2018, Cilt 48, Sayı 2, Sayfa(lar) 117-124 |
[ Türkçe Özet ]
[ PDF ]
[ Benzer Makaleler ]
|
A Retrospective Analysis of 232 Newly Diagnosed Cases with Pulmonary Tuberculosis |
Pınar ETİZ1, Ali Tanju ALTINSU2 |
1Çukurova Üniversitesi, Abdi Sütcü Sağlık Hizmetleri Meslek Yüksekokulu, Adana 2Adana Valiliği Halk Sağlığı Müdürlüğü, Bulaşıcı Hastalık Kontrol Programları Şube Müdürlüğü, Adana |
Keywords: Drug resistance, new cases, pulmonary tuberculosis, treatment outcome |
Objective: Tuberculosis is an important healthcare problem
worldwide as well as in Turkey and the control programmes
are still in progress. Tuberculosis dispensary records are
important to show the incidence of tuberculosis in our
country. With this perspective, we aimed to evaluate the
characteristics of newly diagnosed patients with tuberculosis
admitted to Adana Tuberculosis Control Dispensaries.
Material and Methods: Medical files of the newly diagnosed
patients with pulmonary tuberculosis who were registered in
Adana Tuberculosis Control Dispensary were retrospectively
evaluated as for demographic profiles, diagnoses made,
diagnostic methods, adn treatment outcomes.
Results: A total of 232 new tuberculosis cases were detected
in 2013 after investigation of medical files. Eighteen (7.7%)
pulmonary tuberculosis cases had concurrent extrapulmonary
tuberculosis. Of all the cases, 63.7% had ARB positive,
24.5% had ARB negative results and, blood smear was not
performed in 11.6% of the cases. Among smear - positive 148
cases, 95 of them were cured. In 123 (67.5%) of all the cases
Mycobacterium tuberculosis complex was isolated in culture.
Drug susceptibility tests for isoniazid, rifampicin,
streptomycin and ethambutol were performed in only 111
culture - positive cases and the resistance rates were 13.5%,
1.8%, 8.1% and 2.7%; respectively. Multidrug resistant
tuberculosis, was isolated 1.8% of the cases.
Conclusion: Increasing interinstitutional cooperation, and
notification of the patients to tuberculosis control
dispensaries should be performed with due care. For
accurate treatment, monitoring resistance patterns will be
useful in determining the treatment protocols to be applied
and in preventing resistance development in the long term.
We think that the results of our study are important in terms
of reflecting the resistance status of the region, showing the
results of the treatment outcomes, and guiding for more
comprehensive studies.
|
[ Türkçe Özet ]
[ PDF ]
[ Benzer Makaleler ]
|