AI Summary & Key Takeaways
AI InsightAs a conclusion, it was noticed that even though radiological diagnosis was high, bacteriologic diagnosis and cure rate were low and therapy was not established under direct observation.
📌 3 Key Takeaways
Abstract
We aimed to evaluate epidemiologic and clinical features of patients with tuberculosis followed in Isparta Tuberculosis Dispensary. 120 patients with pulmonary tuberculosis and 31 with extra pulmonary tubemdosis were investigated. 97 (64.2%) of the patients were male and mean age of patients with lung and extra pulmonary tuberculosis were 46.3± 22.1 and43.9±18.7 respectively. Education level was found to be very low, 76.2% of the patients were either graduated from primary school or not literate. 76.8% of the patients were from rural and %29.1 had no health insurance. A history of family contact was present in 14.2% of patients with lung tuberculosis. 92.5% of patients with lung tuberculosis were new cases. Curerate in lung tuberculosis wasl4.2%, ratio of completing therapy was 58.8% and total successful therapy ratio was 70%. Among patients with extra pulmonary tuberculosis the diagnosis was histopathologically confirmed in 25.8% and ratio of completing therapy was 90.3%. As a conclusion, it was noticed that even though radiological diagnosis was high, bacteriologic diagnosis and cure rate were low and therapy was not established under direct observation.
Özet
İsparta Merkez Verem Savaşı Dispanseri'nde izlenen tüberkülozlu hastaların epidemiyolojik ve klinik özelliklerinin değerlendirilmesi amaçlandı. Yiizyirmi akciğer tüberkülozlu ve 31 akciğer dışı organ tüberkülozlu toplam 151 olgu incelendi. Olguların 97 (%64.2)'si erkek ve yaş ortalaması akciğer tüberkülozunda 46.3±22.1 ve akciğer dışı organ tüberkülozunda 43.9±18.7 olarak bulundu. Eğitim seviyesi oldukça düşük olup %76.2'sinin okuryazar olmadığı ya da ilkokul mezunu olduğu saptandı. Olguların %76.8'i il merkezi ve ilçelerde yaşamaktaydı, %29.1'inin sosyal güvencesi yoktu. Akciğer tüberkülozlu olguların % 14.2'sinde aile içi temas öyküsü vardı ve %92.5'i yeni olguydu. Yayma pozitiflik %28.3, radyolojikve klinik tanı %7l. 7 olarak tespit edildi. Akciğer tüberkülozlu olgularda kür %14.2, tedaviyi tamamlama %58.8 ve toplanı tedavi başarısı %70 olarak bulundu. Akciğer dışı organ tüberkülozlu olgularda %25.8 histopatolojik tanı mevcuttu ve tedavi tamamlama %90.3 idi. Sonuç olarak radyolojik tanının yüksek, bakteriyolojik tanının düşük, kürün çok düşük olduğu ve direk gözetim altında tedavi yapılmadığı gözlendi.