Delay in diagnosis of tuberculosis in Rawalpindi, Pakistan

Muhammad A N Saqib, Irum N. Awan, Syed K A Rizvi, Mirza I. Shahzad, Zahid S. Mirza, Sabira Tahseen, Imran Khan, Azra Khanum

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Background: Delay in diagnosis and treatment of tuberculosis (TB) may enhance the chances of morbidity and mortality and play a key role in continuous transmission of the bacilli. The objective of this study was to describe health care seeking behavior of suspected TB patients and initial diagnostic work up prior to consultation and diagnosis at National TB Center (NTC). Findings. Interviews of 252 sputum smear positive patients were taken from NTC, Rawalpindi. The duration between on-set of symptoms and start of treatment was considered as the total delay and correlated with general characteristics of TB patients. The proportion of males and females were 49.6% and 50.4% with median age of 25 and 24 years respectively. A median delay of 56 days (8 weeks) was observed which was significantly associated with age, cough and fever. More than 50% of the current patients had a history of contact with previously diagnosed TB patients. The majority of patients (63%) visited health care providers within three weeks of appearance of symptoms but only thirty five percent were investigated for TB diagnosis. Conclusion: Cough and fever are being ignored as likely symptoms of TB by patients as well as health care providers resulting in delay. Engaging private practitioners through public private mix (PPM) approach for expansion of TB diagnosis and increasing public awareness could be more beneficial to reduce delay.

Original languageEnglish (US)
Article number165
JournalBMC Research Notes
Volume4
DOIs
StatePublished - 2011

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Pakistan
Tuberculosis
Health care
Bacilli
Cough
Health Personnel
Fever
Patient Acceptance of Health Care
Sputum
Bacillus
Patient Care
Referral and Consultation
Interviews
Morbidity
Mortality
Therapeutics

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)
  • Medicine(all)

Cite this

Saqib, M. A. N., Awan, I. N., Rizvi, S. K. A., Shahzad, M. I., Mirza, Z. S., Tahseen, S., ... Khanum, A. (2011). Delay in diagnosis of tuberculosis in Rawalpindi, Pakistan. BMC Research Notes, 4, [165]. https://doi.org/10.1186/1756-0500-4-165

Delay in diagnosis of tuberculosis in Rawalpindi, Pakistan. / Saqib, Muhammad A N; Awan, Irum N.; Rizvi, Syed K A; Shahzad, Mirza I.; Mirza, Zahid S.; Tahseen, Sabira; Khan, Imran; Khanum, Azra.

In: BMC Research Notes, Vol. 4, 165, 2011.

Research output: Contribution to journalArticle

Saqib, MAN, Awan, IN, Rizvi, SKA, Shahzad, MI, Mirza, ZS, Tahseen, S, Khan, I & Khanum, A 2011, 'Delay in diagnosis of tuberculosis in Rawalpindi, Pakistan', BMC Research Notes, vol. 4, 165. https://doi.org/10.1186/1756-0500-4-165
Saqib MAN, Awan IN, Rizvi SKA, Shahzad MI, Mirza ZS, Tahseen S et al. Delay in diagnosis of tuberculosis in Rawalpindi, Pakistan. BMC Research Notes. 2011;4. 165. https://doi.org/10.1186/1756-0500-4-165
Saqib, Muhammad A N ; Awan, Irum N. ; Rizvi, Syed K A ; Shahzad, Mirza I. ; Mirza, Zahid S. ; Tahseen, Sabira ; Khan, Imran ; Khanum, Azra. / Delay in diagnosis of tuberculosis in Rawalpindi, Pakistan. In: BMC Research Notes. 2011 ; Vol. 4.
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