif au centre hospitalier universitaire Yalgado Ouédraogo de Ouagadougou. Journal Africain d ’ Hépato - Gastroentérologie , 4, 3-10. https://doi.org/10.1007/s12157-009-0137-2

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Evaluation of Compliance to Clinical, Paraclinical and Therapeutic Follow-Up in Patients with Chronic Hepatitis B Virus at the Yalgado Ouedraogo University Hospital in Ouagadougou

Abstract

References (20)