Risk factors for treatment delay in pulmonary tuberculosis in Recife, Brazil

Santos, Martinho A P S dos; Albuquerque, M. F. P. M.; Ximenes, Ricardo A. A.; Lucena‐Silva, Norma; Braga, Cynthia; Campelo, Antônio Roberto Leite; Dantas, Odimariles M S; Montarroyos, Ulísses Ramos; Souza, Wayner Vieira de; Kawasaki, Alexandre M; Rodrigues, Laura C.

doi:10.1186/1471-2458-5-25

Cited by 70 publications

(72 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Slightly more women in our study delayed seeking TB care than did men but the difference was not significant. More women than men delayed in a study in Yemen [21]; but not in reports from Armenia and Brazil [24,25]. Patients living in rural areas were significantly more likely to delay than those living in urban areas [26].…”

Section: Discussionmentioning

confidence: 99%

Factors associated with patient delay in accessing pulmonary tuberculosis care, Gezira State, Sudan, 2009

Mohamed

Abdalla²,

Khamis³

et al. 2013

East Mediterr Health J

View full text Add to dashboard Cite

Analyses of patient delays in seeking treatment for tuberculosis (TB) provide useful evidence for national TB control programmes. The objectives of this study in Gezira State, Sudan were to estimate the extent of, and factors associated with, pulmonary TB patient delay in accessing care. A cross-sectional phase was conducted to determine the length of delay, followed by a nested case-control phase comparing patients delaying above or below the median time. The mean patient delay was 27.2 days, median 4 days (range 0-365 days). There were no significant differences between case and control groups in terms of age, sex, marital status, educational level or smoking status. However, patients living in urban areas, with low income status and who were housewives or unemployed were more likely to delay. Also patients with a history of contact with a TB patient, those who suspected TB and those with a history of chronic obstructive pulmonary disease were more likely to delay.

show abstract

Section: Discussionmentioning

confidence: 99%

Factors associated with patient delay in accessing pulmonary tuberculosis care, Gezira State, Sudan, 2009

Mohamed

Abdalla²,

Khamis³

et al. 2013

East Mediterr Health J

View full text Add to dashboard Cite

show abstract

“…The radiographic manifestations of TB/HIV co-infection depend on the degree of immunosuppression. In those individuals with CD4 counts ture (after CT evaluation) shows the following: pleocytosis (rarely > 1,000 cells/mm 3 ); leukocyte counts ranging from 100 to 500/mm 3 , with a predominance of lymphocytes; high protein levels (100 to 500 mg%); and low glucose levels (< 40 mg%). The differential diagnosis should be causes of lymphocytic meningitis, and clinical suspicion, epidemiological history, and evaluation of the immunological status of the patients are essential.…”

Section: Diagnosis Of Extrapulmonary Tbmentioning

confidence: 99%

III Diretrizes para Tuberculose da Sociedade Brasileira de Pneumologia e Tisiologia

Conde¹,

Melo²,

Marques³

et al. 2009

J. bras. pneumol.

182

161

View full text Add to dashboard Cite

New scientific articles about tuberculosis (TB) are published daily worldwide. However, it is difficult for health care workers, overloaded with work, to stay abreast of the latest research findings and to discern which information can and should be used in their daily practice on assisting TB patients. The purpose of the III Brazilian Thoracic Association (BTA) Guidelines on TB is to critically review the most recent national and international scientific information on TB, presenting an updated text with the most current and useful tools against TB to health care workers in our country. The III BTA Guidelines on TB have been developed by the BTA Committee on TB and the TB Work Group, based on the text of the II BTA Guidelines on TB (2004). We reviewed the following databases: LILACS (SciELO) and PubMed (Medline). The level of evidence of the cited articles was determined, and 24 recommendations on TB have been evaluated, discussed by all of the members of the BTA Committee on TB and of the TB Work Group, and highlighted. The first version of the present Guidelines was posted on the BTA website and was available for public consultation for three weeks. Comments and critiques were evaluated. The level of scientific evidence of each reference was evaluated before its acceptance for use in the final text.Keywords: Tuberculosis; Mycobacterium infections; Diagnosis; Tuberculosis, multidrug-resistant. ResumoDiariamente novos artigos científicos sobre tuberculose (TB) são publicados em todo mundo. No entanto, é difícil para o profissional sobrecarregado na rotina de trabalho acompanhar a literatura e discernir o que pode e deve ser aplicado na prática diária juntos aos pacientes com TB. A proposta das "III Diretrizes para TB da Sociedade Brasileira de Pneumologia e Tisiologia (SBPT)" é revisar de forma crítica o que existe de mais recente na literatura científica nacional e internacional sobre TB e apresentar aos profissionais da área de saúde as ferramentas mais atuais e úteis para o enfrentamento da TB no nosso país. As atuais "III Diretrizes para TB da SBPT" foram desenvolvidas pela Comissão de TB da SBPT e pelo Grupo de Trabalho para TB a partir do texto das "II Diretrizes para TB da SBPT" (2004). As bases de dados consultadas foram LILACS (SciELO) e PubMed (Medline). Os artigos citados foram avaliados para determinação do nível de evidência científica, e 24 recomendações sobre TB foram avaliadas, discutidas por todo grupo e colocadas em destaque. A primeira versão das "III Diretrizes para TB da SBPT" foi colocada no website da SBPT para consulta pública durante três semanas, e as sugestões, críticas e o nível de evidência da referência científica que as embasavam foram avaliados e discutidos antes de serem incorporadas ou não ao texto final.Descritores: Tuberculose; Infecções por Mycobacterium; Diagnóstico; Tuberculose resistente a múltiplos medicamentos.

show abstract

“…Previous studies have shown that a delay in diagnosis is closely related to poor access to health care 8,9 . Despite TB control programs' recommendation that diagnosis should be made at the primary health care level, most patients are still diagnosed in hospitals.…”

Section: Introductionmentioning

confidence: 99%

Health care seeking behavior and patient delay in tuberculosis diagnosis

2015

View full text Add to dashboard Cite

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.

show abstract

Risk factors for treatment delay in pulmonary tuberculosis in Recife, Brazil

Cited by 70 publications

References 9 publications

Factors associated with patient delay in accessing pulmonary tuberculosis care, Gezira State, Sudan, 2009

Factors associated with patient delay in accessing pulmonary tuberculosis care, Gezira State, Sudan, 2009

III Diretrizes para Tuberculose da Sociedade Brasileira de Pneumologia e Tisiologia

Health care seeking behavior and patient delay in tuberculosis diagnosis

Contact Info

Product

Resources

About