在肺外结核病患者的治疗寻求途径和诊断延迟
A Wali1,2, N Safdar3, A Ambreen4
1Centre for International Health, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Public health action
|December 11, 2023
概括
外肺结核 (TB) 患者在诊断和治疗方面经历了显著的延迟,主要是由于卫生系统的低效. 优先考虑结核病查和诊断算法对于改善资源有限的环境中患者的治疗结果至关重要.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
背景情况:
- 肺外结核 (TB),特别是结核性淋巴腺炎和肺炎,存在诊断方面的挑战.
- 了解患者寻求医疗保健的途径和延迟对于有效的结核病控制至关重要.
研究的目的:
- 研究肺外结核病患者的医疗寻求行为,延迟和相关因素.
- 确定结核病管理中诊断和治疗延迟的关键因素.
主要方法:
- 2016年4月至2017年8月,在巴基斯坦拉合尔的一家三级医院进行了前性横截面研究.
- 从339名出现肺外结核症状的患者收集了数据.
主要成果:
- 结核性淋巴腺炎在女性中更为常见,而肺炎在男性中更为普遍.
- 在诊断之前,很大一部分患者 (62%) 寻求医疗保健提供者的护理,许多人利用私人机构或传统治疗师.
- 诊断延迟与结核淋巴腺炎,年轻年龄组 (15-44岁),较低的社会经济地位和有限的结核病知识有关.
结论:
- 在管理肺外结核病患者的过程中,观察到相当大的延迟,卫生系统因素是主要的驱动因素.
- 通过改进的患者查和诊断算法,最大限度地减少卫生系统的延迟是必不可少的,特别是在资源有限的环境中.
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