الفهرس يوجد فقط 14 صفحة متاحة للعرض العام
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المستخلص
Tuberculosis remains a major health threat, and the rapid emergence of drug resistant mycobacteria has strengthed the demand for rapid methods for detection of mycobacteria in clinical samples. As prevention of tuberculosis relies on the early detection and cure the infectious cases. current efforts are focused upon improved the rapidity of identification of M. tuberculosis, allowing prompt initiation of appropriate therapy. (Huang et al., 2001)
The data of this study collected from the records of Giza Chest Hospital which is the only chest hospital in Giza governorate and one of the most important chest centres in Egypt. The study covered the period from 2005-2009 in order to shed some light on the epidemiological pattern of tuberculosis that can define the situation of this disease in Giza Governorate.
This retrospective study was done to review the tuberculous cases admitted to Giza chest hospital during the last five years (2005-2009) in evaluation of an example of the National Tuberculosis Program application in Egypt through collection of data of the tuberculous patients from the records of the Giza chest hospital in the study period.
Giza chest hospital has 14 wards divided as follows:
- Nine wards for males and 4 for females.
- One pediatric ward.
Data was collected and analyzed and the following was found:
The total number of tuberculous cases in the study period was 2358. Males accounted for 1671 (70.87%) and females accounted for 29.13%.
The incidence of tuberculosis peaked in the age group 20-29 years old (822 cases, 34.9%), and the least incidence as found in the age group less than 10 years old (31 cases, 1.3%).
The new cases with tuberculosis were 2186m (92.71%) while the number of cases who received antituberculous treatment at least once before was 172 cases (7.29%).
Pulmonary tuberculosis accounted for most of the tuberculous cases in the study period (2028 cases, 86.01%), while 330 cases had extrapulmonary tuberculosis accounting for 13.99%.
Most of the extrapulmonary tuberculosis cases were diagnosed with tuberculous pleural effusion (228 cases, 9.67%) and the rest of extrapulmonary cases with diagnoses other than tuberculous pleural effusion was 102 cases accounting for 4.33 %.
Tuberculous cases who demonstrated positive results for direct sputum smear examination for AFB were 1747 cases accounting for 74.09%, while 137 cases were culture-positive for AFB and accounted for 5.81%. On discharge, 2057 cases were sputum smear negative for AFB (87.23%), 209 were still positive for sputum smear examination for AFB (8.86%) and 92 cases were not examined for sputum smear AFB (3.9%).
The tuberculous cases treated with category I regimen of antituberculous drugs were 2187 cases (92.75%) while 171 cases treated with category II regimen of antituberculous drugs (7.25%).
In conclusion:
The overall results of this study matched the results of the Egyptian National Tuberculosis control Program (NTP) during the same period as regarding the age and gender distribution, site of the disease , methods of laboratory diagnosis, patient category, treatment regimens used and results of sputum examination on discharge.
The patient recording system occasionally lacked important relevant clinical and epidemiological data e.g. radiological findings and stratification, general condition of the patient, drug side effects and modifications, surveys of the patient’s contacts and their results .
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