Factors associated with patient and health care system delay in the diagnosis of tuberculosis in France

Abstract

TB diagnostic delay needs to be reduced in France. This may be achieved through improved access to care, earlier hospital referral, and less use of empirical antibiotic treatment.

Risk factors for unfavourable treatment outcome among new smear-positive pulmonary tuberculosis cases in China

“…Other studies have reported that socially disadvantaged patients, such as the unemployed, urban migrant workers, and those lacking insurance, were more likely to visit a low-level health care provider, leading to long patient delay and worse TB disease. 21,22 …”

Análisis de la mortalidad por tuberculosis en la ciudad de Medellín, año 2012

“…Estas enfermedades concomitantes se han relacionado con el aumento de la mortalidad atribuible a la tuberculosis en otros estudios (13,14). Asimismo, el diagnóstico hospitalario se ha asociado a una presentación clínica en estadios más avanzados de la tuberculosis (15), lo que probablemente refleja una baja captación de sintomáticos respiratorios en el ámbito ambulatorio y la falta de reconocimiento de los signos de gravedad por parte de los pacientes y del grupo médico (16)(17)(18)(19).…”

Factors associated with delayed recognition of pulmonary tuberculosis in emergency departments in Taiwan

“…In one recent study in France, the mean time from first health care contact to diagnosis was 48 days (median: 25 days). 22 Leutscher et al reported that the mean time in a health care system delay of diagnosis was 33 days (95% CI: 23e44 days). 23 In two studies done in our geographic region, the mean times of in-hospital delay of diagnosis were as 21.3 and 25.5 days.…”