Ana Sayfa | Dergi Hakkında | Yayın Kurulu | Bilimsel Danışma Kurulu | İçindekiler | Arşiv | Yayın Arama | Yazarlara Bilgi | İletişim  
2009, Cilt 23, Sayı 3, Sayfa(lar) 131-135   
DIAGNOSIS OF PULMONARY EMBOLISM IN SECONDARY CARE
Leyla YAĞCI TUNCER1, Esen AKKAYA1, Ateş BARAN1, Sinem GÜNGÖR2, Murat YALÇINSOY3, Aydanur MİHMANLI1, Dildar DUMAN4, Gülcihan DUMAN3
1SB Süreyyapaşa Göğüs Kalp ve Damar Hastalıkları ve Cerrahisi Eğitim Hastanesi, Göğüs Hastalıkları, İstanbul
2SB Cizre Devlet Hastanesi, Şırnak, Göğüs Hastalıkları, Şırnak
3SB Balıklıgöl Devlet Hastanesi, Göğüs Hastalıkları, Şanlıurfa
4SB Bayburt Devlet Hastanesi, Göğüs Hastalıkları, Bayburt
Keywords: Tuberculosis, clinical manifestations, tobacco smoke

Smoking is not only a risk factor for tuberculosis (TB) but can also increases the gravity of clinical course. In our study we examined the effects of smoking on pulmonary TB patients in terms of initial smear positivity, radiological presentations, smear conversion on follow~up, efect on treatment periods.

Patients (n=226) were separated into 2 groups as Group I smokers (n=145, F/M: 22/123, mean age: 40 ± 13) and Group II non-smokers (n=81, F/M: 24/57, mean age: 36 ± 15).

We determined the ratios of the patients diagnosed by smear positivity as 92.7% in Group I and 77.8% in Group II. We did not obtain any significant difference between the groups in terms of the radiological presentation and the existence of cavity on chest X-Ray (p>0.05). When the groups are compared in terms of the smear positivity in diagnosis; we found a significantly higher positivity in the smoker group (p= 0.001).

As a result, initial conclusions of our study which is still continuing, bacterial discharge was found significantly higher in the smoker group and this is important for TB contagiousness. Because of this, the coexistence of TB and smoking has more risk for health care instead of each one separately. We think smoking cessation programs also may help TB control.