scholarly journals Two vicious circles contributing to a diagnostic delay for tuberculosis patients in Arkhangelsk

2014 ◽  
Vol 7 (1) ◽  
pp. 24909 ◽  
Author(s):  
Vladimir N. Kuznetsov ◽  
Andrej M. Grjibovski ◽  
Andrej O. Mariandyshev ◽  
Eva Johansson ◽  
Gunnar A. Bjune
Keyword(s):  
Diagnostic Delay ◽  
Tuberculosis Patients

scholarly journals “SILVAMP TB LAM” Rapid Urine Tuberculosis Test Predicts Mortality in Patients Hospitalized With Human Immunodeficiency Virus in South Africa

2020 ◽  
Vol 71 (8) ◽  
pp. 1973-1976 ◽  
Author(s):  
Bianca Sossen ◽  
Tobias Broger ◽  
Andrew D Kerkhoff ◽  
Charlotte Schutz ◽  
Andre Trollip ◽  
...  
Keyword(s):  
South Africa ◽  
Human Immunodeficiency Virus ◽  
Point Of Care ◽  
Diagnostic Delay ◽  
Tuberculosis Patients ◽  
Immunodeficiency Virus ◽  
Urine Testing

Abstract Reducing diagnostic delay is key toward decreasing tuberculosis-associated deaths in people living with human immunodeficiency virus. In tuberculosis patients with retrospective urine testing, the point-of-care Fujifilm SILVAMP TB LAM (FujiLAM) could have rapidly diagnosed tuberculosis in up to 89% who died. In FujiLAM negative patients, the probability of 12-week survival was 86–97%.

scholarly journals Factors underlying diagnostic delay in tuberculosis patients in a rural area in Tanzania: a qualitative approach

Infection ◽  
2010 ◽  
Vol 38 (6) ◽  
pp. 433-446 ◽  
Author(s):  
L. M. Verhagen ◽  
R. Kapinga ◽  
K. A. W. L. van Rosmalen-Nooijens
Keyword(s):  
Rural Area ◽  
Diagnostic Delay ◽  
Qualitative Approach ◽  
Tuberculosis Patients

scholarly journals Health seeking behaviour in pulmonary tuberculosis: a cross sectional study

2018 ◽  
Vol 5 (4) ◽  
pp. 1346 ◽  
Author(s):  
Jebamalar J. ◽  
Priya Senthilkumar ◽  
Mary Ramola
Keyword(s):  
Pulmonary Tuberculosis ◽  
Diagnostic Delay ◽  
Cross Sectional Study ◽  
Patient Delay ◽  
Diagnosis And Treatment ◽  
Sectional Study ◽  
Health Seeking Behaviour ◽  
Health Seeking ◽  
Cross Sectional ◽  
Tuberculosis Patients

Background: Health seeking behaviour has been identified as a complex and dynamic process which influences disease burden of tuberculosis. The present study aimed to study health seeking behaviour among pulmonary tuberculosis patients in a metropolitan city and to assess diagnostic and treatment delays and their determinants.Methods: A cross sectional study was conducted among newly diagnosed pulmonary tuberculosis patients registered for intensive phase of Category 1 ATT during the study period in Zone VIII of Chennai Corporation. The sample size was 197. The study was conducted over a period of one year from September 2015 to August 2016. A standardized WHO interview schedule on diagnostic delay was used for the study.Results: Patients sought healthcare for more severe symptoms like hemoptysis (delay of 38 days) earlier than for cough (delay o- 8 days). Other reasons for delay in seeking care were hope of self-resolution, financial constraints, fear of what the diagnosis would be, incompatible timings etcetera. The total mean delay from onset of symptoms till start of treatment was around 47 days, out of which the patient delay was 42 days. Factors significantly associated with delay included smoking, age more than 35 years and not approaching healthcare facilities first.Conclusions: An unacceptably high patient delay is the major contributor to total delay in the diagnosis and treatment of pulmonary tuberculosis patients. There is increased odds of delay among smokers compared to those who have never smoked. So smokers may be added to the high risk group for suspicion of tuberculosis for fast tracking of diagnosis and treatment. Furthermore, methods to curb over the counter medications should be explored.

scholarly journals Delay from symptom onset to treatment start among tuberculosis patients in England, 2012–2015

2018 ◽  
Vol 146 (12) ◽  
pp. 1511-1518 ◽  
Author(s):  
M. G. Loutet ◽  
C. Sinclair ◽  
N. Whitehead ◽  
C. Cosgrove ◽  
M. K. Lalor ◽  
...  
Keyword(s):  
Early Diagnosis ◽  
Symptom Onset ◽  
Diagnostic Delay ◽  
Clinical Factors ◽  
Tuberculosis Patients ◽  
Targeted Interventions ◽  
Factors Associated ◽  
Start Date ◽  
Treatment Start ◽  
Improve Access

AbstractImproving access to tuberculosis (TB) care and ensuring early diagnosis are two major aims of the WHO End TB strategy and the Collaborative TB Strategy for England. This study describes risk factors associated with diagnostic delay among TB cases in England. We conducted a retrospective cohort study of TB cases notified to the Enhanced TB Surveillance System in England between 2012 and 2015. Diagnostic delay was defined as more than 4 months between symptom onset and treatment start date. Multivariable logistic regression was used to identify demographic and clinical factors associated with diagnostic delay. Between 2012 and 2015, 22 422 TB cases were notified in England and included in the study. A third (7612) of TB cases had a diagnostic delay of more than 4 months. Being female, aged 45 years and older, residing outside of London and having extra-pulmonary TB disease were significantly associated with a diagnostic delay in the multivariable model (aOR = 1.2, 1.2, 1.2, 1.3, 1.8, respectively). This study identifies demographic and clinical factors associated with diagnostic delay, which will inform targeted interventions to improve access to care and early diagnosis among these groups, with the ultimate aim of helping reduce transmission and improve treatment outcomes for TB cases in England.

Sign in / Sign up

Export Citation Format

Share Document