دورية أكاديمية
Factors associated with patient and healthcare system delay in diagnosis and treatment of tuberculosis
| العنوان: | Factors associated with patient and healthcare system delay in diagnosis and treatment of tuberculosis |
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| المؤلفون: | Abolfazl Mozafari, Reza Kianifar |
| المصدر: | Chronic Diseases Journal, Vol 11, Iss 2, Pp 110-117 (2023) |
| بيانات النشر: | Vesnu Publications, 2023. |
| سنة النشر: | 2023 |
| المجموعة: | LCC:Medicine |
| مصطلحات موضوعية: | tuberculosis, diagnosis, treatment, cardiometabolic risk factors, delay, Medicine |
| الوصف: | BACKGROUND: More than 90% of the worldwide tuberculosis (TB) cases and deaths arise in the developing world. Delay in the diagnosis and treatment of TB potentially extents and aggravates the infection in the public leading to increased risk of death. Identifying the delays in the diagnosis of TB is indispensable to the health system to prevent spread of the disease. The current study was conducted to identify the factors related to patients and health care systems which delay diagnosis and treatment of TB in Qom Province, Iran. METHODS: A cross-sectional survey was conducted on 661 patients with TB registered in healthcare units of Qom during 7 years (April 2011 to March 2017). Data regarding the patients’ demographic characteristics and clinical factors associated with diagnosis and treatment delay and total delay were analyzed using Student’s t-test and one-way analysis of variance (ANOVA). Multivariate logistic regression was also employed to calculate adjusted odds ratios (ORs) and 95% confidence intervals (CIs) using SPSS software. RESULTS: The means of patient, healthcare, treatment, and total delay were 27.7 days, 53.7 days, 1.64 days, and 82.5 days, respectively. Additionally, 550 (83.2%) cases had total delay. It was determined that inhabitance, nationality, and type of extrapulmonary TB were significantly associated with diagnosis delay (P < 0.05). CONCLUSION: Diagnostic delay in this study was mainly due to healthcare systems' facilities. Modern and efficient facilities would contribute a lot to early diagnosis of TB and improve the quality of TB management. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2588-7297 2345-2226 |
| Relation: | http://cdjournal.muk.ac.ir/index.php/cdj/article/view/471; https://doaj.org/toc/2588-7297; https://doaj.org/toc/2345-2226 |
| DOI: | 10.22122/cdj.v11i2.471 |
| URL الوصول: | https://doaj.org/article/df2bfd08658d4fadadb246c647fac759 |
| رقم الأكسشن: | edsdoj.f2bfd08658d4fadadb246c647fac759 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 25887297 23452226 |
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| DOI: | 10.22122/cdj.v11i2.471 |