Missed Tuberculosis Investigations and Associated Factors in Patients with Symptoms Indicative of Tuberculosis at Public Health Institutions in Northwest Ethiopia: The Application of a Negative Binomial Model
Mulusew Andualem Asemahagn School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, EthiopiaCorrespondence: Mulusew Andualem Asemahagn, Email muler.hi@gmail.comBackground: Tuberculosis (TB) remains one of the top health problems in Ethiopia, and over one-thi...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2022-04-01
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| Series: | Infection and Drug Resistance |
| Subjects: | |
| Online Access: | https://www.dovepress.com/missed-tuberculosis-investigations-and-associated-factors-in-patients--peer-reviewed-fulltext-article-IDR |
| _version_ | 1818276247800643584 |
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| author | Asemahagn MA |
| author_facet | Asemahagn MA |
| author_sort | Asemahagn MA |
| collection | DOAJ |
| description | Mulusew Andualem Asemahagn School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, EthiopiaCorrespondence: Mulusew Andualem Asemahagn, Email muler.hi@gmail.comBackground: Tuberculosis (TB) remains one of the top health problems in Ethiopia, and over one-third of estimated TB cases remain undetected. This study examined the magnitude and factors of missed opportunities for TB investigation at public health facilities in Northwest Ethiopia.Methods: A facility-based cross-sectional study was conducted among 412 adult patients with TB symptoms from 34 randomly selected public health facilities. Data on socio-demographics, TB symptoms, and clinical status were collected by an exit interview. A patient was considered missed for TB investigation if he/she had at least one symptom suggestive of TB but did not receive a sputum smear and/or x-ray evaluation to rule out TB. We computed descriptive and analytical statistics using SPSS version 26. A negative binomial regression analysis was used to identify factors associated with missed opportunities for TB investigation. Statistical significance was determined at a p-value less than 0.05.Results: A total of 412 presumptive TB patients, 235 (57%) females and 247 (60%) rural dwellers were interviewed. The mean age of respondents was 35 ± 8 years and 228 (55.3%) were from health centers. Over two-thirds, 284 (69%) were new patients, 62 (15%) were HIV positive and 78 (19%) had diabetes mellitus (DM). Fifty patients with symptoms suggestive of TB did not receive sputum evaluation services. Inability to read and write, having DM, having normal body mass index and facility type they visited were significant factors to missing opportunities to get TB investigations.Conclusion: A significant number of patients with symptoms suggestive of TB were missed for sputum evaluation to rule out TB. Education level, comorbidity, nutritional status and type of facility patients attended were factors of missing opportunities for TB investigation. Thus, improving quality of TB diagnosis, screening TB among all types of patients, and paying attention to screen illiterate people are crucial to avoid missing potential TB cases.Keywords: TB, missed investigation, factors, patients, public health facilities, Ethiopia |
| first_indexed | 2024-12-12T22:42:37Z |
| format | Article |
| id | doaj.art-a034039b936e4ce5b3d9e4147865b416 |
| institution | Directory Open Access Journal |
| issn | 1178-6973 |
| language | English |
| last_indexed | 2024-12-12T22:42:37Z |
| publishDate | 2022-04-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Infection and Drug Resistance |
| spelling | doaj.art-a034039b936e4ce5b3d9e4147865b4162022-12-22T00:09:18ZengDove Medical PressInfection and Drug Resistance1178-69732022-04-01Volume 151947195674618Missed Tuberculosis Investigations and Associated Factors in Patients with Symptoms Indicative of Tuberculosis at Public Health Institutions in Northwest Ethiopia: The Application of a Negative Binomial ModelAsemahagn MAMulusew Andualem Asemahagn School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, EthiopiaCorrespondence: Mulusew Andualem Asemahagn, Email muler.hi@gmail.comBackground: Tuberculosis (TB) remains one of the top health problems in Ethiopia, and over one-third of estimated TB cases remain