AI Summary & Key Takeaways
AI InsightConclusion: Our cure results in smear positive patients are above the rate of 85% targeted by WHO.
📌 3 Key Takeaways
Abstract
Aim: To present a series of soldier cases with tuberculosis (TB) for the year of 2006 in our hospital and to compare them with the cases in other studies. Material and methods: In this study, data was retrospectively analyzed for soldier patients diagnosed with tuberculosis (TB) in our hospital in 2006. Our hospital is the greatest TB treatment center of the Turkish Armed Forces (TAF). Microscopical examination was done for all cases. A proper treatment was initiated for all patients with a diagnose and they were followed during the next 6-12 months. At the end of that period, treatment results were assessed. Results: During 2006 a total of 191 cases with TB were found. One hundred forty five of these cases (81.9%) were pulmonary tuberculosis (PTB) and 47 of them were (18.1%) extra pulmonary tuberculosis (EPTB). It was discovered that 177 of our cases (92.7%) were new and 14 of them were (7.3%) old. Fourteen PTB patients had EPTB at the same time. One patient had more than one extra pulmonary tuberculosis. Forty of total 47 EPTB cases (85.1%) were pleural TB. The number of smear positive and smear negative cases were 89 (61.4%), 56 (38.6%) respectively. In smear positive 89 cases, treatment outcomes were classified as follows: 80 cases (89.9%) were cured, one patient (1.1%) completed treatment. Treatment success was managed in a total of 81 cases (91%). One of smear positive patients (1.1%) was treatment failure, seven cases (7.9%) were transfered to other centers. Conclusion: Our cure results in smear positive patients are above the rate of 85% targeted by WHO.
Özet
Amaç: Hastanemizin 2006 yılına ait tüberkülozlu (TB) asker olgu serisini sunmak ve diğer seriler ile karşılaştırmak. Gereç ve yöntem: Türk Silahlı Kuvvetleri?nin (TSK) en büyük TB tedavi merkezi özelliğini taşıyan hastanemizde, 2006 yılı içinde tanı konulan TB?li asker hastaların verileri geriye dönük olarak incelendi. Tüm hastalara bakteriyolojik muayene yapıldı. Tanı konulan hastalar, uygun antitüberküloz tedavi başlanarak, 6-12 ay boyunca takip edildi ve bu süre sonunda tedavi sonuçları değerlendirildi. Bulgular: 2006 yılı boyunca, 177 (%92.7) yeni, 14 (%7.3) eski olmak üzere, toplam 191 TB?li asker olgu saptanmıştır. Yeni olguların 145?i (%81.9) akciğer tüberkülozu (ATB), 47?si (%18.1) ise akciğer dışı tüberkülozdur (ADTB). ATB?li olguların 14?ünde ATB+ADTB birlikteliği vardı. ADTB olgularının birinde ise birden fazla organ tutulumu vardı. ADTB olgularının 40?ı (%85.1) plevra tüberkülozu, 3?ü (%6.4) tüberküloz lenfadenit, 2?si (%4.3) beyin tüberkülozu, 1?i (%2.1) tüberküloz orşit, 1?i (%2.1) de tüberküloz bursit olarak saptandı. ATB?li olgularımızın 89?u (%61.4) yayma (+), 56?sı (%38.6) ise yayma (-) olarak saptandı. Tedavi sonuçlarına göre, yayma (+) 89 olgumuzun 80?i (%89.9) kür, 1?i (%1.1) tedavi tamamlama olmak üzere, toplam 81?inde (%91) tedavi başarısı, 1?inde (%1.1) tedavi başarısızlığı, 7?sinde ise nakil (%7.9) vardı. Sonuç: Merkezimizde, yayma pozitif hastalarda saptadığımız kür sonuçlarının, Dünya Sağlık Örgütü tarafından istenilen %85?lik düzeyin üstünde olduğu gözlemlenmektedir.