Indicadores clínicos de infecciosidade na tuberculose pulmonar
Autor(a) principal: | |
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Data de Publicação: | 2010 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10362/21728 |
Resumo: | Introduction: The immediate identification of infectious tuberculosis and implementation of effective isolation measures, are a priority of the national policies for disease control. Objectives: To identify clinical predictor's factors related with sputum smear-positive, in patients with pulmonary tuberculosis diagnosis. Population and methods: This was a retrospective study involving 289 patients admitted consecutively with the diagnosis of tuberculosis (ICD-9-CM: 010-018) through the emergency department of a Central Hospital. The study was conducted from January 1999 to December 2005. Results: 216 patients (74.7%) were identified with pulmonary tuberculosis: mean age 40.3 (SD 16.1); 77.8% males. Of these 179 (82%) were smear-positive and 157 (54.5%) had human immunodeficiency virus (HIV) co-infection. Of the 37 patients with sputum smearnegative 18 (48.6%) had culture positive. The clinical factors that were better related with sputum smear-positive were: cough with sputum (p = 0.031) and classic chest radiograph patterns, parenchymal consolidation (p < 0.001) and cavitation (p = 0.002). HIV co-infection wasn't associated with a higher risk of infectious tuberculosis. Conclusions: Respiratory symptoms and classic patterns on chest radiograph, were clinical factors better related with a higher probability of sputum smear-positive. In these patients it is a good clinical practice to propose immediate isolation measures even before the results of sputum smear. |
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Indicadores clínicos de infecciosidade na tuberculose pulmonarClinical predictors of infectious pulmonary tuberculosisCHEST-X-RAYMYCOBACTERIUM-TUBERCULOSISCLASSIC SYMPTOMSDIAGNOSISVALIDITYSDG 3 - Good Health and Well-beingIntroduction: The immediate identification of infectious tuberculosis and implementation of effective isolation measures, are a priority of the national policies for disease control. Objectives: To identify clinical predictor's factors related with sputum smear-positive, in patients with pulmonary tuberculosis diagnosis. Population and methods: This was a retrospective study involving 289 patients admitted consecutively with the diagnosis of tuberculosis (ICD-9-CM: 010-018) through the emergency department of a Central Hospital. The study was conducted from January 1999 to December 2005. Results: 216 patients (74.7%) were identified with pulmonary tuberculosis: mean age 40.3 (SD 16.1); 77.8% males. Of these 179 (82%) were smear-positive and 157 (54.5%) had human immunodeficiency virus (HIV) co-infection. Of the 37 patients with sputum smearnegative 18 (48.6%) had culture positive. The clinical factors that were better related with sputum smear-positive were: cough with sputum (p = 0.031) and classic chest radiograph patterns, parenchymal consolidation (p < 0.001) and cavitation (p = 0.002). HIV co-infection wasn't associated with a higher risk of infectious tuberculosis. Conclusions: Respiratory symptoms and classic patterns on chest radiograph, were clinical factors better related with a higher probability of sputum smear-positive. In these patients it is a good clinical practice to propose immediate isolation measures even before the results of sputum smear.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)RUNSilvestre, JoanaLeitão, AnaFonseca, CândidaAlberca, DoloresMarques, FilipaAbreu, AnaAraujo, InesJoão, IsabelAleixo, AnaCEia, Fátima2017-06-27T22:00:46Z2010-072010-07-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article6application/pdfhttp://hdl.handle.net/10362/21728por1646-0758PURE: 322644info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T04:08:41Zoai:run.unl.pt:10362/21728Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:26:56.380665Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Indicadores clínicos de infecciosidade na tuberculose pulmonar Clinical predictors of infectious pulmonary tuberculosis |
title |
Indicadores clínicos de infecciosidade na tuberculose pulmonar |
spellingShingle |
Indicadores clínicos de infecciosidade na tuberculose pulmonar Silvestre, Joana CHEST-X-RAY MYCOBACTERIUM-TUBERCULOSIS CLASSIC SYMPTOMS DIAGNOSIS VALIDITY SDG 3 - Good Health and Well-being |
title_short |
Indicadores clínicos de infecciosidade na tuberculose pulmonar |
title_full |
Indicadores clínicos de infecciosidade na tuberculose pulmonar |
title_fullStr |
Indicadores clínicos de infecciosidade na tuberculose pulmonar |
title_full_unstemmed |
Indicadores clínicos de infecciosidade na tuberculose pulmonar |
title_sort |
Indicadores clínicos de infecciosidade na tuberculose pulmonar |
author |
Silvestre, Joana |
author_facet |
Silvestre, Joana Leitão, Ana Fonseca, Cândida Alberca, Dolores Marques, Filipa Abreu, Ana Araujo, Ines João, Isabel Aleixo, Ana CEia, Fátima |
author_role |
author |
author2 |
Leitão, Ana Fonseca, Cândida Alberca, Dolores Marques, Filipa Abreu, Ana Araujo, Ines João, Isabel Aleixo, Ana CEia, Fátima |
author2_role |
author author author author author author author author author |
dc.contributor.none.fl_str_mv |
NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM) RUN |
dc.contributor.author.fl_str_mv |
Silvestre, Joana Leitão, Ana Fonseca, Cândida Alberca, Dolores Marques, Filipa Abreu, Ana Araujo, Ines João, Isabel Aleixo, Ana CEia, Fátima |
dc.subject.por.fl_str_mv |
CHEST-X-RAY MYCOBACTERIUM-TUBERCULOSIS CLASSIC SYMPTOMS DIAGNOSIS VALIDITY SDG 3 - Good Health and Well-being |
topic |
CHEST-X-RAY MYCOBACTERIUM-TUBERCULOSIS CLASSIC SYMPTOMS DIAGNOSIS VALIDITY SDG 3 - Good Health and Well-being |
description |
Introduction: The immediate identification of infectious tuberculosis and implementation of effective isolation measures, are a priority of the national policies for disease control. Objectives: To identify clinical predictor's factors related with sputum smear-positive, in patients with pulmonary tuberculosis diagnosis. Population and methods: This was a retrospective study involving 289 patients admitted consecutively with the diagnosis of tuberculosis (ICD-9-CM: 010-018) through the emergency department of a Central Hospital. The study was conducted from January 1999 to December 2005. Results: 216 patients (74.7%) were identified with pulmonary tuberculosis: mean age 40.3 (SD 16.1); 77.8% males. Of these 179 (82%) were smear-positive and 157 (54.5%) had human immunodeficiency virus (HIV) co-infection. Of the 37 patients with sputum smearnegative 18 (48.6%) had culture positive. The clinical factors that were better related with sputum smear-positive were: cough with sputum (p = 0.031) and classic chest radiograph patterns, parenchymal consolidation (p < 0.001) and cavitation (p = 0.002). HIV co-infection wasn't associated with a higher risk of infectious tuberculosis. Conclusions: Respiratory symptoms and classic patterns on chest radiograph, were clinical factors better related with a higher probability of sputum smear-positive. In these patients it is a good clinical practice to propose immediate isolation measures even before the results of sputum smear. |
publishDate |
2010 |
dc.date.none.fl_str_mv |
2010-07 2010-07-01T00:00:00Z 2017-06-27T22:00:46Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10362/21728 |
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http://hdl.handle.net/10362/21728 |
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por |
language |
por |
dc.relation.none.fl_str_mv |
1646-0758 PURE: 322644 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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6 application/pdf |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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