Factors associated with diagnostic delay of pulmonary tuberculosis among children and adolescents in Quzhou, China: results from the surveillance data 2011–2021

BMC Infectious Diseases

Research

Xiaogang Hao¹  Bingdong Zhan¹  Xing Zhang¹  Chunfu Fang¹  Min Wang¹  Wei Wang¹  Yating Zhang² 

[1] Department of Tuberculosis Control and Prevention, Quzhou Center for Disease Control and Prevention, No.154, Xi‘an Road, Ke Cheng District, 324000, Quzhou, Zhejiang, China;School of Public Health, Zhejiang University of Traditional Chinese Medicine, Hangzhou, Zhejiang, China;

关键词: Pulmonary tuberculosis;    Delay;    Children;    Patient delay;    Health system delay;   

DOI  :  10.1186/s12879-023-08516-1

 received in 2023-05-31, accepted in 2023-08-05,  发布年份 2023

来源: Springer

【 摘 要 】

PurposeTuberculosis is a high-burden disease and a major health concern in China, especially among children and adolescents. The purpose of this study was to assess risk factors for diagnostic delay in students with pulmonary tuberculosis in Quzhou City in eastern China.Patients and methodsCases of PTB in students and relevant information in Quzhou from 2011 to 2021 were collected using the TB Management Information System. The outcome of interest was diagnostic delay (i.e. ≥ 28 days between symptom onset and treatment initiation). Risk factors for diagnostic delay were identified using multivariable logistic regression.ResultsA total of 629 students in Quzhou were diagnosed with PTB during the study period, of whom 55.5% were male. The median diagnostic delay was 18 days (Inter Quartile Range, [IQR]: 8–38) and 38.0% of the students had a diagnostic delay. Living in a rural area (adjusted odds ratio, [AOR]: 1.56, 95% confidence interval [CI:] 1.11–2.19), developing PTB symptoms in the first quarter of the year (AOR: 2.18, 95% CI: 1.40–3.40), and no sputum smear result (AOR: 8.73, 95% CI: 1.68–45.30) were significantly associated with a diagnostic delay. Discovery through health examinations (AOR: 0.33, 95% CI: 0.17–0.63) was associated with reduced risk of diagnostic delay.ConclusionSchools in rural areas should pay special attention to increasing student awareness of the symptoms of tuberculosis and provide health education on tuberculosis prevention and control to students and staff.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

【 图 表 】

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Fig. 5