undetected. This study examined the magnitude and factors of missed opportunities for TB investigation at public health facilities in Northwest Ethiopia.Methods: A facility-based cross-sectional study was conducted among 412 adult patients with TB symptoms from 34 randomly selected public health facilities. Data on socio-demographics, TB symptoms, and clinical status were collected by an exit interview. A patient was considered missed for TB investigation if he/she had at least one symptom suggestive of TB but did not receive a sputum smear and/or x-ray evaluation to rule out TB. We computed descriptive and analytical statistics using SPSS version 26. A negative binomial regression analysis was used to identify factors associated with missed opportunities for TB investigation. Statistical significance was determined at a p-value less than 0.05.Results: A total of 412 presumptive TB patients, 235 (57%) females and 247 (60%) rural dwellers were interviewed. The mean age of respondents was 35 ± 8 years and 228 (55.3%) were from health centers. Over two-thirds, 284 (69%) were new patients, 62 (15%) were HIV positive and 78 (19%) had diabetes mellitus (DM). Fifty patients with symptoms suggestive of TB did not receive sputum evaluation services. Inability to read and write, having DM, having normal body mass index and facility type they visited were significant factors to missing opportunities to get TB investigations.Conclusion: A significant number of patients with symptoms suggestive of TB were missed for sputum evaluation to rule out TB. Education level, comorbidity, nutritional status and type of facility patients attended were factors of missing opportunities for TB investigation. Thus, improving quality of TB diagnosis, screening TB among all types of patients, and paying attention to screen illiterate people are crucial to avoid missing potential TB cases.Keywords: TB, missed investigation, factors, patients, public health facilities, Ethiopiahttps://www.dovepress.com/missed-tuberculosis-investigations-and-associated-factors-in-patients--peer-reviewed-fulltext-article-IDRtbmissed investigationfactorspatientspublic health facilitiesethiopia. |
| spellingShingle | Asemahagn MA Missed Tuberculosis Investigations and Associated Factors in Patients with Symptoms Indicative of Tuberculosis at Public Health Institutions in Northwest Ethiopia: The Application of a Negative Binomial Model Infection and Drug Resistance tb missed investigation factors patients public health facilities ethiopia. |
| title | Missed Tuberculosis Investigations and Associated Factors in Patients with Symptoms Indicative of Tuberculosis at Public Health Institutions in Northwest Ethiopia: The Application of a Negative Binomial Model |
| title_full | Missed Tuberculosis Investigations and Associated Factors in Patients with Symptoms Indicative of Tuberculosis at Public Health Institutions in Northwest Ethiopia: The Application of a Negative Binomial Model |
| title_fullStr | Missed Tuberculosis Investigations and Associated Factors in Patients with Symptoms Indicative of Tuberculosis at Public Health Institutions in Northwest Ethiopia: The Application of a Negative Binomial Model |
| title_full_unstemmed | Missed Tuberculosis Investigations and Associated Factors in Patients with Symptoms Indicative of Tuberculosis at Public Health Institutions in Northwest Ethiopia: The Application of a Negative Binomial Model |
| title_short | Missed Tuberculosis Investigations and Associated Factors in Patients with Symptoms Indicative of Tuberculosis at Public Health Institutions in Northwest Ethiopia: The Application of a Negative Binomial Model |
| title_sort | missed tuberculosis investigations and associated factors in patients with symptoms indicative of tuberculosis at public health institutions in northwest ethiopia the application of a negative binomial model |
| topic | tb missed investigation factors patients public health facilities ethiopia. |
| url | https://www.dovepress.com/missed-tuberculosis-investigations-and-associated-factors-in-patients--peer-reviewed-fulltext-article-IDR |
| work_keys_str_mv | AT asemahagnma missedtuberculosisinvestigationsandassociatedfactorsinpatientswithsymptomsindicativeoftuberculosisatpublichealthinstitutionsinnorthwestethiopiatheapplicationofanegativebinomialmodel |