Reasons for the delay in the initiation of treatment and initial default among drug-resistant tuberculosis patients in Ahmedabad corporation area
The emergence of drug-resistant tuberculosis (DR-TB) has become a significant health problem in India. Delays in diagnosis and treatment initiation are frequently observed among patients with DR-TB, resulting in an increased risk of disease complications and high mortality and pretreatment lost to f...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2019-01-01
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| Series: | Indian Journal of Public Health |
| Subjects: | |
| Online Access: | http://www.ijph.in/article.asp?issn=0019-557X;year=2019;volume=63;issue=4;spage=377;epage=379;aulast=Bhagyalaxmi |
| _version_ | 1818260905789489152 |
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| author | A Bhagyalaxmi Shikha Jain Parimal Patel Divya Barot |
| author_facet | A Bhagyalaxmi Shikha Jain Parimal Patel Divya Barot |
| author_sort | A Bhagyalaxmi |
| collection | DOAJ |
| description | The emergence of drug-resistant tuberculosis (DR-TB) has become a significant health problem in India. Delays in diagnosis and treatment initiation are frequently observed among patients with DR-TB, resulting in an increased risk of disease complications and high mortality and pretreatment lost to follow-up rates. To understand the factors associated with delays between the diagnosis and treatment, the study was carried out in Ahmedabad Municipal Corporation Area. A total of 177 DR-TB patients diagnosed in the year 2014 who had a delay in the initiation of treatment, and 23 initial defaulters were studied using a structured questionnaire. Fifty-four DOTS providers were also interviewed. Of 177 patients, 62.15% initiated treatment between 7 and 15 days and nearly 12% of them started the treatment after a month. The median duration of delay was 12 days (range: 8–144 days and interquartile range: 9–20 days). The most common reason for the delay in the initiation and initial default was the social and personal factors (48.80%), and in 34 (20%) of the patients, the delay was attributed to the effect of the previous treatment. |
| first_indexed | 2024-12-12T18:38:46Z |
| format | Article |
| id | doaj.art-460ec3bda2484d9781ecce257bcc9b1d |
| institution | Directory Open Access Journal |
| issn | 0019-557X |
| language | English |
| last_indexed | 2024-12-12T18:38:46Z |
| publishDate | 2019-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Public Health |
| spelling | doaj.art-460ec3bda2484d9781ecce257bcc9b1d2022-12-22T00:15:42ZengWolters Kluwer Medknow PublicationsIndian Journal of Public Health0019-557X2019-01-0163437737910.4103/ijph.IJPH_26_19Reasons for the delay in the initiation of treatment and initial default among drug-resistant tuberculosis patients in Ahmedabad corporation areaA BhagyalaxmiShikha JainParimal PatelDivya BarotThe emergence of drug-resistant tuberculosis (DR-TB) has become a significant health problem in India. Delays in diagnosis and treatment initiation are frequently observed among patients with DR-TB, resulting in an increased risk of disease complications and high mortality and pretreatment lost to follow-up rates. To understand the factors associated with delays between the diagnosis and treatment, the study was carried out in Ahmedabad Municipal Corporation Area. A total of 177 DR-TB patients diagnosed in the year 2014 who had a delay in the initiation of treatment, and 23 initial defaulters were studied using a structured questionnaire. Fifty-four DOTS providers were also interviewed. Of 177 patients, 62.15% initiated treatment between 7 and 15 days and nearly 12% of them started the treatment after a month. The median duration of delay was 12 days (range: 8–144 days and interquartile range: 9–20 days). The most common reason for the delay in the initiation and initial default was the social and personal factors (48.80%), and in 34 (20%) of the patients, the delay was attributed to the effect of the previous treatment.http://www.ijph.in/article.asp?issn=0019-557X;year=2019;volume=63;issue=4;spage=377;epage=379;aulast=Bhagyalaxmidefaulterdelaydrug resistanttreatmenttuberculosis |
| spellingShingle | A Bhagyalaxmi Shikha Jain Parimal Patel Divya Barot Reasons for the delay in the initiation of treatment and initial default among drug-resistant tuberculosis patients in Ahmedabad corporation area Indian Journal of Public Health defaulter delay drug resistant treatment tuberculosis |
| title | Reasons for the delay in the initiation of treatment and initial default among drug-resistant tuberculosis patients in Ahmedabad corporation area |
| title_full | Reasons for the delay in the initiation of treatment and initial default among drug-resistant tuberculosis patients in Ahmedabad corporation area |
| title_fullStr | Reasons for the delay in the initiation of treatment and initial default among drug-resistant tuberculosis patients in Ahmedabad corporation area |
| title_full_unstemmed | Reasons for the delay in the initiation of treatment and initial default among drug-resistant tuberculosis patients in Ahmedabad corporation area |
| title_short | Reasons for the delay in the initiation of treatment and initial default among drug-resistant tuberculosis patients in Ahmedabad corporation area |
| title_sort | reasons for the delay in the initiation of treatment and initial default among drug resistant tuberculosis patients in ahmedabad corporation area |
| topic | defaulter delay drug resistant treatment tuberculosis |
| url | http://www.ijph.in/article.asp?issn=0019-557X;year=2019;volume=63;issue=4;spage=377;epage=379;aulast=Bhagyalaxmi |
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