Excessive time between diagnosis and initiation of tuberculosis (TB)
treatment contributes to ongoing TB transmission and should be
minimized. In India, Revised National TB Control Programme (RNTCP)
focuses on indicator start of treatment within 7 days of diagnosis for
patients with sputum smear-positive PTB for monitoring DOTS
The objectives of the study were to determine length of time between
diagnosis and initiation of treatment and factors associated with delays
of more than 7 days in smear-positive pulmonary TB.
Using existing programme records such as the TB Register, treatment
cards, and the laboratory register, we conducted a retrospective cohort
study of all patients with smear-positive pulmonary TB registered from
July-September 2010 in two districts in India. A random sample of
patients with pulmonary TB who experienced treatment delay of more than
7 days was interviewed using structured questionnaire.
Durba, P.; Busireddy, A.; Nagaraja, SB.; Satyanarayana, S.; Dewan, PK.; Nair, SA.; Sarkar, S.; Ahmed, QT.; Sarkar, S.; Sreenivas, SRM.; Harries, AD.; Oeltmann, JE. Factors Associated with Delays in Treatment Initiation after Tuberculosis Diagnosis in Two Districts of India. PLoS ONE (2012) 7 (7) e39040. [DOI: 10.1371/journal.pone.0039040]
Factors associated with delays in treatment initiation after tuberculosis diagnosis in two districts in India.