AI Summary & Key Takeaways
AI InsightConclusion: As a result, the rate of former patients and patients diagnosed by examination of contacts were higher in our study than those of previous studies as well as the number of smear positive patients which was found have a ten- dency to increase with smoking.
📌 3 Key Takeaways
Abstract
Aim: To evaluate the demographic, clinical, radiological and bacteriological characteristics of our cases with pulmonary tuberculosis and the factors affecting the radiological and bacteriological characteristics of these cases. Material and Methods: We evaluated 199 cases with pulmonary tuberculosis followed in İstanbul Eyüp Tuberculosis Dispensary between 2001 and 2002. Results: Our cases consisted of 152 (76%) male and 47 (24%) female patients (mean age: 33.7 ± T4.0 years). Of these cases 117 (59%) were graduated from primary school, 101 (51 %) had no social security, 160 (80.4%) were new ca- ses and 138 (69%) were self attended cases. Fifty nine percent were still smoking, 17% had regular alcohol intake and the hospitalization rate was 55%. The most frequent complaints were cough (88%) and fatigue (87%). In chest roent- gens, the lesions were extensive in 56 (28%) of the cases and cavity was present in 116 (58%) of them. Before treatment acidoresistant bacile smear was positive in 151 (76%) cases. Smear positivity was more frequent in cases who was hospitalized, smoker, having cavity and extensive lesion (p< 0.05). Conclusion: As a result, the rate of former patients and patients diagnosed by examination of contacts were higher in our study than those of previous studies as well as the number of smear positive patients which was found have a ten- dency to increase with smoking.
Özet
Amaç: Bu çalışmada akciğer tüberkülozlu olgularımızın demografik, klinik, radyolojik ve bakteriyolojik özelliklerini ve radyolojik, bakteriyolojik özellikleri etkileyen faktörleri belirlemeyi amaçladık. Gereç ve Yöntem: istanbul Eyüp Verem Savaş Dispanseri'nde 2001-2002 yıllarında takip edilen 199 akciğer tüberkülozu olgusu bu amaçla değerlendirildi. Sonuçlar: Olgularımızın 152 (%76)'si erkek, 47 (%24)'si kadın, yaş ortalaması 33.7 ± 14.0 yıl idi. ilkokul mezunu 117 (%59), sosyal güvencesi olmayan 101 (%51), yeni olgu 160 (%80.4), ferdi başvurudan tedaviye alınan 138 (%69) kişiy- di. Halen sigara içiciliği %59, düzenli alkol alımı %17, hastanede yatış oranı %55 idi. En sık yakınmalar öksürük (%88) ve halsizlikti (%87). Akciğer grafilerinde 56 (%28)'sında lezyonlar yaygın, 116 (%58.3)'sında kavite vardı. Tedavi öncesi 151 (%76) aside dirençli basil pozitifti. Sigara içen, hastaneye yatan, kavitesi bulunan ve lezyonları yaygın olan olgularda yayma pozitifliği daha fazla idi (p< 0.05).Yorum: Sonuç olarak, eski, temaslı muayenesinden, bulunan ve yayma pozitif olgu oranlarımız önceki araştırmalara göre fazla idi ve sigara içenlerde yayma pozitiflik oranı artmaktaydı.