Délais de Consultation, de Diagnostic et de Traitement des Patients Souffrant de Tuberculose à Bacilloscopie Positive à l’Hôpital Jamot de Yaoundé.: Délais de prise en charge de la tuberculose

RESUMEIntroduction. Le but de ce travail etait de determiner les delais de consultation, de diagnostic et de traitement des patients atteints de tuberculose pulmonaire a bacilloscopie positive. Methodes. Etude descriptive et transversale, menee du 1er Janvier 2019 au 30 Avril 2019 a l’Hopital Jamot de Yaounde (HJY). Tous les patients eligibles et consentants ont ete interviewes lors de leur enregistrement au centre de diagnostic et de traitement de la tuberculose de l’HJY. Les donnees epidemiologiques, cliniques, les dates d’apparition des symptomes, de consultation et de traitement etaient recueillies. Les resultats ont ete analyses a l’aide du logiciel S.P.S.S. version 23.0. Resultats. Nous avons recrute 178 patients. Les hommes representaient 51,7%. L’âge moyen etait de 41,2 ±15,3 ans. La quasi-totalite des patients etaient scolarises (88,2%). Les patients sans emploie representaient 29,2% et 20,8% possedaient une assurance maladie. Le vendeur de medicaments de la rue etait le plus sollicite (38,2%) en premier recours au soin. Le delai moyen de consultation etait de 40,31± 37,36 jours. Le delai moyen de diagnostic etait de 14,44 ± 39,17 jours. Le delai therapeutique etait de moins de 24 heures pour 75,3%. Le delai moyen systeme de sante total etait de 22,72 ± 39,79 jours. Conclusion. La tuberculose pulmonaire a bacilloscopie positive touche preferentiellement l’adulte masculin, jeune, celibataire, sans emploie. Le premier recours au soin est le vendeur de medicaments de la rue. Le delai moyen de consultation est long, les delais moyens de diagnostic et de traitement sont acceptables. ABSTRACTIntroduction. The aim of this study was to establish the time to first consultation, diagnostic and treatment of sputum smear positive pulmonary tuberculosis patients. Methods. A descriptive and cross-sectional study was done from January 1st to 30th April 2019 at Jamot Hospital Yaounde(JHY). All eligible patients who gave their consent were interviewed during their registration at the tuberculosis diagnostic and treatment center of J.H.Y. Epidemiological and clinical data, time of onset of symptoms, consultation and treatment were collected. Results were analyzed with S.P.S.S. software version 23.0. Results. We recruited 178 patients. 51.7% were male. The meanage was 41.2±15.3. The majority of patients were students (88.2%). Unemployed patients accounted for 29.2% and 20.8% had medical aid. Street vendors of medicines were the first to be consulted by patients (38.2%). The mean time taken to have the first consultation was 40.31±37.36 days. The mean time taken from the first consultation to the diagnostic was 14.44 ± 39.17 days. It took less than 24 hours to start treatment after the diagnostic for 75.3% of patients. The mean time taken within the health system was 22.72 ± 39.79. Conclusion. Sputum smear positive pulmonary tuberculosis affect mainly the young, single and unemployed male adult. Street vendors of medicines are their first contact point for health seeking. The time taken for their first consultation is long, but the time taken to make the diagnostic and initiate treatment was reasonable.