Default during TB diagnosis: quantifying the problem.


Khan, MS; Khan, S; Godfrey-Faussett, P; (2009) Default during TB diagnosis: quantifying the problem. Tropical medicine & international health, 14 (12). pp. 1437-41. ISSN 1360-2276 DOI: https://doi.org/10.1111/j.1365-3156.2009.02406.x

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Abstract

OBJECTIVES: To quantify default during diagnosis in TB suspects and in smear-positive cases; to investigate sex differences in default during diagnosis, in all of Pakistan. METHODS: Data from laboratory registers were collected on 12 216 suspects in nine districts over the period July-September 2008. RESULTS: A total of 1573 TB suspects (12.9%, 95% CI = 12.3-13.5) dropped out of the diagnostic process after initial sputum submission. A total of 2058 smear-positive cases were detected, and of these 107 (5.2%, 95% CI = 4.2-6.2) defaulted during diagnosis and therefore could not be started on treatment. Male suspects defaulted slightly more frequently than female suspects (P = 0.0268). CONCLUSION: Default during diagnosis is a frequent occurrence in Pakistan that should be monitored and addressed by TB control programs.

Item Type: Article
Faculty and Department: Faculty of Infectious and Tropical Diseases > Dept of Clinical Research
Faculty of Public Health and Policy > Dept of Global Health and Development
Research Centre: TB Centre
PubMed ID: 19843298
Web of Science ID: 271526900003
URI: http://researchonline.lshtm.ac.uk/id/eprint/4625

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