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Table 3 Timing of events by location of first presentation for medical care

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

Location of presentation for medical care

N (%)

Median days (Min, Max)

N (%)

Median days (Min, Max)

N (%)

Median days (Min, Max)

Emergency room

24(21)

0.0 (0.0, 7.0)

20 (21)

5.0 (-4.0, 10.0)*

6 (14)

6.5 (2.0, 8.0)

Physician’s office or clinic

62(54)

0.0 (0.0, 7.0)

51 (54)

6.0 (0.0, 25.0)

25 (58)

7.0 (1.0, 10.0)

Rural health service/public health center

17(15)

0.0 (0.0, 7.0)

15 (16)

6.0 (1.0, 11.0)

8 (19)

5.0 (2.0, 11.0)

Other**

11(10)

0.0 (0.0, 4.0)

8 (9)

8.5 (3.0, 9.0)

4(9)

8.0 (5.0, 10.0)

Total

114

0.0 (0.0, 7.0)

94

6.0 (-4.0, 25.0)

43

7.0 (1.0, 11.0)

  

p = 0.82

 

p= 0.04

 

p = 0.68

  1. *Significantly different from other. One case reportedly had a sample drawn for viral testing 4 days before their first reported presentation for medical care. Since this case was part of a cluster of human cases, it is plausible that the case was tested during an epidemiological investigation and before presenting for treatment, however, this could not be confirmed. **“Other” includes nurse (n = 4) and midwife (n = 7).