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• W4310931448 abstract "Abstract Background: Tuberculosis (TB) transmissions most occur between the onset of symptoms and initiation of treatment. Early identification of cases and commencement of treatment is an effective method to control the spread of TB, but lack of clear understanding on the extent of TB diagnosis delay and factors contributing to delay continue to derail progress in combating the disease. The current agenda in global TB control is to develop better and faster tools for diagnosing TB once a symptomatic patient is found or presents to the health care system, and to provide appropriate therapy [1]. The purpose of this study was to determine the extent of diagnosis delay and factors associated with delay among tuberculosis patients in one of the high TB burdened county in Kenya (Mombasa). Calculating a reliable estimate of the TB diagnosis delay and identifying the factors affecting TB diagnostic delay provides insights into better TB management. Method: Analytic cross-sectional survey of 302 TB patients on intensive phase of treatment was carried out to determine the diagnostic delay period among tuberculosis patients. Data collected using a semi- structured questionnaire were analyzed using SPSS and Microsoft excel. The mean patient delay and associations between length of patient delay and the various independent variables was determined. Multiple logistic regression was performed to determine the factors independently associated with patient delay. Results: The mean patient delay was 47 days; 34 days patient delay and 13 days health system delay. Patient with extra pulmonary tuberculosis (EPTB) took long to seek medical attention (average of 81 days), while those with pulmonary positive (PTB+) sought medical attention early (average of 22 days). Patients who had loss of weight as their first symptom took average of 62 days before seeking medical attention, while patients who had hemoptysis sought attention early within 14 days. 43% of the patients sought medical care at chemists/pharmacies as their first point of care. Long delay was associated with low TB awareness; 84.2% of the patients delayed due to either stigma/fear and lack of adequate knowledge on TB, 12.3% delayed due to economic constraints. Distance to the health facilities was not associated with diagnostic delay. Conclusions: The findings of this study underscore the need for TB stakeholders to improve the quality of TB awareness in the community; educational campaigns should go beyond providing general information about TB to emphasize on embracing early seeking of care and prevention of transmission through early diagnosis and treatment." @default.
• W4310931448 created "2022-12-21" @default.
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• W4310931448 date "2022-12-09" @default.
• W4310931448 modified "2023-10-15" @default.
• W4310931448 title "Diagnosis Delay and Factors Associated with Delay Among Tuberculosis Patients in Mombasa County, Kenya" @default.
• W4310931448 doi "https://doi.org/10.21203/rs.3.rs-2347458/v1" @default.
• W4310931448 hasPublicationYear "2022" @default.
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