Reasons for the delay in the initiation of treatment and initial default among drug-resistant tuberculosis patients in Ahmedabad corporation area

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dc.contributor.authorBhagyalaxmi, Aen_US
dc.contributor.authorJain, Sen_US
dc.contributor.authorPatel, Pen_US
dc.contributor.authorBarot, Den_US
dc.date.accessioned2020-04-10T03:46:04Z
dc.date.available2020-04-10T03:46:04Z
dc.date.issued2019-12
dc.description.abstractThe emergence of drug-resistant tuberculosis (DR-TB) has become a significant health problem in India. Delays in diagnosis and treatment initiation are frequently observed among patients with DR-TB, resulting in an increased risk of disease complications and high mortality and pretreatment lost to follow-up rates. To understand the factors associated with delays between the diagnosis and treatment, the study was carried out in Ahmedabad Municipal Corporation Area. A total of 177 DR-TB patients diagnosed in the year 2014 who had a delay in the initiation of treatment, and 23 initial defaulters were studied using a structured questionnaire. Fifty-four DOTS providers were also interviewed. Of 177 patients, 62.15% initiated treatment between 7 and 15 days and nearly 12% of them started the treatment after a month. The median duration of delay was 12 days (range: 8–144 days and interquartile range: 9–20 days). The most common reason for the delay in the initiation and initial default was the social and personal factors (48.80%), and in 34 (20%) of the patients, the delay was attributed to the effect of the previous treatment.en_US
dc.identifier.affiliationsAssociate Professor, Department of Community Medicine, B.J. Medical College, Ahmedabad, Gujarat, Indiaen_US
dc.identifier.affiliationsAssistant Professor, Department of Community Medicine, B.J. Medical College, Ahmedabad, Gujarat, Indiaen_US
dc.identifier.affiliationsTutor, Department of Community Medicine, B.J. Medical College, Ahmedabad, Gujarat, Indiaen_US
dc.identifier.affiliationsAssistant Professor, Department of Community Medicine, Dr. M.K. Shah Medical College, Ahmedabad, Gujarat, Indiaen_US
dc.identifier.citationBhagyalaxmi A, Jain S, Patel P, Barot D. Reasons for the delay in the initiation of treatment and initial default among drug-resistant tuberculosis patients in Ahmedabad corporation area. Indian Journal of Public Health. 2019 Dec; 63(4): 377-379en_US
dc.identifier.issn0019-557X
dc.identifier.issn2229-7693
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/198157
dc.languageenen_US
dc.publisherIndian Public Health Associationen_US
dc.relation.issuenumber4en_US
dc.relation.volume63en_US
dc.source.urihttps://dx.doi.org/10.4103/ijph.IJPH_26_19en_US
dc.subjectDefaulteren_US
dc.subjectdelayen_US
dc.subjectdrug resistanten_US
dc.subjecttreatmenten_US
dc.subjecttuberculosisen_US
dc.titleReasons for the delay in the initiation of treatment and initial default among drug-resistant tuberculosis patients in Ahmedabad corporation areaen_US
dc.typeJournal Articleen_US
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