Delay in treatment of pulmonary tuberculosis in Jawaharial Nehru Medical Hospital, Aligarh, India
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2551
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Suri, Javvad, Sukhontha Siri, สุคนธา ศิริ, Kanokrat Siripanichgon, กนกรัตน์ ศิริพานิชกร (2551). Delay in treatment of pulmonary tuberculosis in Jawaharial Nehru Medical Hospital, Aligarh, India. Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/63612.
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Delay in treatment of pulmonary tuberculosis in Jawaharial Nehru Medical Hospital, Aligarh, India
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Abstract
Objective : The objectives of this study was to measure patients’ and healthcare providers’ delays in the treatment of newly diagnosed pulmonary tuberculosis (PTB) patients and factors associated with their delays in Jawaharial Nehru Medical College Hospital (JNMCH), Aligarh, India.
Method : A hospital based survey using structured questionnaires was conducted from February to March, 2008 at Department of TB and Respiratory Diseases. A total of 121 PTB patients were randomly sampled and interviewed. In addition, the patient’s diagnosis of PTB and laboratory investigations was reviewed from the patient’s hospital record.
Result : The median patients’ delay and healthcare providers’ delay were 30 and 12 days, respectively. The patient’s delay was found in 47.9% and healthcare providers’ delay was 45.5% of the patients. Patients’ delay was significantly associated with patient’s smoking (p=0.017). About 76% of patients who currently smoke had patients’ delay, compared to 41.6% of non smoker. While result of sputum smear (p<0.001) and diagnostic investigations (p<0.001) were significantly associated with healthcare provider’s delay, 67.4% (31/46) of sputum negative cases and 70% (28/40) of those given the diagnosis of PTB by chest X-ray only had healthcare providers’ delay. Sputum culture was not done in all cases.
Conclusion : Patients’ delay in this study was longer than those of other countries in Asia, thus raising patient’s awareness of PTB through effective health campaign and media would help to decrease the delay. Increase bacteriological evidence such as repeating sputum exams among sputum negative in support of chest X-ray could improve the diagnosis and treatment delay.
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การประชุมวิชาการสาธารณสุขแห่งชาติ ครั้งที่ 12 คณะสาธารณสุขศาสตร์ มหาวิทยาลัยมหิดล ภาวะโลกร้อนผลกระทบต่อสุขภาพและความรับผิดชอบ: Global warming: health impact and responsibilities, 20-22 สิงหาคม 2551 โรงแรมแอมบาสซาเดอร์ กรุงเทพมหานคร. กรุงเทพฯ: คณะสาธารณสุขศาสตร์ มหาวิทยาลัยมหิดล, 2551. หน้า 78.