Determination of related factors about diagnostic and treatment delays in patients with smear-positive pulmonary tuberculosis in Turkey
Autor: | Çiğdem Özdilekcan, Tarkan Özdemir, Mustafa Hamidullah Türkkanı |
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Rok vydání: | 2020 |
Předmět: |
Adult
Male diagnosis delay Pediatrics medicine.medical_specialty Tuberculosis Turkey Antitubercular Agents Chest pain Article Time-to-Treatment Patient delay Young Adult Pulmonary tuberculosis medicine Humans In patient Tuberculosis Pulmonary Aged Aged 80 and over Related factors business.industry Health Policy Public health Diagnosis delay General Medicine Middle Aged medicine.disease Cross-Sectional Studies Female medicine.symptom business tuberculosis control patient delay |
Zdroj: | Turkish Journal of Medical Sciences |
ISSN: | 1303-6165 |
DOI: | 10.3906/sag-2001-89 |
Popis: | Background/aim This study aimed to analyze delays in diagnosis and treatment by defining the related demographic and clinical factors, to reveal obstacles, and to develop essential attempts to help reduce treatment delays. Materials and methods We created a questionnaire on the subject of delays in diagnosis and treatment in tuberculosis (TB) control to be administered to the patients. The forms were distributed to dispensaries across the country by the General Directorate of Public Health via an official letter. Results The study included 853 new patients with smear-positive pulmonary TB. The mean patient delay was 18.06 ± 22.27 days, the mean diagnosis delay was 35.63 ± 34.86 days, and the mean treatment delay was 0.90 ± 2.39 days. We found no association between sex, age, literacy, residential location, the presence of chronic respiratory diseases, and patient delay. It was determined that patient delay was shorter for patients with hemoptysis, fever, dyspnoea, and chest pain. In women, the diagnosis delay was longer than in men. Conclusion In the diagnosis process of patients with tuberculosis, it was determined that there was an improvement in the patient delay; however, the improvement in the diagnosis delay was still not acceptable as an ideal duration. |
Databáze: | OpenAIRE |
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