Determinants of patient delay among tuberculosis cases in Spain

Díez, Mercedes; Alcaide, J.; T, Caloto; Castells, C; Domínguez, A.; Gayoso, P; Gutierrez, Garret; Huerta, Consuelo; Moreno, Tamara; Muñoz, Flor M.; Navarro, Claire; Picó, María Dolores; Pozo, Francisco; Robles, Fernández; Vanaclocha, Hermelinda; Vega, T. González-Carrascosa

doi:10.1093/eurpub/14.2.151

Cited by 37 publications

(32 citation statements)

References 8 publications

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“…Care seeking or patient delay is widely variable in literature, ranging from 4.9 to 162 days 18 . In our study, patient delay was similar to that found by other authors in India 19,20 , Japan 21 , Hong Kong 22 , and Spain 23 .…”

Section: Discussionsupporting

confidence: 91%

Health care seeking behavior and patient delay in tuberculosis diagnosis

2015

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Delays in diagnosis of TB cases are major impeding factors in the control of TB. The objectives of this study were to describe the health care seeking behavior of TB patients, assessing patient delay and the number of health care facilities visited before the start of TB treatment. A cross-sectional study was carried out with adult patients with pulmonary TB presenting to two TB facilities to start treatment. We found a median patient delay of 20 days. The factors associated negatively with patient delay in multivariate analysis were weight loss, and have sought treatment because of the first symptom. We also demonstrated that 44.8% of patients incorrectly reported the mode of transmission of TB. In addition, the local of first attendance was an emergency room of public hospitals in 37.3% of patients. We demonstrated that the median patient delay in TB diagnosis in two TB services in a region with a high prevalence of TB was 20 days, and the protective factors associated with this delay in multivariate analysis were weight loss, and have sought treatment because of the first symptom.

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Section: Discussionsupporting

confidence: 91%

Health care seeking behavior and patient delay in tuberculosis diagnosis

2015

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“…, patients under these conditions are susceptible to TB (2,5,6). TB in such patients is characterized by increasing extrapulmonary involvement and miliary spread (2,3,(6)(7)(8).…”

Section: After a Steady Decline In The Incidence Of Tuberculosis (Tb)mentioning

confidence: 99%

“…TB in such patients is characterized by increasing extrapulmonary involvement and miliary spread (2,3,(6)(7)(8). The term miliary TB, first used to describe resemblance of the pathologic lesions to millet seeds, is now used for all forms of progressive disseminated hematogenous TB regardless of the pathologic picture.…”

Section: After a Steady Decline In The Incidence Of Tuberculosis (Tb)mentioning

confidence: 99%

See 1 more Smart Citation

Miliary Tuberculosis with Hypercalcemia, and a False Abdominal Aortic Aneurysm, but No Pulmonary Findings

Uchiyama-Tanaka

Mori

2006

Intern. Med.

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“…It was reported that delays in tuberculosis diagnosis were associated with greater transmission of infection to contacts (9). Delays in the diagnosis and treatment of tuberculosis patients have been commonly reported in both developing and developed countries (10)(11)(12)(13)(14)(15)(16)(17)(18). The current study aimed to discuss the length of delays and possible reasons for delays in pulmonary tuberculosis patients.…”

mentioning

confidence: 99%

Delays in the Diagnosis and Treatment of Pulmonary Tuberculosis

Ekinci¹,

Haciomeroglu²,

Yılmaz³

2015

Respir Case Rep

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The primary goal of tuberculosis control programs is to minimize transmission within the community and reduce the incidence of tuberculosis by detecting and treating active tuberculosis cases as early as possible. Delays in the diagnosis and treatment of pulmonary tuberculosis can lead to a prolonged period of infection in the community. Delays are divided into patient delay, health care system delay, and total delay. The length of delays and possible reasons for delays in pulmonary tuberculosis patients are discussed in this paper.

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Determinants of patient delay among tuberculosis cases in Spain

Abstract: Although there is a universally enjoyed right to health care in Spain, some groups of TB patients could nevertheless be experiencing problems in seeking medical attention.

Cited by 37 publications

References 8 publications

Health care seeking behavior and patient delay in tuberculosis diagnosis

Health care seeking behavior and patient delay in tuberculosis diagnosis

Miliary Tuberculosis with Hypercalcemia, and a False Abdominal Aortic Aneurysm, but No Pulmonary Findings

Delays in the Diagnosis and Treatment of Pulmonary Tuberculosis

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