2005, Number 4
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Rev Inst Nal Enf Resp Mex 2005; 18 (4)
Reasons for medical admission in patients with pulmonary tuberculosis in a referral institute
López SE, García SFMC, Valde VR, Torres CA, Castillejos MJ, Salazar LMA
Language: Spanish
References: 14
Page: 277-282
PDF size: 58.75 Kb.
ABSTRACT
Purpose: To determine the prevalence of thoracic complications in hospitalized patients with pulmonary tuberculosis.
Setting: National referral hospital for the care, teaching and investigation of respiratory diseases.
Material and methods: This study is based on the retrospective analysis of pulmonary tuberculosis patients admitted from July 1 to December 31, 2003 and was conducted at The National Institute of Respiratory Diseases (INER), Mexico.
Results: Seventy eight patients with pulmonary tuberculosis were included in the six month period; 35 (44.9%) were male; the bacteriological diagnosis was done by sputum smear in 51.3% (40/78), culture in 5.1% (4/78) and sputum smear and culture in 43.6% (34/78). Patients were classified as WHO category I in 66.7% (52/78); 43.7% had diabetes mellitus (31/78). Admission causes: for diagnosis in 46.2% (36/78); hemoptysis in 34.6% (27/78); infection in 5.2% (4/78); other causes in 14.0% (11/78); bronchiectasis were present in 85.7% (66/77); pneumonia in 6.4% (5/78); Mycobacterium tuberculosis pneumonia in 5.1% (4/78); empyema in 5.1% (4/78); bronchopleural fistula in 3.9% (3/78); aspergilloma in 2.6% (2/78); tracheobronchial obstruction in 1.3% (1/78); fibrothorax in 12.8% (10/78).
Conclusions: Hospitalized pulmonary tuberculosis patients show an elevated rate of pulmonary complications. Almost half had diabetes mellitus; almost half were hospitalized for diagnosis.
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