PDF(Pubmed)
Abstract：
UNASSIGNED: Delay in the diagnosis of tuberculosis (TB) is a significant problem at both individual and community levels. Delayed diagnosis of TB contributes to more severe disease manifestations, higher risk of death, and higher disease transmission in the community. We conducted this study to assess the extent and associated reasons for delay in diagnosis of pulmonary TB.
UNASSIGNED: This study was conducted in the Department of TB and Respiratory Diseases, J. N. Medical College, Aligarh, from June 2020 to May 2022. A total of 2053 new pulmonary TB patients, who first consulted any private healthcare provider (HCP) for treatment, were enrolled in the study. The required information was collected by interview technique using a predesigned questionnaire.
UNASSIGNED: A total of 2053 patients were enrolled in the study. There was a significant delay of more than 2 weeks in the diagnosis of pulmonary TB after the onset of symptoms in 94% of patients. The extent of delay ranged from 8 days to 240 days with a mean of 36.33 days. The delay in visiting the HCPs by the patient was not significant. Only 5.85% of patients had a significant delay of more than 2 weeks in seeking any health care after the appearance of symptoms. A delay by HCP contributed to a greater portion of the total delay, with a mean of 31.77 days. The main reason for the delay by HCPs was not investigating TB. The hospital delay was not significant. The mean hospital delay was 5.82 days.
UNASSIGNED: The delay in the diagnosis of TB in India is very high. A delay by HCPs contributes to a greater portion of the total delay. Information, Education and Communication (IEC) activities will play an important role in reducing the delay. All HCPs should be actively involved in subjecting the suspects to TB diagnosis at the earliest possible as per National Tuberculosis Elimination Programme (NTEP) guidelines.
UNASSIGNED: This study was conducted in the Department of TB and Respiratory Diseases, J. N. Medical College, Aligarh, from June 2020 to May 2022. A total of 2053 new pulmonary TB patients, who first consulted any private healthcare provider (HCP) for treatment, were enrolled in the study. The required information was collected by interview technique using a predesigned questionnaire.
UNASSIGNED: A total of 2053 patients were enrolled in the study. There was a significant delay of more than 2 weeks in the diagnosis of pulmonary TB after the onset of symptoms in 94% of patients. The extent of delay ranged from 8 days to 240 days with a mean of 36.33 days. The delay in visiting the HCPs by the patient was not significant. Only 5.85% of patients had a significant delay of more than 2 weeks in seeking any health care after the appearance of symptoms. A delay by HCP contributed to a greater portion of the total delay, with a mean of 31.77 days. The main reason for the delay by HCPs was not investigating TB. The hospital delay was not significant. The mean hospital delay was 5.82 days.
UNASSIGNED: The delay in the diagnosis of TB in India is very high. A delay by HCPs contributes to a greater portion of the total delay. Information, Education and Communication (IEC) activities will play an important role in reducing the delay. All HCPs should be actively involved in subjecting the suspects to TB diagnosis at the earliest possible as per National Tuberculosis Elimination Programme (NTEP) guidelines.
摘要：
■结核病（TB）诊断的延迟在个人和社区水平上都是一个重大问题。结核病的延迟诊断会导致更严重的疾病表现。死亡风险更高,以及社区中更高的疾病传播。我们进行了这项研究，以评估延迟诊断肺结核的程度和相关原因。
■这项研究是在结核病和呼吸系统疾病科进行的，J.N.医学院，Aligarh,从2020年6月到2022年5月。共2053例新肺结核患者，他首先咨询了任何私人医疗保健提供者（HCP）进行治疗，参加了这项研究。使用预先设计的问卷通过访谈技术收集所需的信息。
■共2053名患者纳入研究。94％的患者出现症状后，肺结核的诊断明显延迟2周以上。延迟的程度为8天至240天，平均为36.33天。患者就诊HCP的延迟并不明显。只有5.85％的患者在出现症状后寻求任何医疗保健的明显延迟超过2周。HCP的延迟占总延迟的很大一部分，平均为31.77天。HCP拖延的主要原因是没有调查结核病。医院延误并不严重。平均住院时间为5.82天。
■印度结核病诊断的延迟非常高。HCP的延迟占总延迟的较大部分。信息，教育和传播（IEC）活动将在减少延误方面发挥重要作用。根据国家结核病消除计划（NTEP）指南，所有HCP应积极参与尽早对嫌疑人进行结核病诊断。
■这项研究是在结核病和呼吸系统疾病科进行的，J.N.医学院，Aligarh,从2020年6月到2022年5月。共2053例新肺结核患者，他首先咨询了任何私人医疗保健提供者（HCP）进行治疗，参加了这项研究。使用预先设计的问卷通过访谈技术收集所需的信息。
■共2053名患者纳入研究。94％的患者出现症状后，肺结核的诊断明显延迟2周以上。延迟的程度为8天至240天，平均为36.33天。患者就诊HCP的延迟并不明显。只有5.85％的患者在出现症状后寻求任何医疗保健的明显延迟超过2周。HCP的延迟占总延迟的很大一部分，平均为31.77天。HCP拖延的主要原因是没有调查结核病。医院延误并不严重。平均住院时间为5.82天。
■印度结核病诊断的延迟非常高。HCP的延迟占总延迟的较大部分。信息，教育和传播（IEC）活动将在减少延误方面发挥重要作用。根据国家结核病消除计划（NTEP）指南，所有HCP应积极参与尽早对嫌疑人进行结核病诊断。
