Tuberculous meningitis patient pathways and delays to diagnosis in Indonesia: a retrospective cohort study.

ABSTRACT:

Introduction

Delays in diagnosis and treatment contribute to high mortality of tuberculous meningitis (TBM). We studied TBM patient pathways including delays to diagnosis, and their alignment with available diagnostic services in Indonesia.

Methods

We recruited patients admitted to two tertiary hospitals who started TBM treatment. Participants or their relatives were interviewed to recall healthcare visits preceding TBM treatment. We also surveyed available diagnostic capacity for TBM at hospitals that had been visited by at least two patients preceding their study enrolment.

Results

Of 175 participants (median age 31 years, 57.1% men), 85.1% had reduced consciousness or coma, and 46.9% had motor deficits including hemiparesis. Patients attended a first healthcare pro

SUBMITTER: Nijman G 

PROVIDER: S-EPMC11812694 | biostudies-literature | 2023 Nov

REPOSITORIES: biostudies-literature