ArticleBMC infectious diseases2012
Factors associated with delayed diagnosis of tuberculosis in hospitalized patients in a high TB and HIV burden setting: a cross-sectional study.
Article in BMC infectious diseases, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
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21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.
- Duration and determinants of delayed tuberculosis diagnosis and treatment in high-burden countries: a mixed-methods systematic review and meta-analysis.Respiratory research · 2021Pooled it
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- Pediatric Tuberculosis Outside a Specialized TB Center: Clinical Presentation, Diagnostic Pathways, and Factors Associated with Microbiological Confirmation in a Romanian Tertiary Hospital.Microorganisms · 2026Article
- Patient-related diagnostic delay and risk of unfavorable treatment outcomes among pulmonary tuberculosis patients at the antituberculosis center of Brazzaville, Republic of Congo.Scientific reports · 2026Article
- Lived experiences of women suffering from Tuberculosis in Kashmir: an interpretative phenomenological study.Frontiers in global women's health · 2025Article
- Factors associated with deaths by tuberculosis in the state of Mato Grosso, 2011-2020: retrospective cohort study.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2024Article
- EBUS-GS with the GeneXpert MTB/RIF assay for diagnosis of Mycobacterium tuberculosis infection of isolated pulmonary nodules.European journal of medical research · 2023Article
- Medical Interns' Knowledge, Attitude, and Practice Toward People Living with HIV: Multicenter Experience from Saudi Arabia.HIV/AIDS (Auckland, N.Z.) · 2023Article
- Evaluation of the use of GeneXpert MTB/RIF in a zone with high burden of tuberculosis in Thailand.PloS one · 2022Article
- Characteristics and risk factors associated with missed diagnosis in patients with smear-negative pulmonary tuberculosis.The Korean journal of internal medicine · 2021Article
- A descriptive study of smear negative pulmonary tuberculosis in a high HIV burden patient's population in North Central Nigeria.PloS one · 2020Article
- Health care seeking delay among pulmonary tuberculosis patients in North West zone of Tigrai region, North Ethiopia.BMC infectious diseases · 2019Article
- Modeling the impact of novel diagnostic tests on pediatric and extrapulmonary tuberculosis.BMC infectious diseases · 2014Article
- Prevalence of national treatment algorithm defined smear positive pulmonary tuberculosis in HIV positive patients in Brazzaville, Republic of Congo.BMC research notes · 2014Article
- Treatment pathways of extrapulmonary patients diagnosed at a tertiary care hospital in Delhi, India.Lung India : official organ of Indian Chest Society · 2014Article
- Patient Reported Delays in Seeking Treatment for Tuberculosis among Adult and Pediatric TB Patients and TB Patients Co-Infected with HIV in Lima, Peru: A Qualitative Study.Frontiers in public health · 2014Article
- Delayed diagnosis and associated factors among new pulmonary tuberculosis patients diagnosed at the emergency department of a tertiary care hospital in Porto Alegre, South Brazil: a prospective patient recruitment study.BMC infectious diseases · 2013Article
- Impact of Xpert MTB/RIF testing on tuberculosis management and outcomes in hospitalized patients in Uganda.PloS one · 2012Article
- Association between the radiological presentation and elapsed time for the diagnosis of pulmonary tuberculosis in the emergency department of a university hospital.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e TisilogiaObservational
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3 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThe most essential components of TB control are early diagnosis and adequate treatment. Delay in the diagnosis and treatment of tuberculosis may result in more extensive disease and more complications, increase severity of the disease and is associated with higher risk of mortality. The purpose of this study was to identify factors associated with delayed diagnosis of TB in hospitalized patients.
methodsWe conducted a cross-sectional study in a general, tertiary care, university-affiliated hospital. Adult patients with TB that were hospitalized were identified retrospectively, and risk factors for delayed diagnosis were collected.
resultsThe median delay until diagnosis was 6 days (IQR: 2-12 days). One hundred and sixty six (54.4%) patients were diagnosed ≤ 6 days, and 139 (45.6%) > 6 days after admission. The main factors associated with diagnostic delay (> 6 days) were extra-pulmonary TB and negative sputum smear.
conclusionsAlthough hospitalization permits a rapid management of the patient and favors a faster diagnosis, we found an unacceptable time delay before the diagnosis of pulmonary TB was made. Future studies should focus on attempt to explain the reasons of diagnostic retard in the patients with the characteristics related to delay in this study.
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