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Open AccessJournal ArticleDOI

Delay in the diagnosis of tuberculosis in Nepal

TLDR
Total delay in the diagnosis of tuberculosis in Banke district is shorter compared to other places in Nepal and neighbouring countries, and raises suspicion that many of these patients are not examined according to the NTP manual before being diagnosed.
Abstract
Background Identifying reasons for delay in diagnosis and treatment of tuberculosis is important for the health system to find ways to treat patients as early as possible, and hence reduce the suffering of patients and transmission of the disease. The objectives of this study was to assess the duration of delay in the diagnosis of tuberculosis and to investigate its determinants.

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Citations
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Journal ArticleDOI

Delay in diagnosis of pulmonary tuberculosis in low-and middle-income settings: systematic review and meta-analysis

TL;DR: The meta-analysis showed 42% of pulmonary tuberculosis patients delayed seeking care by a month or more; uneducated patients and those who sought initial care from informal providers had higher odds of patient delay, and efforts to develop new strategies for better case-finding and improving patients’ care seeking behavior need to be intensified.
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Factors associated with patient and provider delays for tuberculosis diagnosis and treatment in Asia: a systematic review and meta-analysis.

TL;DR: Male, unemployed, rural residence, low income, hemoptysis, positive sputum smear, and long travel time/distance significantly correlated with patient delay, and consultation at a public hospital were related to provider delay.
Journal ArticleDOI

Factors associated with DELAY in diagnosis among tuberculosis patients in Hohoe Municipality, Ghana

TL;DR: There is a considerable delay in TB case detection mainly due to patients delay in seeking healthcare, and the factors associated with patients’ delay include lack of medical insurance, perceived stigma, and making multiple healthcare encounters.
Journal ArticleDOI

Barriers and Delays in Tuberculosis Diagnosis and Treatment Services: Does Gender Matter?

TL;DR: Barriers and delays at the individual and provider/system levels using a conceptual framework of the TB care continuum were defined and gender-related differences were examined and found women experienced greater barriers and longer delays than men.
Journal ArticleDOI

Effect of Diagnostic and Treatment Delay on the Risk of Tuberculosis Transmission in Shenzhen, China: An Observational Cohort Study, 1993–2010

TL;DR: Delayed diagnosis and treatment of tuberculosis is associated with a significantly increased risk of pulmonary sputum smear positivity and pulmonary cavity and to decrease risk of transmission, treatment delay needs to be reduced further.
References
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Global tuberculosis control: surveillance planning financing. WHO report 2003.

TL;DR: In this paper, the authors argue that if the current rate of DOTS expansion in maintained the 70% detection target will not be reached by 2005, if that target is ever to be reached DOTS programmes must improve case finding within designated DOTS areas and must expand to new areas.

Global tuberculosis control: surveillance planning financing. WHO report 2008.

TL;DR: The latest assessment of the epidemiological burden of TB as well as progress towards targets for global TB control that have been established within the context of the Millennium Development Goals (MDGs) and by the World Health Assembly (WHA) and Stop TB Partnership are presented.
Journal ArticleDOI

Patient and health service delay in the diagnosis of pulmonary tuberculosis in Ethiopia

TL;DR: The time before diagnosis in TB patients was long and appears to be associated with patient inadequate knowledge of TB treatment and distance to the health centre.
Journal Article

Factors associated with patient and health system delays in the diagnosis of tuberculosis in South India

TL;DR: Public awareness about chest symptoms and the availability of free diagnostic services should be increased and government and private physicians should be educated to be aware about the possibility of tuberculosis when examining out-patients.
Journal Article

Delay in tuberculosis case-finding and treatment in Mwanza, Tanzania.

TL;DR: There are significant delays in case-finding in Mwanza, Tanzania, with prolonged patient's delay, and Facilitation of utilisation of health services, raising awareness of the disease and incorporation of private practice into tuberculosis control could help to reduce these delays.
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Smokers using >5 cigarettes per day had higher risk of patient delay and health system delay. Total delay in the diagnosis of tuberculosis in Banke district is shorter compared to other places in Nepal and neighbouring countries.