Initial default among sputum-positive pulmonary TB patients at a referral hospital in Uttarakhand, India
| العنوان: | Initial default among sputum-positive pulmonary TB patients at a referral hospital in Uttarakhand, India |
|---|---|
| المؤلفون: | Darshan Mehra, Reshma Kaushik, Jagdish Rawat, Rajesh Kakkar, Rajeev Kaushik |
| المصدر: | Transactions of The Royal Society of Tropical Medicine and Hygiene. 107:558-565 |
| بيانات النشر: | Oxford University Press (OUP), 2013. |
| سنة النشر: | 2013 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Patient Dropouts, Tuberculosis, Adolescent, Referral, Antitubercular Agents, India, Treatment Refusal, Young Adult, Sex Factors, Patient Education as Topic, Internal medicine, Humans, Medicine, Prospective Studies, Prospective cohort study, Adverse effect, Referral and Consultation, Tuberculosis, Pulmonary, Directly Observed Therapy, Aged, Aged, 80 and over, Geography, business.industry, Age Factors, Sputum, Public Health, Environmental and Occupational Health, General Medicine, Middle Aged, medicine.disease, Surgery, Treatment Outcome, Infectious Diseases, Tropical medicine, Educational Status, Patient Compliance, Female, Parasitology, medicine.symptom, Rural area, business |
| الوصف: | Background: Initial default is a serious issue which can enhance the transmission of TB. We determined the magnitude of and the causative factors for initial default among sputum-positive pulmonary TB (PTB) patients. Methods: In this prospective study, 2310 patients attending a referral hospital in Uttarakhand state, north India, with presumptive TB were investigated and 555 patients with sputum-positive PTB were followed-up for initiation of anti-TB treatment (ATT) during 2010―2012. The patients not confirmed as having started ATT were considered initial defaulters. Results: Initial default was seen in 120 (21.6%) patients comprising 22 (18.3%) defaulters during diagnosis and 98 (81.6%) defaulters after referral for directly observed treatment, short-course (DOTS). The initial default rate was significantly higher among patients from rural areas than urban areas, illiterate patients than literate patients and smokeless tobacco-users than non-users (p |
| تدمد: | 1878-3503 0035-9203 |
| DOI: | 10.1093/trstmh/trt065 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::6ccc3096dd24a9ad0af1d91b837b8bf8 https://doi.org/10.1093/trstmh/trt065 |
| رقم الانضمام: | edsair.doi.dedup.....6ccc3096dd24a9ad0af1d91b837b8bf8 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 18783503 00359203 |
|---|---|
| DOI: | 10.1093/trstmh/trt065 |