Causes of Delay in Diagnosis of Smear-Positive Pulmonary Tuberculosis Patients Referred to the Tuberculosis Center of Zahedan

Mosayeb Shahriyar; Abasali Niazi; reza karimian; Elham Naroii; Masoud Pishjoo; Mahdi Nikoseresht; Iraj Shahramian

Zahedan Journal of Research in Medical Sciences

The Official Journal of Zahedan University of Medical Sciences

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Causes of Delay in Diagnosis of Smear-Positive Pulmonary Tuberculosis Patients Referred to the Tuberculosis Center of Zahedan

Author(s):

Mosayeb Shahriyar¹,

Abasali Niazi²,

reza karimian³,

Elham Naroii⁴,

Masoud Pishjoo^3,*,

Mahdi Nikoseresht³,

Iraj Shahramian⁵

1Department of Internl Medicine, Zahedan University of Medical Science, Zahedan, Iran

2Department of Pathology, Zahedan University of Medical Science, Zahedan, Iran

3Medical Student, Medical Student Research Committee, Zahedan University of Medical Science, Zahedan, Iran

4General Practitioner, Zahedan, Iran

5Pediatricians, Zahedan, Iran

Zahedan Journal of Research in Medical Sciences:Vol. 14, issue 8; e93265

Published online:Feb 13, 2012

Article type:Research Article

Received:Dec 14, 2011

Accepted:Jan 12, 2012

How to Cite:Mosayeb ShahriyarAbasali Niazireza karimianElham NaroiiMasoud PishjooMahdi NikosereshtIraj Shahramianet al.Causes of Delay in Diagnosis of Smear-Positive Pulmonary Tuberculosis Patients Referred to the Tuberculosis Center of Zahedan.Zahedan J Res Med Sci.14(8):e93265.

Abstract

Background : Tuberculosis is now the major cause of mortality in the world. This study has tried to identify the factors affecting the diagnosis of this disease by determining the relationship between delay in diagnosis and factors associated with patient and health system.
Materials and Methods : This research was a cross-sectional study conducted on smear positive pulmonary tuberculosis patients referred to the tuberculosis center in the first half of 2008. Required information was completed through patient records and patient interviews.
Results : A total 98 patients were studied including 42 males and 56 females. Average age of patients was 51.6±19.57. Average delay in diagnosis was 2.8±1.78 months. The average delay of patients and health system was respectively 2.6±1.76 months and 6±4.27days. Data analysis showed that there is no relationship between the delay in diagnosis and individual variables such as age, gender, occupation, etc., and examination of sputum smears at the first visit. However, there is a significant relationship between patient delay with different factors such as education (p=0.03), marital status (p=0.03), existence of hospital or medical centers in the residence (p=0.02), distance to the medical center (p=0.02) and between health system delay and residence in the city (p=0.01), distance to this medical center (p=0.03) and obtaining chest X-ray (CXR) in the first visit (p=0.003).
Conclusion : The results showed that with the increase of literacy, the establishment of new hospitals and health centers in remote areas and suburbs as well as chest X-ray in the first visit, the amount of delay in diagnosis can be reduced.

Keywords

Delay

Diagnosis of pulmonary TB

Smear-positive

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