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学科主题: 公共卫生
题名:
Impact of diabetes on diagnostic delay for pulmonary tuberculosis in Beijing
作者: Chen, H-G.1; Liu, M.1; Jiang, S-W.2; Gu, F-H.1; Huang, S-P.3; Gao, T-J.4; Zhang, Z-G.4
关键词: diabetes mellitus ; tuberculosis ; diagnostic delay ; impact factor
刊名: INTERNATIONAL JOURNAL OF TUBERCULOSIS AND LUNG DISEASE
发表日期: 2014-03-01
DOI: 10.5588/ijtld.13.0140
卷: 18, 期:3, 页:267-271
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Infectious Diseases ; Respiratory System
研究领域[WOS]: Infectious Diseases ; Respiratory System
关键词[WOS]: CHINA ; MELLITUS ; TIME ; TB
英文摘要:

SETTING: Delays in the diagnosis of pulmonary tuberculosis (PTB) increase the risk of transmission and severity of the disease. Little information is available on PTB pdatients with diabetes mellitus (DM).

OBJECTIVES: To examine the impact of DM on delays in diagnosing PTB and the effect of diagnostic delay on the clinical presentation of PTB among patients in Beijing, China.

DESIGN: In a cross-sectional study conducted in two PTB dispensaries of Beijing, all confirmed PTB patients were screened for DM. Data relating to diagnostic delay and clinical presentation of PTB were collected and analysed.

RESULTS: Of 1126 PTB patients selected, 182 (16.2%) were identified as having DM. The median delay for PTB patients with DM (25 days) was significantly higher than that of PTB patients without DM (6 days). In a subgroup analysis, diagnostic delay was associated with smear positivity among PTB patients with DM (OR 3.10, 95%CI 1.66-5.76) and associated with smear positivity (OR 4.38, 95%CI 3.19-6.04), pulmonary cavities (OR 2.62, 95%CI 1.85-3.71) and more symptoms (OR 1.81, 95%CI 1.20-2.73) among PTB patients without DM.

CONCLUSIONS: DM was associated with longer diagnostic delays, which in turn was associated with more serious clinical presentations of PTB. It is thus necessary to examine risk factors associated with diagnostic delay among PTB patients with and without DM.

语种: 英语
所属项目编号: 2008AA02Z416
项目资助者: Chinese National Programs for High Technology Research and Development (863 program)
WOS记录号: WOS:000331921700004
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/66201
Appears in Collections:北京大学公共卫生学院_期刊论文

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作者单位: 1.Peking Univ, Dept Epidemiol & Biostat, Sch Publ Hlth, Beijing 100191, Peoples R China
2.China Ctr Dis Control & Prevent, Natl Ctr TB Control & Prevent, Beijing, Peoples R China
3.Fangshan Dispensary, Beijing, Fangshan Distri, Peoples R China
4.Changping Dispensary, Beijing, Changping Distr, Peoples R China

Recommended Citation:
Chen, H-G.,Liu, M.,Jiang, S-W.,et al. Impact of diabetes on diagnostic delay for pulmonary tuberculosis in Beijing[J]. INTERNATIONAL JOURNAL OF TUBERCULOSIS AND LUNG DISEASE,2014,18(3):267-271.
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