Patterns of delays amongst pulmonary tuberculosis patients in Lagos, Nigeria.
Patterns of delays amongst pulmonary tuberculosis patients in Lagos, Nigeria.
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DOI：
10.1186/1471-2458-4-18
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发表时间：
2004-05-29
影响因子：
4.5
通讯作者：
Babafemi JO
中科院分区：
文献类型：
--
作者：
Odusanya OO;Babafemi JO
由于患者就诊时间较晚，肺结核病例持续增加。这项研究是在尼日利亚拉各斯一家综合医院的胸科诊所进行的，目的是调查结核病患者在治疗前延误的模式。采用卫生工作者实施的方案进行纵向招募，以确定从出现症状到开始治疗的时间间隔。在症状出现30天后到卫生机构就诊被归类为患者延误。医生延迟是指患者在转诊医生那里停留超过15天。共招募了141名患者。平均年龄(29.5±11.0)岁，男性89例(63%)，女性52例(37%)。116例(82%)涂片阳性。117人(83%)在症状出现后延迟向卫生机构寻求帮助超过一个月。患者延误中位数为8周，医生延误中位数为1周，治疗延误中位数为1周，总延误中位数为10周。有19例(13%)患者延迟就诊。患者延误是观察到的最常见的延误类型，也是总体延误的主要因素。患者延误与患者的社会人口学特征，如年龄、性别和教育水平没有显著相关性。该中心的大多数结核病患者没有及早到卫生机构就诊，继续成为感染源。对患者进行有关疾病的教育可能有助于减少开始治疗的延误。
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. Longitudinal recruitment using a health worker administered protocol to determine time interval from onset of symptoms to initiation of treatment. Presentation to a health facility after 30 days of the onset of symptoms was classified as patient delay. Doctor delay was when patients stayed for more than 15 days with the referring doctor. One hundred and forty-one patients were recruited. The mean age was 29.5 ± 11.0 years, 89 (63%) were males and 52 (37%) were females. One hundred and sixteen (82%) had positive smears. One hundred and seventeen (83%) delayed their seeking help from health facilities longer than one month after the onset of symptoms. The median patient delay was eight weeks; median doctor delay was one week, median treatment delay was one week and the median total delay was 10 weeks. Doctor delay was observed in 19 (13%) patients. Patient delay was the most frequent type of delay observed and was the major contributor to the overall total delay. Patient delay was not significantly associated with patients' socio-demographic characteristics such as age, gender and educational level. Majority of TB patients at this centre did not present early to health facilities and continue to serve as reservoirs of infection. Patient education on the disease may help reduce delays in starting treatment.
影响因子：
3.3
作者：
Auer, C;Sarol, J;Weiss, M
通讯作者：
Weiss, M
影响因子：
4.5
作者：
Demissie, M;Lindtjorn, B;Berhane, Y
通讯作者：
Berhane, Y
DOI：
10.1016/s0035-9203(02)90328-7
发表时间：
2002-11-01
影响因子：
2.2
作者：
Enwuru, CA;Idigbe, EO;Otegbeye, AF
通讯作者：
Otegbeye, AF