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Total delay and associated factors in pulmonary tuberculosis patients in Golestan province
BACKGROUND: Delay in diagnosis and treatment of TB is a critical component in TB control program which thereby spreading illness in the community. Sicnce Golestan province has the high risk with high rates of tuberculosis in the country, therefore, the analysis of the factors associated with treatme...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Babol University of Medical Sciences
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6992724/ https://www.ncbi.nlm.nih.gov/pubmed/32042389 http://dx.doi.org/10.22088/cjim.11.1.67 |
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author | Alipour, Nadia Sheikhi, Mahnaz Yazdani Charati, Jamshid Mohsenipouya, Hossein Shabankhani, Bizhan Rezaii, Mohammad Sadegh |
author_facet | Alipour, Nadia Sheikhi, Mahnaz Yazdani Charati, Jamshid Mohsenipouya, Hossein Shabankhani, Bizhan Rezaii, Mohammad Sadegh |
author_sort | Alipour, Nadia |
collection | PubMed |
description | BACKGROUND: Delay in diagnosis and treatment of TB is a critical component in TB control program which thereby spreading illness in the community. Sicnce Golestan province has the high risk with high rates of tuberculosis in the country, therefore, the analysis of the factors associated with treatment delay in this province for effective interventions and proper planning is considered necessary. METHODS: 689 patients documents of TB cases in the health department of Golestan University of Medical Sciences in 2016 were enrolled in this survey. The response variable in this study was having the delay or not (via determining the 34 day as cut-off point in the interval between the date of onset of the symptoms and the date of treatment start-up). The data were analyzed using SPSS 24 software and final significant level for multivariate logistic regression model was considered 0.05. RESULTS: Median (mean) treatment delay was calculated 49(77.75) days. In the current study 60.4% of patients had total delay greater than 34 days. In final model variables such as type of PTB (OR=0.645), contact history (patients who had no contact with TB patients (OR=1.441)) and patients who their contact history were unknown (OR=1.654)) had significant relationship with delay in starting treatment after 34 days of onset of symptoms of PTB patients in Golestan (p<0.05). CONCLUSION: It should beam emphasis on increasing the community's awareness of the symptoms of tuberculosis and effective collaboration should be made between the Infectious Disease Control Center and the private and public sectors. |
format | Online Article Text |
id | pubmed-6992724 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Babol University of Medical Sciences |
record_format | MEDLINE/PubMed |
spelling | pubmed-69927242020-02-10 Total delay and associated factors in pulmonary tuberculosis patients in Golestan province Alipour, Nadia Sheikhi, Mahnaz Yazdani Charati, Jamshid Mohsenipouya, Hossein Shabankhani, Bizhan Rezaii, Mohammad Sadegh Caspian J Intern Med Original Article BACKGROUND: Delay in diagnosis and treatment of TB is a critical component in TB control program which thereby spreading illness in the community. Sicnce Golestan province has the high risk with high rates of tuberculosis in the country, therefore, the analysis of the factors associated with treatment delay in this province for effective interventions and proper planning is considered necessary. METHODS: 689 patients documents of TB cases in the health department of Golestan University of Medical Sciences in 2016 were enrolled in this survey. The response variable in this study was having the delay or not (via determining the 34 day as cut-off point in the interval between the date of onset of the symptoms and the date of treatment start-up). The data were analyzed using SPSS 24 software and final significant level for multivariate logistic regression model was considered 0.05. RESULTS: Median (mean) treatment delay was calculated 49(77.75) days. In the current study 60.4% of patients had total delay greater than 34 days. In final model variables such as type of PTB (OR=0.645), contact history (patients who had no contact with TB patients (OR=1.441)) and patients who their contact history were unknown (OR=1.654)) had significant relationship with delay in starting treatment after 34 days of onset of symptoms of PTB patients in Golestan (p<0.05). CONCLUSION: It should beam emphasis on increasing the community's awareness of the symptoms of tuberculosis and effective collaboration should be made between the Infectious Disease Control Center and the private and public sectors. Babol University of Medical Sciences 2020 /pmc/articles/PMC6992724/ /pubmed/32042389 http://dx.doi.org/10.22088/cjim.11.1.67 Text en This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Alipour, Nadia Sheikhi, Mahnaz Yazdani Charati, Jamshid Mohsenipouya, Hossein Shabankhani, Bizhan Rezaii, Mohammad Sadegh Total delay and associated factors in pulmonary tuberculosis patients in Golestan province |
title | Total delay and associated factors in pulmonary tuberculosis patients in Golestan province |
title_full | Total delay and associated factors in pulmonary tuberculosis patients in Golestan province |
title_fullStr | Total delay and associated factors in pulmonary tuberculosis patients in Golestan province |
title_full_unstemmed | Total delay and associated factors in pulmonary tuberculosis patients in Golestan province |
title_short | Total delay and associated factors in pulmonary tuberculosis patients in Golestan province |
title_sort | total delay and associated factors in pulmonary tuberculosis patients in golestan province |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6992724/ https://www.ncbi.nlm.nih.gov/pubmed/32042389 http://dx.doi.org/10.22088/cjim.11.1.67 |
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