PULMONARY TUBERCULOSIS IN PATIENTS OF ELDERLY AND SENILE AGE IN THE TERNOPIL REGION OF UKRAINE
DOI:
https://doi.org/10.11603/bmbr.2706-6290.2020.3.11517Keywords:
pulmonary tuberculosis, elderly and senile patients, diagnosis, treatmentAbstract
Summary. Pulmonary tuberculosis in the elderly and senile continues to be a pressing problem of tuberculosis. Patients of this age category have difficulties in timely diagnosis and treatment, which are due to late seeking medical help, features of age-related changes in the body.
The aim of the study – to analyze the nature of pulmonary tuberculosis in elderly and senile patients during inpatient treatment.
Materials and Methods. The clinical study involved 152 patients with pulmonary tuberculosis who were treated at the Ternopil Regional TB Dispensary. The clinical diagnosis was made on the basis of clinical, laboratory and radiological examinations. The effectiveness of treatment was assessed at the time of discharge from the hospital. Patients were divided into two groups: 104 elderly people (group I) and 48 senile people (group II).
Results. When analyzing the characteristics of patients with tuberculosis of the elderly and senile, it was found that among them the predominant residents of rural areas: the elderly – 62.0 %, senile – 79.2 %. By type of tuberculosis process – 90.4 % of elderly people and 95.8 % of senile people were diagnosed for the first time. Upon admission to the hospital in elderly patients, destruction of lung tissue was observed in 42.3 %, senile – in 54.2 %. The presence of Mycobacterium tuberculosis in sputum was detected among the elderly in 59.6 %, the senile – in 70.8 %. 75.0 % of elderly patients and 68.8 % of senile people were treated effectively.
Conclusions. In order to timely detect pulmonary tuberculosis in the elderly and senile, it is necessary to improve the methods of diagnosis of this disease in persons older than 60 years, including rural residents. It is necessary to expand the possibilities of complex treatment due to new anti-tuberculosis drugs.
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