Patterns of delays amongst pulmonary tuberculosis patients in Lagos, Nigeria

Odusanya, Olumuyiwa O.; Babafemi, Joseph O

doi:10.1186/1471-2458-4-18

Cited by 108 publications

(128 citation statements)

References 5 publications

(10 reference statements)

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“…This calls for the promotion of health education that stresses on the correct causes of TB, and ways to reduce stigma and discrimination. Stigma and discrimination of TB patients was also found to influence delay in the seeking of treatment in Nigeria (Odusanya & Babafemi, 2004). Studies from elsewhere have shown that relatives and neighbours mistreated TB patients in fear of catching the disease (Somerville & Orkin, 1989;Steen & Mazonde, 1999).…”

Section: Discussionmentioning

confidence: 99%

“…However, the probability that tuberculosis patients are likely to be infected with HIV is high as perceived by the community in our study area. In Tanzania, statistics indicate that between 32-44% of TB patients are also HIV infected (Range, et al 2001).…”

Section: Discussionmentioning

confidence: 99%

“…Certain local practices and beliefs and failure to recognize symptoms early may delay diagnosis hence increasing the spread of the disease in the community (Auer et al, 2000). Like HIV/AIDS, TB is often associated with stigmatization and thus may create resistance among patients to seek proper diagnosis and treatment (Odusanya & Babafemi, 2004). Thus, it is important for community members to know and realize the symptoms of the disease in order to seek treatment promptly (Rubel & Garro, 1992).…”

Section: Introductionmentioning

confidence: 99%

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Commnity knowledge, attitudes and practices towards tberculosis and its treatment inMpwapwa District, central Tanzania

Mangesho¹,

Shayo²,

Makunde³

et al. 2007

Tanzania J Hlth Res

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Tuberculosis (TB) is one of the leading causes of adult mortality with 32% of the global population infected with Mycobacterium tuberculosis. The current control of TB depends mainly on case management using the Direct-Observed Treatment, Short-course (DOTs) regimen. Despite the measures taken, the disease burden is still on increase especially in the developing countries including Tanzania. Correct knowledge and positive perception of the community towards TB and its management is a prerequisite to early treatment seeking. This study was carried out in Mpwapwa district, central Tanzania, to assess the knowledge, attitudes and practice as regards to TB and its treatment. Focus group discussions involving men and women were conducted in six villages. Results show that TB was an important public health problem. However, community knowledge on its cause was poor. Symptoms of TB as mentioned by the community included persistent cough and weight loss. TB was reported to be transmitted mainly through air. Self medication was the first most preferred option, whereas health care facility consultation was the last one. Focus group discussants knew that TB cure requires a 8-month period of treatment. Friends and relatives were the main source of TB information in the community. In conclusion, rural communities of Mpwapwa District have a low knowledge on the causes and the transmission of tuberculosis which is a likely cause of the delay in seeking treatment. An intensive appropriate community health education is required for a positive behavioural change in tuberculosis control.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Commnity knowledge, attitudes and practices towards tberculosis and its treatment inMpwapwa District, central Tanzania

Mangesho¹,

Shayo²,

Makunde³

et al. 2007

Tanzania J Hlth Res

View full text Add to dashboard Cite

show abstract

“…Delays in diagnosis and treatment of TB cases are major impeding factors in the control of TB. A single infectious person who remains untreated can infect between ten and fifteen people every year, spreading the infection in the community 1,2 . In addition, delayed TB diagnosis and treatment may result in more extensive disease and more complications, and increases the risk of mortality 3,4,5 .…”

Section: Introductionmentioning

confidence: 99%

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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“…The most common potential reason for patient delay is the neglect of symptoms by the patient. A low index of suspicion for tuberculosis is an important reason for doctor delays (10,19,20,22,37). An assessment of the response to antibiotic therapy is a common approach in patients with pulmonary symptoms and abnormal chest x-ray findings, which may result in doctor delays (18,38).…”

Section: Reasons For Delaysmentioning

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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Patterns of delays amongst pulmonary tuberculosis patients in Lagos, Nigeria

Abstract: Background: Pulmonary tuberculosis continues to increase due to late patient presentation. The study was conducted at a chest clinic of a general hospital in Lagos, Nigeria, to investigate patterns of delays before treatment amongst tuberculosis patients.

Cited by 108 publications

References 5 publications

Commnity knowledge, attitudes and practices towards tberculosis and its treatment inMpwapwa District, central Tanzania

Commnity knowledge, attitudes and practices towards tberculosis and its treatment inMpwapwa District, central Tanzania

Health care seeking behavior and patient delay in tuberculosis diagnosis

Delays in the Diagnosis and Treatment of Pulmonary Tuberculosis

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