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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Factors Related to Non-Referral of Patients with Presumptive Pulmonary TB to Designated Microscopy Centers (DMCs) by Registered Private Practitioners in Urban Areas of Punjab, India
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Factors Related to Non-Referral of Patients with Presumptive Pulmonary TB to Designated Microscopy Centers (DMCs) by Registered Private Practitioners in Urban Areas of Punjab, India

机译：与印度旁遮普市区注册的私人执业医师将肺结核推定患者不转诊至指定的显微镜检查中心（DMC）相关的因素

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Background: Early diagnosis and proper treatment under RNTCP guidelines, forms the mainstay of management of a TB patient. A large proportion of patients with presumptive tuberculosis (TB) visit a Private Practitioner (PP) in the first place. Studies have shown that PPs rely more on X-rays and other diagnostic tools rather than referring the patient to the nearest Designated Microscopy Centre (DMC) for sputum microscopy. Aim: The present study was planned to look in to factors responsible for non-referral of patients with presumptive pulmonary TB to the DMCs for diagnosis by PPs. Materials and Methods: Present study was a case-control study conducted over a period of one year among registered PPs in urban areas of Punjab. The study was carried out in five major cities which have approximately half of the urban population of Punjab. Forty three Private Practitioners per city for referral group and 43 matched PPs for non-referral group were selected. Results: Knowledge regarding RNTCP was low in both the referral (38.1%) as well as non-referral (25.6%) group of PPs. Allopathic doctors had significantly higher knowledge regarding TB as compared to ayurvedic and homeopathy doctors, and Registered Medical Practitioners (RMP). Both the knowledge of PPs regarding nearest DMC as well as perception about accessibility of the nearest DMC for the patients were found to be significantly higher in the referral group. Only 15.3% of practitioners in the non-referral group said that they had been contacted by RNTCP staff. Conclusion: The main factors responsible for non-referral of pulmonary TB suspects to DMCs for diagnosis in the present study included low knowledge regarding RNTCP, lack of awareness regarding place and accessibility of nearest DMC, and inadequate sensitization of PPs by the RNTCP staff.
机译：背景：根据RNTCP指南进行早期诊断和适当治疗，是结核病患者管理的主要内容。首先，很大一部分推定性肺结核（TB）患者就诊于私人执业医生（PP）。研究表明，PP更加依赖X射线和其他诊断工具，而不是将患者转至就近的指定显微镜中心（DMC）进行痰镜检查。目的：本研究旨在探讨导致肺结核推定患者不转诊至DMC进行PPs诊断的因素。材料和方法：本研究是在旁遮普邦市区注册的PP中进行的为期一年的病例对照研究。这项研究是在五个主要城市进行的，这五个城市的人口约占旁遮普邦的一半。每个城市选择了43个转诊组的私人从业者，并选择了43个非转诊组的匹配PP。结果：无论是推荐人（38.1％）还是非推荐人（25.6％），对RNTCP的了解都很少。与阿育吠陀和顺势疗法医生以及注册医生（RMP）相比，同种疗法医生对结核病的知识要高得多。在转诊组中，发现与PPs有关的最接近DMC的知识以及对患者最接近DMC的可及性的看法都明显更高。非推荐组中只有15.3％的从业者表示RNTCP工作人员已与他们联系。结论：本研究中导致未将肺结核嫌疑人转诊至DMC进行诊断的主要因素包括对RNTCP的了解不足，对最近的DMC的位置和可及性缺乏了解以及RNTCP工作人员对PP的敏感性不足。

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