老年肺结核的几个方面

Izaura Luzia Silvério Freire, Fernanda Rafaela dos Santos, Luzia Clara Cunha de Menezes, Anderson Brito de Medeiros, Juliana Teixeira Jales Menescal Pinto, Bárbara Coeli Oliveira da Silva
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引用次数: 1

摘要

结核病是一种传染性疾病,其病原是结核分枝杆菌,目前是世界上第二大传染病死亡原因。本研究旨在描述其在老年人的临床,诊断和治疗方面。这是一项探索性描述性横断面研究,采用定量方法,于2010年1月至2015年12月在纳塔尔/RN的一个卫生区开展。在94名参与者中,大多数是60至69岁的男性(51.1%)。研究组以肺型为主(86.2%),以新发病例居多(59.6%)。患者自我给予治疗(52.1%),并在适当时间内完成治疗(57.4%)。大多数老年人未行结核菌素试验(76.6%),组织病理学检查也未行结核菌素试验(86.2%),而胸片提示结核(72.3%)。我们观察到,老年人没有接受第一次结核菌镜检查(59.5%),而在接受第二次结核菌镜检查的人中,大多数(54.2%)呈阳性。值得一提的是,54.2%的老年肺结核患者未进行人类免疫缺陷病毒血清学检查。老年人是一个危险人群,应得到卫生专业人员的特别关注。
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Aspects of tuberculosis in the elderly
Tuberculosis is an infectious-contagious disease, whose etiological agent is Mycobacterium tuberculosis , and currently stands as the second leading cause of death from infectious diseases in the world. This study aims to describe its clinical, diagnostic and therapeutic aspects in the elderly. This is an exploratory-descriptive cross-sectional study with a quantitative approach, developed in a Sanitary District in Natal/RN, from January 2010 to December 2015. Among the 94 participants, the majority were males (51.1%) aged between 60 and 69. The pulmonary form of the disease was predominant (86.2%) in the studied group and most of the cases were new (59.6%). The treatment was self-administered (52.1%) and completed within the appropriate period (57.4%). The tuberculin test was not undergone by the majority of the elderly (76.6%), neither was histopathology (86.2%), while chest X-ray was suggestive of tuberculosis (72.3%). It was observed that the elderly did not undergo the first bacilloscopy (59.5%) and, out of those who were subjected to the second, it was positive for most (54.2%). It is worth mentioning that the Human Immunodeficiency Virus serology was not carried out in 54.2% of the senior patients with tuberculosis. Older individuals make up a risk population group and should be given special attention from health professionals.
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