Delays in diagnosis and treatment of pulmonary tuberculosis in India: a systematic review.
Delays in diagnosis and treatment of pulmonary tuberculosis in India: a systematic review.
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DOI：
10.5588/ijtld.13.0585
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发表时间：
2014-03
期刊：
影响因子：
--
通讯作者：
Pai M
中科院分区：
文献类型：
--
作者：
Sreeramareddy CT;Qin ZZ;Satyanarayana S;Subbaraman R;Pai M
系统回顾印度有关结核病诊断和治疗延误的文献。我们检索了多个来源的关于肺结核和胸部症状患者延迟的研究。如果报告了任何延迟的数字数据，则纳入研究。患者延迟定义为症状发作与患者首次与医疗保健提供者接触之间的时间间隔。诊断延迟定义为首次咨询医疗保健提供者和诊断之间的时间间隔。治疗延迟定义为诊断和开始抗结核治疗之间的时间间隔。总延迟定义为从症状发作至治疗开始的时间间隔。在确定的541篇潜在引文中，23篇研究符合我们的纳入标准。纳入的研究对症状发作和延迟使用了各种定义。合并结核和胸部症状患者的患者、诊断和治疗延迟的中位数（IQR）估计值分别为18.4（14.3-27.0）、31.0（24.5-35.4）和2.5天（1.9-3.6）。中位总延迟为55.3天（46.5-61.5）。大约48%的患者首先咨询私人提供者，平均2.7个医疗保健提供者在诊断前咨询。第一次咨询的提供者的数量和类型是最重要的延误风险因素。这些发现强调了开发新策略的必要性，以减少患者和诊断延迟，并吸引首次接触的医疗保健提供者。
To systematically review Indian literature on delays in TB diagnosis and treatment. We searched multiple sources for studies on delays in pulmonary TB and chest symptomatic patients. Studies were included if numeric data on any delay were reported. Patient delay was defined as the time interval between onset of symptoms and the patient’s first contact with a healthcare provider. Diagnostic delay was defined as the time interval between the first consultation with a healthcare provider and diagnosis. Treatment delay was defined as the time interval between diagnosis and initiation of anti-TB treatment. Total delay was defined as time interval from the onset of symptoms until treatment initiation. Among 541 potential citations identified, 23 studies met our inclusion criteria. Included studies used a variety of definitions for onset of symptoms and delays. Median (IQR) estimates of patient, diagnostic and treatment delay were 18.4 (14.3-27.0), 31.0 (24.5-35.4) and 2.5 days (1.9-3.6), respectively, for TB and chest symptomatic patients combined. The median total delay was 55.3 days (46.5-61.5). About 48% of all patients first consulted private providers and 2.7 healthcare providers, on average, were consulted before diagnosis. Number and type of provider first consulted were the most important risk factors for delay. These findings underscore the need to develop novel strategies for reducing patient and diagnostic delays and engaging first-contact healthcare providers.
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影响因子：
4.5
作者：
Pradhan A;Kielmann K;Gupte H;Bamne A;Porter JD;Rangan S
通讯作者：
Rangan S
影响因子：
3.7
作者：
Kapoor SK;Raman AV;Sachdeva KS;Satyanarayana S
通讯作者：
Satyanarayana S
DOI：
10.5588/ijtld.12.0573
发表时间：
2013-07
期刊：
The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease
影响因子：
--
作者：
Dowdy DW;Dye C;Cohen T
通讯作者：
Cohen T
影响因子：
3.7
作者：
Charles, Niruparani;Thomas, Beena;Wares, Fraser
通讯作者：
Wares, Fraser
“我们首先去小型医生”：第一次接触印度安得拉邦和奥里萨邦农村社区寻求的治疗卫生保健。
DOI：
10.4103/0971-5916.90987
发表时间：
2011-11
期刊：
The Indian journal of medical research
影响因子：
--
作者：
Gautham M;Binnendijk E;Koren R;Dror DM
通讯作者：
Dror DM