Malatya Verem Savaş Dispanserlerinde İzlenen Akciğer Tüberkülozlu Hastaların Değerlendirilmesi (original) (raw)
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Malatya Verem Savaş Dispanserlerinde İzlenen Akciğer Tüberkülozlu Hastalarin Değerlendirilmesi
# Bu çalışma 23. Ulusal Tüberküloz ve Göğüs Hastalıkları Kongresi (3-5 Nisan 2003, Malatya)'nde poster olarak sunulmuştur. ÖZET Amaç: Tüberküloz tüm dünyada ve ülkemizde önemli bir sağlık sorunudur. Verem savaş dispanser (VSD) kayıtları ülkemizdeki tüberküloz oranlarını göstermesi nedeniyle önemlidir. Bu çalışmada Malatya VSD'ye başvuran akciğer tüberküloz hastalarının özellikleri incelendi. Gereç ve Yöntem: Çalışmaya Malatya ili 1 ve 2 no'lu VSD'lerde 2000-2002 yılları arasında takip edilen 470 akciğer tüberküloz hastası alındı. Hastaların yaş ortalaması 33.1 ± 17.0 yıl olup, %18.3'ü okur-yazar değildi. Hastaların %62.6'sı Malatya il merkezinden başvururken, %35.3'ü Malatya'nın ilçe ve köylerinden başvurmuştu. Temaslı muayenesiyle tanı konulan hasta oranı %14.3 olarak saptandı. Hastaların %80.2'si yeni olgu, %14.3'ü nüks olgu ve %5.5'i eski olgu olarak değerlendirildi.
INTRODUCTION: We aimed to evaluate the demographics, localisation, diagnostic methods and treatment outcome of patients with extrapulmonary tuberculosis treated between 2005 and 2011 in Kocaeli Tuberculosis Dispansary, Turkey. METHODS: We retrospectively reviewed medical charts of patients. We excluded patients who transferred to the other dispanseria or those medical records couldn’t be obtained. RESULTS: A total of 331 extrapulmonary tuberculosis patients (52% female, 48% male ) with a mean age of 39,2 (±17,6) years were registered for treatment. Sites of extrapulmonary tuberculosis were lymph node in 119 (36%) patients, pleural in 112 (33,9%), bone and joint in 31 (9.4%), genital in 17 (5,1%), gastrointestinal in 15 (4.5%), skin in 9 (2.7%), urinary in 8 (2,4%), miliary in 6 (1.8%), central neural system in 6 (1.8%), pericardial in 6 (1,8%) breast in 2 (%0,6) and larynx in 1 (0,3%) patients. Pleural tuberculosis were common in male and young age, lymph node tuberculosis were common in female. Histopathological methods in 228 (68,9%), microbiological methods in 17 patients, both microbiological and histopathological methods in 4 patients (1,2%) and clinical, radiological and other methods were used in 82 (24,8%) patients for diagnosis. 311 patients (94%) had a successful treatment outcome. Of patients with unsuccessful outcome, 12 (3.6%) had defaulted, 8 (2.4%) had died. DISCUSSION AND CONCLUSION: Altough tuberculosis can disseminate all tissues, lymph node and pleura are the most common sites of extrapulmonary tuberculosis. Fight with tuberculosis is continued in tuberculosis and objective diagnostic methods were common methods in diagnosis of extrapulmonary tuberculosis. Keywords: extrapulmonary tuberculosis, diagnostic methods, demografic features
Osmaniye İli Verem Savaş Dispanserliğine Başvuran Hastaların Retrospektif Değerlendirilmesi
Turkish Journal of Family Medicine and Primary Care, 2020
Dünya Sağlık Örgütü (DSÖ) Genel Direktörü Dr. Tedros Adhanom Ghebreyesus’un da belirttiği gibi, TB sınır tanımayan, herkesin tehlike altında olabildiği, yoksulluk, yetersiz beslenme veya çatışmaların olduğu yerlerde büyüyen bir halk sağlığı sorunudur. Ülkemizin komşularının içinde bulunduğu siyasi belirsizlik, savaşlar ve göç dalgası göz önünde bulundurulduğunda, TB’nin hafife alınmaması ve dikey örgütlenme yapısından taviz vermeden hastalıkla mücadele edilmesi gerekmektedir. Bu çalışmada, Suriye’ye yakın komşu ve aynı zamanda sınırları içerisinde bir mülteci kampına ev sahipliği yapan Osmaniye’de 2005 ile 2018 yılları arasında Merkez VSD’ye kayıtlı 1107 hastanın dosyaları retrospektif olarak tanımlayıcı şekilde analiz edilmiştir. Dosyalar detaylı incelenerek yanlış tanı konan ve ‘TB değil’ olarak ayrılanlar çalışma dışı bırakılmıştır (n=50 %4,9). Ayrıca tedavi sonucu ve bir takım hastalık parametrelerine ulaşılamayan ya da hatalı girilen 57 hasta da (%5,1) çalışmaya dahil edilmemiş...
Cumhuriyet medical journal, 2009
BACKGROUND and OBJECTIVES : Prevalence, incidence, and geographic distribution of patients with tuberculosis (TB) in any region provide important and useful data for regional fighters of this disease. In this study, geographic distribution of patients with TB in the Sivas TB Dispensary region between 1995 and 2004, were evaluated. DESIGN : This is a cross-sectional, descriptive study. Sivas TB Dispensary records were the main data source for patients’ demographic characteristics. Midyear population data from Statistical Year Book of Sivas of 2000 were used for village and city population data. RESULTS : In Sivas, 1262 patients with TB were recorded 1329 times in TB Dispensary Registry between 1995 and 2004 (male 58.2%, female 41.8%). According to the addresses, 64.5% of notified patients were from urban and, 35.5% from rural areas. Pulmonary tuberculosis (PTB) ratio was 69.6%. However, smear and/or culture positive PTB ratio was 19.1%, and positive bacteriology did not differ in urb...
Akciğer tüberkülozlu çocuk hastaların klinik ve laboratuvar özelliklerinin değerlendirilmesi
Dicle Medical Journal / Dicle Tip Dergisi, 2014
Objective: Pulmonary tuberculosis is an important health problem in pediatric patients. The aim of this study is to evaluate the epidemiological and clinical signs and treatment results of the children with pulmonary tuberculosis. Methods: Hospital records of 85 children with pulmonary tuberculosis which were diagnosis in Dicle University Medical Faculty, Pediatric Pulmonology Department, between the period of January 2008 and December 2013, were retrospectively reviewed. Results: Of 85 patients, 51.7% were girls with a mean age of 9.84±4.66 years (6 months-18 years). Ratio of patients that aged less than 5 years was 22.3%. The most prominent complaints were cough (81.2%), fever (55.2%), inappetence (47.1%), night sweats (38.8%), and weight lost (32.9 %). Sixty five of the patients (76.4 %) had a history of contact with adult patients with tuberculosis. BCG vaccine scarring was present in 70.6% of patients. Tuberculin skin test reactivity was present in 75.3%. Hilar lympadenomegaly (58.8%), primary focus-calsification (37.6%), and parenchymal infiltration (32.9%) were the most common radiographic findings. Conclusion: Pulmonary tuberculous is not a rare entity and remains an important infectious disease in children in our country. Early diagnosis and treatment of children with pulmonary tuberculosis is important to protect late symptoms and to prevent contamination of healthy people.