Malbasa Milica, Pesut Dragica
School of Medicine University of Belgrade, Students' of Medicine Research Centre, Belgrade.
Pneumologia. 2011 Jul-Sep;60(3):138-42.
A cross-sectional study on pulmonary TB diagnosis delay in an intermediate TB incidence setting showed average patient's delay of 44 +/- 61.65 days and total delay of 103 +/- 148 days. Alcoholism, lack of TB cases in family, diabetes mellitus, relapse, cough or tachycardia (p< 0.01), absence of hemoptysis, dyspnea and anemia (p < 0.01), age > or = 40 (p < 0.05), negative auscultation and positive sputum smear findings (p < 0.05) were significantly associated with patient's delay > 30 days. Age < 40 years, negative auscultation and sputum smear findings (p < 0.01), female sex, city as residence (p < 0.05), absence of cough, sputum, weight loss, fever, excavation (p < 0.01), and night sweats (p < 0.05) were significantly associated with total delay > 103 days. Further population education and continual medical education are waranted.
一项关于中等结核病发病率地区肺结核诊断延迟的横断面研究显示，患者平均延迟时间为44±61.65天，总延迟时间为103±148天。酗酒、家族中无结核病病例、糖尿病、复发、咳嗽或心动过速（p<0.01）、无咯血、呼吸困难和贫血（p<0.01）、年龄≥40岁（p<0.05）、听诊阴性和痰涂片结果阳性（p<0.05）与患者延迟超过30天显著相关。年龄<40岁、听诊和痰涂片结果阴性（p<0.01）、女性、居住在城市（p<0.05）、无咳嗽、咳痰、体重减轻、发热、空洞（p<0.01）和盗汗（p<0.05）与总延迟超过103天显著相关。有必要进一步开展大众教育和继续医学教育。
