Literature DB >> 27869926

[Delay in tuberculosis diagnosis in adults in a city of São Paulo State, Brazil, in 2009: a cross-sectional study].

Maria Amélia Zanon Ponce1, Anneliese Domingues Wysocki2, Tiemi Arakawa3, Rubia Laine de Paula Andrade3, Silvia Helena Figueiredo Vendramini4, Reinaldo Antônio da Silva Sobrinho5, Aline Aparecida Monroe3, Antonio Ruffino Netto6, Tereza Cristina Scatena Villa3.   

Abstract

OBJECTIVE: to evaluate patient and health service characteristics associated with tuberculosis (TB) diagnosis delay.
METHODS: this was a cross-sectional study conducted in São José do Rio Preto-SP in 2009; the 'entry point' and 'access to diagnosis' dimensions of the Primary Care Assessment Tool (PCAT) were selected to analyze patient and HS delay.
RESULTS: 99 TB patients were included in the study; the median time related to patient and HS delay was 15 days; delay in seeking services was lower among smokers (PR= 0.71; 95%CI 0.54;0.94) and alcohol users (PR=0.75; 95%CI 0.57;0.99); TB diagnosis delay was related to not being able to get a medical appointment on the same day (PR=1.63; 95%CI 1.22;2.18), TB not being suspected (PR=2.07; 95%CI 1.18;3.62) and seeking care in health services four times or more (PR=2.34; 95%CI 1.55;3.53).
CONCLUSION: delay in seeking care was lower among smokers and alcohol users; shortcomings in access to diagnosis characterized health services delay.

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Mesh:

Year:  2016        PMID: 27869926     DOI: 10.5123/S1679-49742016000300011

Source DB:  PubMed          Journal:  Epidemiol Serv Saude        ISSN: 1679-4974


  3 in total

1.  Factors associated with tuberculosis treatment delay in patients co-infected with HIV in a high prevalence area in Brazil.

Authors:  Betânia M F Nogueira; Valéria C Rolla; Kevan M Akrami; Susan M Kiene
Journal:  PLoS One       Date:  2018-04-06       Impact factor: 3.240

2.  Impact of the GeneXpert® MTB/RIF rapid molecular test on tuberculosis detection: temporal trends and vulnerable territories.

Authors:  Thaís Zamboni Berra; Alexandre Tadashi Inomata Bruce; Yan Mathias Alves; Antônio Carlos Vieira Ramos; Clóvis Luciano Giacomet; Ricardo Alexandre Arcêncio
Journal:  Rev Lat Am Enfermagem       Date:  2021-07-19

3.  Factors associated with hospitalization and death among TB/HIV co-infected persons in Porto Alegre, Brazil.

Authors:  Maíra Rossetto; Évelin Maria Brand; Renata Mendonça Rodrigues; Laura Serrant; Luciana Barcellos Teixeira
Journal:  PLoS One       Date:  2019-01-02       Impact factor: 3.240

  3 in total

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