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2 - Characteristics of pulmonary tuberculosis cases treated in the hospital: A retrospective analysis
Levent Dalar, Firdevs Atabey, S. Kerem Okutur, Fatih Ayyildiz Salim Sariyildiz, Nermin Kılıçkesmez, Hanife Can, Recep Dodurgali, Arman Poluman
Aim: Tuberculosis is an infectious disease caused by Mycobecterium tuberculosis that is an important cause of morbidity and mortality. In this retrospective study, 227 cases hospitalised in our clinic between 1999-2002, have been evaluated in terms of clinical, socio-demographical and laboratory features.
Study Design: 227 cases of tuberculosis hospitalised between the years 1999 and 2002 were evaluated retrospectively. In all patients; clinical, bacteriological and demographical features were analyzed. We used SPSS 11.0 Windows packet program to istatistical analysis.
Results: The mean age of the cases was 35.01 ±13.05, mean duration of hospitalisation was 18.80±6.88 days, mean cigarette exposure was 18.23±19.55 pack/years, mean PPD skin test induration was 12.12±5.70 mm and mean erythrocyte sedimentation rate was 78.23±32.33. History of exposure in the family was lacking in 67.4% (n=/53) of the cases and 81.1% (n=184) of the cases were new cases. In 43.8% (n=78) of the cases a BCG scar was lacking, 9.3% (n=21) of the cases had an accompanying disease and in 72.2% (n=164) cases, the sputum was AFB positive. 1.8% (n=4) cases died during hospitalisation.
A weak correlation has been found between PPD skin induration and dyspnea at linear regression analysis (r=0.224. p=0.03).
Conclusion: To conclude , tuberculosis remains a cause of morbidity. The lack of exposure in the family in more than half of the cases, point out the importance of screenings at the workplace. Vaccination is important and effective to be protected from the serious forms of tuberculosis.
Keywords: Pulmonary tuberculosis, Retrospective analysis, Screening, Vaccination.
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