Indian Journal of Public Health

BRIEF RESEARCH ARTICLE
Year
: 2019  |  Volume : 63  |  Issue : 4  |  Page : 377--379

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


A Bhagyalaxmi1, Shikha Jain2, Parimal Patel3, Divya Barot4 
1 Associate Professor, Department of Community Medicine, B.J. Medical College, Ahmedabad, Gujarat, India
2 Assistant Professor, Department of Community Medicine, B.J. Medical College, Ahmedabad, Gujarat, India
3 Tutor, Department of Community Medicine, B.J. Medical College, Ahmedabad, Gujarat, India
4 Assistant Professor, Department of Community Medicine, Dr. M.K. Shah Medical College, Ahmedabad, Gujarat, India

Correspondence Address:
Dr. Shikha Jain
Department of Community Medicine, B.J. Medical College, Ahmedabad, Gujarat
India

The 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.


How to cite this article:
Bhagyalaxmi 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 J Public Health 2019;63:377-379


How to cite this URL:
Bhagyalaxmi 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 J Public Health [serial online] 2019 [cited 2020 Aug 13 ];63:377-379
Available from: http://www.ijph.in/article.asp?issn=0019-557X;year=2019;volume=63;issue=4;spage=377;epage=379;aulast=Bhagyalaxmi;type=0