AI Article Synopsis
- Early diagnosis and timely treatment are vital for controlling tuberculosis (TB), and a study was conducted in Puducherry to analyze delays in patient diagnosis and treatment.
- The study reviewed medical records and interviewed patients from 2009-2010, finding that patients experienced a median delay of 37 days before seeking help, with an additional health system delay of 28 days, making the total delay 65 days.
- Factors like being a resident of Puducherry and having a smaller family size were linked to shorter patient delays and overall delays in treatment.
Article Abstract
Early diagnosis and prompt initiation of treatment are essential for an effective tuberculosis (TB) control program. This study was done to assess the extent of various delays among TB patients diagnosed at medical colleges of Puducherry. A cross-sectional study involving retrospective medical record review and prospective patient interviews was conducted in and around the union territory of Puducherry during the period 2009-10. Various delays and adjusted odds ratios (ORs) were calculated. Level of significance was determined at 95% confidence interval (CI) (P value <0.05) and all tests were two-sided. Among 216 new sputum smear-positive TB patients, 11.1% and 10.6% were smokers and alcohol users, respectively. The median patient delay, health system delay, and total delay was 37 days, 28 days, and 65 days respectively. Being a resident of Puducherry (OR = 0.39, 95% CI = 0.18-0.87) and family size of ≤5 (OR = 0.45, 95% CI = 0.21-0.97) were found as the determinants of patient delays and total delays, respectively.
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| http://dx.doi.org/10.4103/0019-557X.177349 | DOI Listing |
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