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Delays in diagnosis and treatment of pulmonary tuberculosis in patients seeking care at a regional referral hospital, Uganda: a cross sectional study.

Winters MuttambaSamuel KyobeAlimah KomuhangiJames LakonyEsther BuregyeyaEldad MabumbaRobert K Basaza
Published in: BMC research notes (2019)
There was a median total delay of 13 weeks and 110 (82.1%) of the respondents had delay of more than 4 weeks. Patient delay was the most frequent and greatest contributor of total delay and exceeded 3 weeks in 95 (71.6%) respondents. At multivariate analysis, factors that influenced delay included poor patient knowledge on TB (adjOR 6.904, 95% CI 1.648-28.921; p = 0.04) and being unemployed (adjOR 3.947, 95% CI 1.382-11.274; p = 0.010) while being female was found protective of delay; adjOR 0.231, 95% CI 0.08-0.67; p = 0.007). Patient delay was the most significant, frequent and greatest contributor to total delay, and factors associated with delay included being unemployed, low knowledge on TB while being female was found protective of delay.
Keyphrases
  • healthcare
  • pulmonary tuberculosis
  • mycobacterium tuberculosis
  • case report
  • end stage renal disease
  • emergency department
  • mental health
  • peritoneal dialysis
  • gestational age
  • patient reported outcomes
  • adverse drug