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العنوان
Prevalence and Management Outcome of Pulmonary Tuberculosis in Qena Chest Hospital from 2011 to 2016 /
المؤلف
Abd El Maseh, Kerolus Malak.
هيئة الاعداد
باحث / Kerolus Malak Abd El Maseh
مشرف / Samiha Sayed Ahmed Ashmawi
مشرف / Maryam Ali Abd El Kader
مناقش / Maryam Ali Abd El Kader
تاريخ النشر
2019.
عدد الصفحات
112p.:
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الطب (متفرقات)
تاريخ الإجازة
1/1/2019
مكان الإجازة
جامعة عين شمس - كلية الطب - امراض صدرية
الفهرس
Only 14 pages are availabe for public view

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Abstract

SUMMARY
T
his study was done in QENA Chest Hospital in the period from January 2011 to December 2016 depending on data collection from records of the patients who were admitted in the hospital during this period. This study aimed at studying the prevalence and management outcome of pulmonary tuberculosis in patients admitted to QENA Chest Hospital during the period 2011-2016.
Data was collected and analyzed and the following was found:
 Total number of pulmonary TB cases was 266 cases. Male patients counted for 160, (60.2%) cases while female cases counted for 106, (39.8%).
 Number of sputum positive cases was 182 (68.4%) while sputum negative cases was 84 (31.6%).
 Regarding age groups number of cases was the highest in the age group 20-30 years old (30.1%), followed by age group 50-60 years old (20.3%), then age group 30-40years old (19.5%), then age group 40-50 years old (11.3%). The lowest occurrence was in the age group more than 70 years old (3.4%), followed by the age group less than 20 years old (7.5%), then age group 60-70 years old (7.9%).
 Regarding marital status the highest percent present in married patients (68.4%) followed by the single cases (18.8%) then widowed cases (7.9%) and the lowest percent in divorced cases (1.9%) then widower cases (3.0%).
 Regarding education level number of cases was highest in cases with secondary education (47.0%) then not educated cases (20.3%) and the lowest was in cases with tertiary education (12.8%), then cases with primary education (19.9%).
 Regarding treatment outcome the highest number of patients was who completed treatment 130 patients (48.9%), followed by the number of cured patients 80 patients (30.1%), followed by the number of patients who defaulted treatment 22 patients (8.3%) and 18 patients (6.8%) was the number of died patients, 12 patients (4.5%) was the number of patients who failed treatment and the lowest number was of patients who transferred out 4 patients (1.5%).
 Regarding x-ray findings The percent of patients with consolidation was the highest percent (79.3%) followed by the percent of patients with cavitations (24.1%) and patients with nodules (24.1%) and the lowest percent was the patient with pleural effusion (7.9%). (Considering that patients may have more than one finding).
 Regarding number of patients in each year the lowest number of patients was in 2016 (36), while the highest number was in 2012 (58), followed by 2011 (55), then 2015 (40), then 2014 (39), then 2013 (38).
CONCLUSION AND RECOMMENDATIONS
T
his study showing that presence of registry allover Egypt is important to study the actual state of Tuberculosis in Egypt. In spite the recent improvements in treatment success rate, treatment completed and defaulting rate, we are in need for further hard work which should be done to identify and improve possible promoting factors for successful tuberculosis treatment outcomes. Frequent supportive supervision during the course of treatment, and more investigations to reach the cause for the observed differences in treatment success among treatment centers are recommended
And we recommended the following:
1- More efforts must be exerted to perform educational program using all channels of communication (hospitals, media, schools, factories, mosques, churches, ….etc), aiming at increasing the orientation of the public about tuberculosis (what is tuberculosis, mode of transmission, prevention and control, treatment, vaccination,……etc), the educators must be famous and of high acceptance to the audience, the role of the physicians here is to inform those educators about the scientific data in addition to participate in this program by direct contact with their patients.
2- All data about patients admitted to Qena Chest Hospital must be registered in an accurate manner using uniform sheets that all researchers can refer to when doing statistical studies on tuberculous cases.
3- The files must be more detailed contain more information about personal history of the cases.
4- The comorbidities must be found in the records.
5- Patient admission at hospital should be increased to make sure of patient adherence to treatment & monitor for possible complications.
6- sputum culture must be found for diagnosis the negative sputum examination as now the hospital depends on the clinical examination only.
Study limitations
 The information in the records was not detailed and not obvious.
 Some patients couldn’t be followed up and we didn’t know what’s happened to them.
 Some patients were transferred to other more advanced hospitals than our hospital but we couldn’t follow them.