alexa
Reach Us +44-1625-708989
Delay in Diagnosis of Pulmonary Tuberculosis among Presumptive Tuberculosis Cases in Parts of Anambra State, Nigeria | OMICS International | Abstract

Journal of Infectious Disease and Pathology
Open Access

Like us on:

Our Group organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Research Article

Delay in Diagnosis of Pulmonary Tuberculosis among Presumptive Tuberculosis Cases in Parts of Anambra State, Nigeria

Nwachukwu O Ndubuisi1*, Ogodo A Chibuike2, Ulasi A Esther3, and Okoronkwo U Christopher1

1Department of Microbiology, Abia State University, P.M.B 2000, Uturu, Nigeria

2Department of Microbiology, Federal University Wukari, P.M.B 1020, Wukari, Taraba State, Nigeria

3Department of Animal and Environmental Biology, Abia State University P.M.B 2000, Uturu, Nigeria

*Corresponding Author:
Nwachukwu O Ndubuisi
Department of Microbiology, Abia State University
P.M.B 2000, Uturu, Nigeria
Tel: +2348033561693
E-mail: [email protected]

Received date: December 03, 2016; Accepted date: December 19, 2016; Published date: December 30, 2016

Citation: Ndubuisi NO, Chibuike OA, Esther UA, Christopher OU (2016) Delay in Diagnosis of Pulmonary Tuberculosis among Presumptive Tuberculosis Cases in Parts of Anambra State, Nigeria. J Emerg Infect Dis 1:120. doi: 10.4172/2472-4998.1000120

Copyright: © 2016 Ndubuisi NO, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Objectives/background: Pulmonary tuberculosis continues to increase due to late patient presentation for diagnosis at health facilities. The objectives of this study were to assess delay in diagnosis of pulmonary tuberculosis and identify reasons for the delay.

Methods: One thousand four hundred and eight seven presumptive tuberculosis cases participated in this cross-sectional study. Participants age ranged from 15 years and above; 661 (44.5%) were males and 826 (55.5%) were females. Diagnosis of pulmonary tuberculosis was based on National Tuberculosis Guidelines; using smear microscopy (ZN technique) and grading according to recent WHO policy where smears with>1 acid fast bacilli/100 high power fields was considered positive. Questionnaires were administered to patients to identify reasons for delay in diagnosing pulmonary tuberculosis.

Results: The main symptoms of pulmonary tuberculosis the patients presented with were cough (86%), fever (76%), night sweats (63.5%), weight loss (60.5%), and fatigue (56%). The prevalence of smear positive of pulmonary tuberculosis was 12.3%. Majority of presumptive TB cases 1,118 (75.2%) delayed diagnosis more 30 days following onset of symptoms. Only 369 (24.8%) presumptive tuberculosis cases sought diagnosis within 30 days of onset of symptoms. The longest patient delay was 186 days and minimum period of days before diagnosis was 14 days. The main reasons for delay in seeking early diagnosis were the fact that respondents thought the cause of pulmonary tuberculosis could not be diagnosed in a health facility (41.5%), poor knowledge of what pulmonary tuberculosis is (20.5%) and belief in the efficacy prayer house healing (13.6%).

Conclusion: There was a considerably long patient delay in diagnosing pulmonary tuberculosis. The reasons for the delay include ignorance and misconception on the part of the patients and their belief in the efficacy of prayer house healing. Reducing the delay will require health education on the importance of early diagnosis of pulmonary tuberculosis following onset of symptoms.

Keywords

Top