Correlates of Delayed Diagnosis among Human Immunodeficiency Virus-Infected Pulmonary Tuberculosis Suspects in a Rural HIV Clinic, South Africa
Identifieur interne : 003436 ( Main/Exploration ); précédent : 003435; suivant : 003437Correlates of Delayed Diagnosis among Human Immunodeficiency Virus-Infected Pulmonary Tuberculosis Suspects in a Rural HIV Clinic, South Africa
Auteurs : Respicious Boniface [Afrique du Sud] ; Mosa Moshabela [Afrique du Sud] ; Rose Zulliger [Afrique du Sud] ; Peter Macpherson [Royaume-Uni, Malawi] ; Peter Nyasulu [Afrique du Sud]Source :
- Tuberculosis Research and Treatment [ 2090-150X ] ; 2012.
Abstract
Url:
DOI: 10.1155/2012/827148
PubMed: 22778946
PubMed Central: 3384891
Affiliations:
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type="wicri:Area/Ncbi/Checkpoint">001824</idno><idno type="wicri:doubleKey">2090-150X:2012:Boniface R:correlates:of:delayed</idno><idno type="wicri:Area/Main/Merge">003461</idno><idno type="wicri:Area/Main/Curation">003436</idno><idno type="wicri:Area/Main/Exploration">003436</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Correlates of Delayed Diagnosis among Human Immunodeficiency Virus-Infected Pulmonary Tuberculosis Suspects in a Rural HIV Clinic, South Africa</title><author><name sortKey="Boniface, Respicious" sort="Boniface, Respicious" uniqKey="Boniface R" first="Respicious" last="Boniface">Respicious Boniface</name><affiliation wicri:level="4"><nlm:aff id="I1">Epidemiology and Biostatistics Division, School of Public Health, Faculty of Health Sciences, University of The Witwatersrand, 7 York Road, Parktown, Johannesburg 2193, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Epidemiology and Biostatistics Division, School of Public Health, Faculty of Health Sciences, University of The Witwatersrand, 7 York Road, Parktown, Johannesburg 2193</wicri:regionArea><orgName type="university">Université du Witwatersrand</orgName><placeName><settlement type="city">Johannesbourg</settlement><region type="region" nuts="2">Gauteng</region></placeName></affiliation></author><author><name sortKey="Moshabela, Mosa" sort="Moshabela, Mosa" uniqKey="Moshabela M" first="Mosa" last="Moshabela">Mosa Moshabela</name><affiliation wicri:level="4"><nlm:aff id="I1">Epidemiology and Biostatistics Division, School of Public Health, Faculty of Health Sciences, University of The Witwatersrand, 7 York Road, Parktown, Johannesburg 2193, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Epidemiology and Biostatistics Division, School of Public Health, Faculty of Health Sciences, University of The Witwatersrand, 7 York Road, Parktown, Johannesburg 2193</wicri:regionArea><orgName type="university">Université du Witwatersrand</orgName><placeName><settlement type="city">Johannesbourg</settlement><region type="region" nuts="2">Gauteng</region></placeName></affiliation></author><author><name sortKey="Zulliger, Rose" sort="Zulliger, Rose" uniqKey="Zulliger R" first="Rose" last="Zulliger">Rose Zulliger</name><affiliation wicri:level="1"><nlm:aff id="I2">Centre for Infectious Disease Epidemiology and Research (CIDER), University of Cape Town, Cape Town 7925, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Centre for Infectious Disease Epidemiology and Research (CIDER), University of Cape Town, Cape Town 7925</wicri:regionArea><wicri:noRegion>Cape Town 7925</wicri:noRegion></affiliation></author><author><name sortKey="Macpherson, Peter" sort="Macpherson, Peter" uniqKey="Macpherson P" first="Peter" last="Macpherson">Peter Macpherson</name><affiliation wicri:level="1"><nlm:aff id="I3">Liverpool School of Tropical Medicine, Liverpool L35 QA, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Liverpool School of Tropical Medicine, Liverpool L35 QA</wicri:regionArea><wicri:noRegion>Liverpool L35 QA</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I4">Malawi-Liverpool-Wellcome Trust Clinical Research Programme, Blantyre, Malawi</nlm:aff><country xml:lang="fr">Malawi</country><wicri:regionArea>Malawi-Liverpool-Wellcome Trust Clinical Research Programme, Blantyre</wicri:regionArea><wicri:noRegion>Blantyre</wicri:noRegion></affiliation></author><author><name sortKey="Nyasulu, Peter" sort="Nyasulu, Peter" uniqKey="Nyasulu P" first="Peter" last="Nyasulu">Peter Nyasulu</name><affiliation wicri:level="4"><nlm:aff id="I1">Epidemiology and Biostatistics Division, School of Public Health, Faculty of Health Sciences, University of The Witwatersrand, 7 York Road, Parktown, Johannesburg 2193, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Epidemiology and Biostatistics Division, School of Public Health, Faculty of Health Sciences, University of The Witwatersrand, 7 York Road, Parktown, Johannesburg 2193</wicri:regionArea><orgName type="university">Université du Witwatersrand</orgName><placeName><settlement type="city">Johannesbourg</settlement><region type="region" nuts="2">Gauteng</region></placeName></affiliation></author></analytic><series><title level="j">Tuberculosis Research and Treatment</title><idno type="ISSN">2090-150X</idno><idno type="eISSN">2090-1518</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><italic>Background. </italic>Delay in pulmonary tuberculosis (PTB) diagnosis is one of the major factors that affect outcome and threatens continued spread of tuberculosis. This study aimed at determining factors associated with delayed PTB diagnosis among human immunodeficiency virus (HIV) infected individuals. <italic>Methods. </italic>A retrospective observational study was done using clinic records of HIV-infected PTB suspects attending an HIV/AIDS clinic at Tintswalo rural hospital in South Africa (SA) between January 2006 and December 2007. Using routine clinic registers, 480 records were identified. <italic>Results. </italic>PTB diagnosis delay was found among 77/176 (43.8%) of the patients diagnosed with PTB. The mean delay of PTB diagnosis was 170.6 days; diagnosis delay ranged 1–30 days in 27 (35.1%) patients, 31–180 days in 24 (33.8%) patients; 24 (31.2%) patients remained undiagnosed for ≥180 days. Independent factors associated with delayed diagnosis were: older age >40 years (Odds Ratio (OR) 3.43, 95% CI 1.45–8.08) and virological failure (OR 2.72, 95% CI 1.09–6.74). <italic>Conclusion. </italic>There is a considerable delayed PTB diagnosis among HIV-infected patients in rural SA. Older patients as well as patients with high viral load are at a higher risk of PTB diagnosis delay. 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