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Abstract - Delay in diagnosis of Pulmonary Tuberculosis: Study of factors related to patients and health care system in Rawalpindi, Pakistan
Usman Ali, Usama bin Zubair, Asma Ambreen, Husnain Yousaf, Fatima Kaleem, Kanwal Fatima Khalil

Delay in diagnosis of Pulmonary Tuberculosis: Study of factors related to patients and health care system

Usman Ali1, Usama Bin Zubair2, Asma Ambreen3, Husnain Yousaf4, Fatima Kaleem5, Kanwal Fatima Khalil6

1Department of Oncology, Fauji Foundation Hospital, Rawalpindi, Pakistan

2Department of Psychiatry Pakistan Institute of Medical Sciences, Islamabad, Pakistan

3Department of Medicine, Foundation University Medical College, Islamabad, Pakistan

4-MBBS, Department of Cardiology, Armed Forces Institute of Cardiology, Rawalpindi, Pakistan

5Department of Microbiology, Foundation University Medical College, Islamabad, Pakistan

6Department of Pulmonology, Foundation University Medical College, Islamabad, Pakistan

 

ABSTRACT

Objective: To find factors related with delayed diagnosis of pulmonary tuberculosis in patients presenting to the hospitals of Rawalpindi.

Methods: A cross sectional observation study was carried out in Benazir Bhutto Hospital, District head quarter Hospital, Fauji Foundation Hospital, Military Hospital and Holy Family Hospital, Rawalpindi from February 2016 to September 2016. A total of one hundred ninety patients of pulmonary tuberculosis were interviewed through convenient sampling by a formulated questionnaire.

Results: Mean total delay was 114.48 days whereas median total delay was 53.5 days. Mean patient delay was 33.25 days and mean health care delay was 81.23 days. On multivariate analysis unemployment was associated with patients delay whereas healthcare delay was associated with smear negative TB and patients self-realization that there is delay in diagnosis.

Conclusion: This study shows that there is a long delay in the diagnosis of pulmonary tuberculosis in our country. Unemployment is main factor related to patient delay. Improving TB knowledge and socio-economic status of individuals may help in the earlier diagnosis. Adequate training of healthcare workers in diagnosing smear negative TB and improvement in health care services may also help to reduce the long healthcare delays. J Microbiol Infect Dis 2017; 7(3):119-124

Keywords: delay; diagnosis; pulmonary tuberculosis

Volume 07, Number 03 (2017)