Erzurum Verem Savaş Dispanseri’nde 2012-2018 yılları arasında takip edilen tüberküloz olgularının değerlendirilmesi

Evaluation of tuberculosis cases followed in Erzurum tuberculosis dispensary between 2012-2018

Özet

Amaç: Tüberküloz önlenebilir ve tedavi edilebilir bir enfeksiyon hastalığı olmasına rağmen hala dünyada önde gelen ölüm nedenlerinden biridir. TB hastaları ülkemizde birinci basamak sağlık hizmetlerinin bir dalı olan verem savaş dispanserleri aracılığıyla takip ve tedavi edilmektedir. Bu çalışmada Erzurum’da hizmet veren verem savaş dispanserinin kayıtları üzerinden TB olgularının değerlendirilmesi amaçlandı.

Abstract

Objective: Although tuberculosis is a preventable and treatable infectious disease, it is still one of the leading causes of death in the world. TB patients are followed up and treated through tuberculosis dispensaries, which are a branch of primary health care services in our country. In this study, it was aimed to evaluate TB cases through the records of the tuberculosis dispensary serving in Erzurum.Methods: In this descriptive study; The variables were created by compiling archive records between 2012 and 2018 by the researcher. (SPSS v20) program was used in data analysis.Results: The mean age of 677 patients included in the study was 40.43 ± 19 years, 21.4% were in the 15-24 age group and 59.2% were men. 59.9% of the patients were only literate or had primary school education. Housewives constituted 48.6% of the cases, while students were 16.8%. 53.5% of the registered TB cases were residing in the city center and 2.0% were foreign nationals. There was a 45% increase in the number of cases in 2017 compared to the previous year. There was extrapulmonary involvement in 55.8% of the cases, and both lung and extrapulmonary involvement in 1.5%. BCG scar in 28.9% and history of contact in 8.4% of the patients. The mean duration of treatment of the cases was determined as 8.59 ± 3.71 months. The treatment of 92.9% of the patients was completed. The average of contact examinations per case was 3.94 ± 2.67 people and the average of those who received prophylaxis was 3.20 ± 2.17.Conclusion: Increasing the quality of the records of services provided within the scope of primary health care and introducing new programs to prevent the increase caused by foreign cases can provide a more effective TB control.