Repository of Research and Investigative Information

Repository of Research and Investigative Information

Hormozgan University of Medical Sciences

Determinants of delay in tuberculosis diagnosis in Hamadan province, 2006-2014

(2016) Determinants of delay in tuberculosis diagnosis in Hamadan province, 2006-2014. EGYPTIAN JOURNAL OF CHEST DISEASES AND TUBERCULOSIS.

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Abstract

Abstract Introduction: Identifying factors that delay diagnosis of tuberculosis (TB) are important for the health system when timely patient treatment and reducing TB transmission are desirable goals. Aim of this study was to investigate the prognostic factors that delay TB diagnosis. Material and methods: This retrospective cohort study used National TB Program (NTP) data from 1056 TB patients during 2006-2014 in Hamadan province, western Iran. The Cox regression model was performed to determine associations between baseline explanatory variables and survival outcome with Hazard Ratio HRs (95% CIs). Results: N (%) of delay in TB diagnosis more than 90 days was significantly higher in male patients, new case patients and pulmonary positive cases. After adjustment for covariates, HR (95% CI) in relapsed TB compared to new cases was 0.67 (0.53, 0.85) and these figures for positive pulmonary cases and extra pulmonary cases in compared to negative pulmonary cases were 0.80 (0.68, 0.94) and 0.84 (0.73, 0.98) respectively. Conclusion: A high proportion of patients had delays in diagnosis exceeding three months. Our findings suggest that male gender, new cases, positive and extra pulmonary cases might increase the risk for delayeddiagnosis among TB patients. (C) 2016 The Egyptian Society of Chest Diseases and Tuberculosis. Production and hosting by Elsevier B.V.

Item Type: Article
Keywords: CARE-SYSTEM DELAYS; PULMONARY TUBERCULOSIS; PATIENT
Persian Keywords: MA (, Mahin Ahmadi)[ 6 ] ; Salehiniya, H (Salehiniya, Hamid)[ 7 ] ; Khazaei, S (, )[ 8 ]
Subjects: WBPractice of Medicine > WB 141-293Diagnosis
WF Respiratory System > WF 140-900 Diseases of the Respiratory System
Depositing User: مهندس هدی فهیم پور
URI: http://eprints.hums.ac.ir/id/eprint/5029

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