From: Human influenza A H5N1 in Indonesia: health care service-associated delays in treatment initiation
Symptom onset to presentation for medical care | Presentation for medical care to viral testing | Presentation for medical care to antiviral treatment | |||||||
---|---|---|---|---|---|---|---|---|---|
Symptom noted at first presentation for medical care | N | Median days (Min, Max) | p-value | N | Median days (Min, Max) | p-value | N | Median days (Min, Max) | p-value |
Fever | 93 | 0.0 (0.0, 7.0) | 0.34 | 76 | 6.0 (-4.0, 18.0) | 0.21 | 38 | 6.5 (1.0, 11.0) | 0.11 |
No fever | 8 | 0.0 (0.0, 2.0) | 8 | 7.5 (1.0, 25.0) | 2 | 9.5 (9.0, 10.0) | |||
Unexplained respiratory illness | 66 | 0.0 (0.0, 7.0) | 0.05 | 57 | 6.0 (0.0, 25.0) | 0.04 | 20 | 7.0 (1.0, 11.0) | 0.71 |
No unexplained respiratory illness | 38 | 0.0 (0.0, 4.0) | 32 | 7.0 (3.0, 18.0) | 22 | 7.0 (2.0, 11.0) | |||
Excessive sputum | 1 | 0.0 (0.0, 0.0) | 0.61 | 1 | 7.0 (7.0, 7.0) | 0.97 | 1 | 7.0 (7.0, 7.0) | 0.80 |
No excessive sputum | 50 | 0.0 (0.0, 7.0) | 45 | 7.0 (0.0, 25.0) | 26 | 8.0 (1.0, 11.0) | |||
Sore throat/pharyngitis | 25 | 0.0 (0.0, 7.0) | 0.06 | 19 | 5.0 (-4.0, 11.0) | 0.14 | 12 | 6.0 (1.0, 11.0) | 0.69 |
No sore throat/pharyngitis | 44 | 0.0 (0.0, 7.0) | 42 | 7.0 (0.0, 25.0) | 22 | 7.0 (2.0, 10.0) | |||
Rhinorrhea | 2 | 0.5 (0.0, 1.0) | 0.73 | 2 | 6.5 (6.0, 7.0) | 0.77 | 2 | 7.5 (7.0, 8.0) | 0.83 |
No rhinorrhea | 66 | 0.0 (0.0, 7.0) | 57 | 6.0 (0.0, 25.0) | 33 | 7.0 (1.0, 11.0) | |||
Tachypnea | 27 | 1.0 (0.0, 7.0) | 0.04 | 23 | 5.0 (-4.0, 10.0) | < 0.01 | 6 | 6.0 (1.0, 11.0) | 0.40 |
No tachypnea | 64 | 0.0 (0.0, 7.0) | 57 | 7.0 (1.0, 25.0) | 31 | 7.0 (2.0, 11.0) | |||
Cyanosis | 0 | - | N/A | 0 | - | N/A | 0 | - | N/A |
No cyanosis | 56 | 0.0 (0.0, 7.0) | 49 | 6.0 (0.0, 11.0) | 32 | 7.0 (2.0, 11.0) | |||
Abnormal breath sounds | 0 | - | N/A | 0 | - | N/A | 0 | - | N/A |
No abnormal breath sounds | 40 | 0.0 (0.0, 5.0) | 36 | 7.0 (0.0, 11.0) | 25 | 8.0 (2.0, 11.0) | |||
Diarrhea | 9 | 0.0 (0.0, 2.0) | 0.43 | 7 | 6.0 (3.0, 8.0) | 0.70 | 1 | 9.0 (9.0, 9.0) | 0.47 |
No diarrhea | 70 | 0.0 (0.0, 7.0) | 60 | 6.0 (0.0, 18.0) | 33 | 7.0 (1.0, 11.0) | |||
Abdominal pain | 14 | 0.5 (0.0, 7.0) | 0.20 | 11 | 6.0 (3.0, 9.0) | 0.89 | 5 | 7.0 (5.0, 9.0) | 0.98 |
No abdominal pain | 60 | 0.0 (0.0, 7.0) | 53 | 6.0 (0.0, 18.0) | 32 | 7.0 (1.0, 11.0) | |||
Vomiting | 11 | 0.0 (0.0, 1.0) | 0.91 | 8 | 6.5 (3.0, 10.0) | 0.43 | 4 | 8.0 (7.0, 9.0) | 0.43 |
No vomiting | 70 | 0.0 (0.0, 7.0) | 62 | 6.0 (0.0, 25.0) | 32 | 7.0 (1.0, 11.0) | |||
Headache | 25 | 1.0 (0.0, 7.0) | < 0.01 | 21 | 6.0 (0.0, 9.0) | 0.65 | 8 | 7.0 (5.0, 10.0) | 0.84 |
No headache | 48 | 0.0 (0.0, 7.0) | 41 | 7.0 (0.0, 25.0) | 26 | 7.5 (1.0, 11.0) | |||
Neurological involvement | 0 | - | N/A | 0 | - | N/A | 0 | - | N/A |
No neurological involvement | 53 | 0.0 (0.0, 7.0) | 46 | 7.0 (0.0, 25.0) | 28 | 7.5 (2.0, 11.0) | |||
Psychiatric symptoms | 0 | - | N/A | 0 | - | N/A | 0 | - | N/A |
No psychiatric symptoms | 43 | 0.0 (0.0, 5.0) | 38 | 7.0 (0.0, 11.0) | 27 | 8.0 (2.0, 11.0) | |||
Fatigue | 11 | 1.0 (0.0, 4.0) | 0.21 | 10 | 6.0 (3.0, 7.0) | 0.32 | 4 | 6.0 (3.0, 7.0) | 0.18 |
No fatigue | 58 | 0.0 (0.0, 7.0) | 49 | 7.0 (0.0, 18.0) | 29 | 7.0 (1.0, 11.0) | |||
Myalgia | 6 | 0.5 (0.0, 2.0) | 0.38 | 5 | 7.0 (6.0, 9.0) | 0.47 | 2 | 6.0 (5.0, 7.0) | 0.49 |
No myalgia | 51 | 0.0 (0.0, 7.0) | 43 | 7.0 (0.0, 11.0) | 27 | 8.0 (1.0, 11.0) | |||
Bleeding gums or nose | 0 | - | N/A | 0 | - | N/A | 0 | - | N/A |
No bleeding gums or nose | 80 | 0.0 (0.0, 7.0) | 69 | 6.0 (-4.0, 25.0) | 35 | 7.0 (1.0, 11.0) | |||
Enlarged Liver | 0 | - | N/A | 0 | - | N/A | 0 | - | N/A |
No enlarged liver | 45 | 0.0 (0.0, 4.0) | 37 | 7.0 (1.0, 11.0) | 27 | 8.0 (2.0, 11.0) | |||
Conjunctivitis | 0 | - | N/A | 0 | - | N/A | 0 | - | N/A |
No conjunctivitis | 59 | 0.0 (0.0, 7.0) | 51 | 7.0 (0.0, 25.0) | 30 | 7.0 (2.0, 11.0) |