Tuberkulose i Grønland - tid fra første kontakt til diagnose og behandling
Tuberculosis (TB) is a persistent health issue in Greenland. While rapid diagnosis is crucial to reducing transmission of the disease, remote settlements have limited access to healthcare services. We aimed to assess and compare the time intervals from first contact to diagnosis and treatment for pa...
Published in: | International Journal of Circumpolar Health |
---|---|
Main Authors: | , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
2022
|
Subjects: | |
Online Access: | https://pure.au.dk/portal/da/publications/tuberculosis-in-greenland--time-from-first-contact-to-diagnosis-and-treatment(c8bb7183-024e-4754-8bad-5ef28b4eab6c).html https://doi.org/10.1080/22423982.2022.2069220 |
id |
ftuniaarhuspubl:oai:pure.atira.dk:publications/c8bb7183-024e-4754-8bad-5ef28b4eab6c |
---|---|
record_format |
openpolar |
spelling |
ftuniaarhuspubl:oai:pure.atira.dk:publications/c8bb7183-024e-4754-8bad-5ef28b4eab6c 2023-12-31T10:05:57+01:00 Tuberkulose i Grønland - tid fra første kontakt til diagnose og behandling Tuberculosis in Greenland - Time from first contact to diagnosis and treatment Gleerup, Jens Lind Vedsted, Peter 2022-12 https://pure.au.dk/portal/da/publications/tuberculosis-in-greenland--time-from-first-contact-to-diagnosis-and-treatment(c8bb7183-024e-4754-8bad-5ef28b4eab6c).html https://doi.org/10.1080/22423982.2022.2069220 eng eng https://pure.au.dk/portal/da/publications/tuberculosis-in-greenland--time-from-first-contact-to-diagnosis-and-treatment(c8bb7183-024e-4754-8bad-5ef28b4eab6c).html info:eu-repo/semantics/openAccess Gleerup , J L & Vedsted , P 2022 , ' Tuberculosis in Greenland - Time from first contact to diagnosis and treatment ' , International Journal of Circumpolar Health , vol. 81 , no. 1 , 2069220 , pp. 2069220 . https://doi.org/10.1080/22423982.2022.2069220 Cities Contact Tracing Greenland/epidemiology Humans Incidence Tuberculosis/diagnosis article 2022 ftuniaarhuspubl https://doi.org/10.1080/22423982.2022.2069220 2023-12-07T00:05:27Z Tuberculosis (TB) is a persistent health issue in Greenland. While rapid diagnosis is crucial to reducing transmission of the disease, remote settlements have limited access to healthcare services. We aimed to assess and compare the time intervals from first contact to diagnosis and treatment for patients with active TB in the cities and settlements of Greenland. A total of 153 cases were included and divided according to place of residence and whether the diagnosis was based on symptomatic presentation or contact tracing. The median time from first contact to diagnosis was 19 days for the total population. The symptomatic settlement population waited longer (median = 88.5 days) than the symptomatic city population (median = 19 days) (p = 0.018). The system interval was longer for the symptomatic settlement population than for the symptomatic city population with a median of 49.5 days vs. 3 days for chest imaging (p < 0.001) and 66.5 days vs. 10 days for expectorate sample (p = 0.008). The diagnostic, system, and total intervals were significantly longer for symptomatic patients in settlements than in cities. This may explain a higher TB incidence in the settlements and calls for the development of better diagnostic pathways. Article in Journal/Newspaper Circumpolar Health Greenland Grønland International Journal of Circumpolar Health Aarhus University: Research International Journal of Circumpolar Health 81 1 |
institution |
Open Polar |
collection |
Aarhus University: Research |
op_collection_id |
ftuniaarhuspubl |
language |
English |
topic |
Cities Contact Tracing Greenland/epidemiology Humans Incidence Tuberculosis/diagnosis |
spellingShingle |
Cities Contact Tracing Greenland/epidemiology Humans Incidence Tuberculosis/diagnosis Gleerup, Jens Lind Vedsted, Peter Tuberkulose i Grønland - tid fra første kontakt til diagnose og behandling |
topic_facet |
Cities Contact Tracing Greenland/epidemiology Humans Incidence Tuberculosis/diagnosis |
description |
Tuberculosis (TB) is a persistent health issue in Greenland. While rapid diagnosis is crucial to reducing transmission of the disease, remote settlements have limited access to healthcare services. We aimed to assess and compare the time intervals from first contact to diagnosis and treatment for patients with active TB in the cities and settlements of Greenland. A total of 153 cases were included and divided according to place of residence and whether the diagnosis was based on symptomatic presentation or contact tracing. The median time from first contact to diagnosis was 19 days for the total population. The symptomatic settlement population waited longer (median = 88.5 days) than the symptomatic city population (median = 19 days) (p = 0.018). The system interval was longer for the symptomatic settlement population than for the symptomatic city population with a median of 49.5 days vs. 3 days for chest imaging (p < 0.001) and 66.5 days vs. 10 days for expectorate sample (p = 0.008). The diagnostic, system, and total intervals were significantly longer for symptomatic patients in settlements than in cities. This may explain a higher TB incidence in the settlements and calls for the development of better diagnostic pathways. |
format |
Article in Journal/Newspaper |
author |
Gleerup, Jens Lind Vedsted, Peter |
author_facet |
Gleerup, Jens Lind Vedsted, Peter |
author_sort |
Gleerup, Jens Lind |
title |
Tuberkulose i Grønland - tid fra første kontakt til diagnose og behandling |
title_short |
Tuberkulose i Grønland - tid fra første kontakt til diagnose og behandling |
title_full |
Tuberkulose i Grønland - tid fra første kontakt til diagnose og behandling |
title_fullStr |
Tuberkulose i Grønland - tid fra første kontakt til diagnose og behandling |
title_full_unstemmed |
Tuberkulose i Grønland - tid fra første kontakt til diagnose og behandling |
title_sort |
tuberkulose i grønland - tid fra første kontakt til diagnose og behandling |
publishDate |
2022 |
url |
https://pure.au.dk/portal/da/publications/tuberculosis-in-greenland--time-from-first-contact-to-diagnosis-and-treatment(c8bb7183-024e-4754-8bad-5ef28b4eab6c).html https://doi.org/10.1080/22423982.2022.2069220 |
genre |
Circumpolar Health Greenland Grønland International Journal of Circumpolar Health |
genre_facet |
Circumpolar Health Greenland Grønland International Journal of Circumpolar Health |
op_source |
Gleerup , J L & Vedsted , P 2022 , ' Tuberculosis in Greenland - Time from first contact to diagnosis and treatment ' , International Journal of Circumpolar Health , vol. 81 , no. 1 , 2069220 , pp. 2069220 . https://doi.org/10.1080/22423982.2022.2069220 |
op_relation |
https://pure.au.dk/portal/da/publications/tuberculosis-in-greenland--time-from-first-contact-to-diagnosis-and-treatment(c8bb7183-024e-4754-8bad-5ef28b4eab6c).html |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.1080/22423982.2022.2069220 |
container_title |
International Journal of Circumpolar Health |
container_volume |
81 |
container_issue |
1 |
_version_ |
1786837694121246720 |