ArticleThe international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease2013
Prescribed and self-medication use increase delays in diagnosis of tuberculosis in the country of Georgia.
Article in The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Delay in diagnosis of pulmonary tuberculosis in low-and middle-income settings: systematic review and meta-analysis.BMC pulmonary medicine · 2017Pooled it
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- Total, Patient and System Diagnostic Delays for Pulmonary Bacilliferous Tuberculosis in the Six Diagnostic and Treatment Centers in the Five Health Districts of the Central Region, Burkina Faso, 2018.Journal of epidemiology and global health · 2022Article
- Duration and Determinants of Delayed Diagnosis with Tuberculosis in Shenzhen, China: A Cross-Sectional Study.Risk management and healthcare policy · 2022Article
- Impact of Protracted Displacement on Delay in the Diagnosis Associated with Treatment Outcomes: A Cross-Sectional Study in Internally Displaced Tuberculosis Patients of Pakistan.International journal of environmental research and public health · 2021Article
- Delayed diagnosis of tuberculosis in persons living with HIV in Eastern Europe: associated factors and effect on mortality-a multicentre prospective cohort study.BMC infectious diseases · 2021Article
- Community drivers of tuberculosis diagnostic delay in Kampala, Uganda: a retrospective cohort study.BMC infectious diseases · 2021Article
- Delays in diagnosing pulmonary tuberculosis within a context of medium incidence, Medellín, Colombia, 2017: an operational research.BMC public health · 2020Article
- Factors associated with treatment initiation delay among new adult pulmonary tuberculosis patients in Tigray, Northern Ethiopia.PloS one · 2020Article
- Private primary health care provider delay in tuberculosis diagnosis and treatment in Georgia.Public health action · 2019Article
- Helicobacter pylori antimicrobial resistance and antibiotic consumption in the low-resource Central America setting.Helicobacter · 2019Article
- Delays to anti-tuberculosis treatment intiation among cases on directly observed treatment short course in districts of southwestern Ethiopia: a cross sectional study.BMC infectious diseases · 2019Article
- Explaining patient delay in healthcare seeking and loss to diagnostic follow-up among patients with presumptive tuberculosis in Tanzania: a mixed-methods study.BMC health services research · 2019Article
- A population-based tuberculosis contact investigation in the country of Georgia.Public health action · 2018Article
- Delays to treatment initiation is associated with tuberculosis treatment outcomes among patients on directly observed treatment short course in Southwest Ethiopia: a follow-up study.BMC pulmonary medicine · 2018Article
- Do retreatment tuberculosis patients need special treatment response follow-up beyond the standard regimen? Finding of five-year retrospective study in pastoralist setting.BMC infectious diseases · 2017Article
- Diagnostic delay and associated factors among patients with pulmonary tuberculosis in Dar es Salaam, Tanzania.Infectious diseases of poverty · 2017Article
- The prevalence and associated factors for delayed presentation for HIV care among tuberculosis/HIV co-infected patients in Southwest Ethiopia: a retrospective observational cohort.Infectious diseases of poverty · 2016Article
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Authors and funding
5 authors.
Funding
Abstract
settingGeorgia has a high burden of tuberculosis (TB), including multidrug-resistant TB. Enhancing early diagnosis of TB is a priority to reduce transmission.
objectiveTo quantify delays in TB diagnosis and identify risk factors for delay in the country of Georgia.
designIn a cross-sectional study, persons with newly diagnosed, culture-confirmed pulmonary TB were interviewed within 2 months of diagnosis and medical and laboratory records were abstracted.
resultsAmong 247 persons enrolled, the mean and median total TB diagnostic delay was respectively 89.9 and 59.5 days. The mean and median patient delay was 56.2 and 23.5 days, while health care system delay was 33.7 and 14.0 days. In multivariable analysis, receipt of a medication prior to TB diagnosis was associated with increased overall diagnostic delay (adjusted odds ratio [aOR] 2.28, 95%CI 1.09-4.79); antibiotic use prior to diagnosis increased the risk of prolonged health care delay (aOR 4.16, 95%CI 1.97-8.79). TB cases who had increased patient-related diagnostic delay were less likely to have prolonged health care diagnostic delay (aOR 0.38, 95%CI 0.19-0.74).
conclusionProlonged delays in detecting TB are common in Georgia. Interventions addressing the misuse of antibiotics and targeting groups at risk for prolonged delay are warranted to reduce diagnostic delays and enhance TB control.
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