期刊
TROPICAL MEDICINE & INTERNATIONAL HEALTH
卷 14, 期 12, 页码 1437-1441出版社
WILEY-BLACKWELL PUBLISHING, INC
DOI: 10.1111/j.1365-3156.2009.02406.x
关键词
tuberculosis; diagnosis; case finding; quantitative
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.
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