Clinical presentation, risk factors and outcome of tuberculosis in military recruits
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614.2:616.24-002.5-057.36(478) (1)
Organizarea publică şi profesională a sănătăţii (871)
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LESNIK, Evelina, KULCITKAIA, Stela, NIGULYANU, Adriana. Clinical presentation, risk factors and outcome of tuberculosis in military recruits. In: Moldovan Medical Journal, 2017, nr. 3(60), pp. 37-41. ISSN 2537-6373.
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Moldovan Medical Journal
Numărul 3(60) / 2017 / ISSN 2537-6373 /ISSNe 2537-6381

Clinical presentation, risk factors and outcome of tuberculosis in military recruits
CZU: 614.2:616.24-002.5-057.36(478)

Pag. 37-41

Lesnik Evelina, Kulcitkaia Stela, Nigulyanu Adriana
 
”Nicolae Testemițanu” State University of Medicine and Pharmacy
 
 
Disponibil în IBN: 18 octombrie 2017


Rezumat

Background: Tuberculosis represents the major threat for the health protection in the military forces. The aim of this retrospective and descriptive study was the evaluation of risk factors, clinical presentation and treatment outcomes of tuberculosis in military recruits. Material and methods: 51 military recruits with tuberculosis diagnosed during 01.01.2010-31.12.2015 in Chisinau military quarters and managed in the Hospital of Pneumophtysiology were assessed. Results:Most of military recruits aged 18-22, were residents of the rural localities, graduated incomplete general school or lyceum and were economically vulnerable. One half of the group consisted of active smokers and every tenth patient abused alcohol. Every fourth patient had tuberculosis in childhood and every tenth had family contact with a tuberculosis-affected person. Disease’s insidious onset was established in one half of the group and the acute onset in every fourth patient. Every tenth patient was diagnosed with tuberculosis within the first 6 months after the enrollment. Only one half of the groups were symptomatic patients, who complained of cough, asthenia and loss of weight. Pulmonary infiltrative tuberculosis predominated among recruits. Extensive infiltrates and involvement of both lungs were identified in a lower proportion. The high rate of successful treatment outcome was endangered by the high rate of lost to follow-up patients, demonstrating poor evaluation and follow-up after the discharging from the hospital. Conclusions: The epidemiological studies among military recruits are limited. The high rate of young, economically vulnerable men with risk factors demonstrates their priority for active screening. Treatment outcomes must be improved by the implementation of the adequate follow-up after hospital discharging.

Cuvinte-cheie
tuberculosis, Military,

risk groups