Research Article
Patient Health Seeking and Diagnostic Delay in Extrapulmonary Tuberculosis: A Hospital Based Study from Central India
(a) Awareness about general aspects of tuberculosis as perceived by extrapulmonary tuberculosis patients (N =1220) |
| Variable n (%) | Tuberculous lymphadenitis (n=698) | Pleural tuberculosis (n=282) | Abdominal tuberculosis (n=118) | Tuberculous meningitis (n=54) | Other sites (n=68) | P value |
| Organ affected | | | | | | | Lung | 454 (65) | 161 (57) | 58 (49) | 31 (57) | 40 (59) | 0.08 | Lung & other organs | 146 (21) | 74 (26) | 39 (33) | 14 (26) | 16 (23) | | Only other organ | 1 | - | 1 | - | 2 | | Do not know | 98(14) | 47(17) | 20 (17) | 09 (17) | 10 (15) | |
| Symptoms | | | | | | | Cough of >2weeks | 610 (87) | 242 (86) | 98 (83) | 48 (89) | 55 (81) | 0.001 | Fever of >2 weeks | 560 (80) | 224 (79) | 88 (74) | 39 (72) | 51 (75) | | Weight loss | 629 (90) | 230 (81) | 95 (80) | 45 (83) | 55 (81) | | Haemoptysis& others | 45 (6) | 29 (10) | 23 (19) | 12 (22) | 34 (50) | | Do not know | 76 (11) | 28 (10) | 14 (12) | 07 (13) | 13(19) | |
| Causes | | | | | | | Evil eye & curse | 67 (9) | 24 (8) | 10 (8) | 05 (9) | 06 (9) | 0.99 | Germs | 498 (71) | 189 (67) | 84 (71) | 40 (74) | 49 (72) | | Do not know | 148 (21) | 56 (20) | 19 (16) | 10 (18) | 12 (18) | |
| Mode of transmission | | | | | | | Air droplet | 479 (69) | 175 (62) | 82 (69) | 32 (59) | 47 (69) | 0.69 | Other | 85 (12) | 42 (15) | 16 (13) | 07 (13) | 10 (15) | | Do not know | 158 (23) | 60 (21) | 29 (24) | 17 (31) | 14 (20) | |
| Prevention | | | | | | | Yes | 330 (47) | 122 (43) | 54 (46) | 25 (46) | 32 (47) | 0.863 | Do not know | 187 (27) | 67 (24) | 36 (30) | 14 (26) | 19 (28) | |
| Treatable | | | | | | | Yes | 570 (82) | 228 (81) | 94 (80) | 44 (81) | 54 (79) | 0.08 | Do not know | 48 (7) | 17 (6) | 10 (12) | 02 (4) | 04 (6) | |
| Know about DOTS policy | 411 (59) | 146 (52) | 74 (62) | 28 (52) | 32 (47) | 0.48 |
| Heard of EPTB | 94 (13) | 46 (16) | 28 (24) | 12 (22) | 14 (20) | 0.91 |
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(b) Awareness about extrapulmonary tuberculosis among patients who had ever heard of EPTB (N=194) |
| Variable | number | percentage |
| Cause of EPTB | 14 | 7.2 | Symptoms/signs | 19 | 9.7 | Mode of transmission | 09 | 4.6 | Prevention | | | Yes | 06 | 3.7 | Do not know | 05 | 3.1 | Treatment | | | Yes | 03 | 1.8 | No | 03 | 1.8 | Duration of Treatment | 19 | 12 | Complication/seriousness of disease | 32 | 20 |
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