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|Patologia sistemului respirator. Tulburări ale organelor de respiraţie (409)|
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CARAIANI, Olga; LESNIC, Evelina; IAVORSCHI, Constantin. Particularităţile de diferenţiere a factorilor de risc și a spectrului clinic în infiltratele pulmonare cu evoluţie trenantă. In: Sănătate Publică, Economie şi Management în Medicină . 2016, nr. 2(66), pp. 47-50. ISSN 1729-8687.
|Sănătate Publică, Economie şi Management în Medicină|
|Numărul 2(66) / 2016 / ISSN 1729-8687|
Tuberculosis represents a severe probleme for the public health in R of Moldova. National standard establihes the algorythm of diagnosis of pulmonary tuberculosis, but the low sensibility of microbiological and genetic methods, determined the difficulties in the differentiation of limited forms of tuberculosis with slowly resolving pneumonia. The aim of the study consisted in the identification of features with impact on the differential diagnosis of slowly resolving pulmonary infiltrates. The methodology was based on the investigation of 180 cases hospitalised in the clinical subdivisions of Pneumophysiology Institute ,,Chiril Draganiuc” in the period of 1.01.2010 – 31.12.2013. Patients were selected according to the including criteria (age >18 years old, limited extensability of pulmonary infiltrates, slowly evolution of lung infiltrates during more than 4 weeks, the informed consent of the patient). Patients were distributed in 2 groups: the study group – 125 new pulmonary tuberculosis cases with limited extended pulmonary infitrative tuberculosis and the control group – 55 cases with slowly resolving pneumonia. All cases were investigated according to the national standards. Results: high predictability of tuberculosis offers tuberculosis contact, low social-economic level, anorexia, important weight lost, thoracic pain, productive cough, fever. High predictability for slowly resolving pneumonia are dyspneea, thoracic pain, comordid status and old age.Conclusions: epidemic state of the R of Moldova determined the maintaining of clinical-epidemiological care in all patients with slowly resolving infiltrates.
slowly resolving pneumonia, risk factors