Evaluation of School-Based Tuberculosis Screening Results After Index Case (Both Intellectual Disability and Cavitary Pulmonary Tuberculosis)

Year 2021, Volume: 4 Issue: 3, 105 - 112, 29.09.2021

Seval Özen , Hatice Uygun , Songül Çetin , Cüret Alev , Sadık Akgün , İbrahim Bucak , Mehmet Turğut

Abstract

Objective: Tuberculosis is an important public health problem. Tuberculosis prevalence is high in low-income countries. It is contagious, and therefore a risk for people in public living areas. It is contagious, and therefore a risk for people in public areas. Also, people with intellectual disability stay in the same public areas. Therefore, they are also at risk. The aim of our study was to investigate the contact of persons in the same center with an index case. Materials and methods: Contact investigation was conducted in a training and rehabilitation center. Tuberculosis-specific parameters were measured from the patients. Results: All contacts (n=39) were male. Fifteen contacts were offered follow-up without medication. Fifteen contacts were given medication for prophylaxis. Latent tuberculosis was detected in 8 patients. Possible tuberculosis was detected in one patient. Contagion of tuberculosis from the index case to his roommates measured 16.6%. Tuberculosis contagion from the patient with possible tuberculosis to his roommates measured 37.5%. Patients with latent tuberculosis and possible tuberculosis were medicated according to international criteria. Conclusion: People with intellectual disability do not fully define the symptoms of the disease. Therefore, the prognosis may be made when the disease is diagnosed by a health professional. Also, some tests may not be performed because communication is not possible. For this reason, clinicians should be more careful in screening people with intellectual disability for TB. Also, the fight against tuberculosis should be continued without interruption.

Keywords

Contact screening, intellectual disability, school-based tuberculosis, cavitary pulmonary tuberculosis

Zihinsel Engellilik ve Kaviter Akciğer Tüberküloza Sahip İndex Vaka Sonrası Okul Temelli Tüberküloz Tarama Sonuçlarının Değerlendirilmesi

Abstract

Amaç: Tüberküloz önemli bir halk sağlığı sorunudur. Düşük gelirli ülkelerde tüberküloz prevalansı yüksektir. Bulaşıcıdır, bu nedenle toplu yaşam alanlarındaki insanlar için bir risktir. Ayrıca zihinsel engelli insanlar aynı toplu yaşam alanlarında kalırlar. Bu nedenle, onlar da risk altındadır. Çalışmamızın amacı aynı merkezde kalan indeks vaka ile temaslı çocukların tarama sonuçlarının paylaşılması ve temaslarını incelemektir. Gereç ve Yöntem: Temas araştırması bir Zihinsel Engelliler Rehabilitasyon ve Eğitim Merkezinde yapılmıştır. Hastalarda tüberküloza özgü parametreler değerlendirildi. Bulgular: Otuz dokuz hastanın tamamı erkekti (%100). On beş kişi ilaçsız takip edildi. On beş kişiye profilaksi verildi. Sekiz hastada latent tüberküloz tespit edildi. Bir hastada olası tüberküloz tespit edildi. İndeks vakadan oda arkadaşlarına tüberküloz iletimi %16.6 iken olası tüberküloz hastasından oda arkadaşlarına tüberküloz iletimi %37.5 olarak saptandı. Latent tüberküloz ve olası tüberküloz tanısı alan hastalar, uluslararası kriterlere göre tedavi edilmiştir. Sonuç: Zihinsel engelli kişiler, hastalığın semptomlarını tam olarak tanımlayamazlar. Bu nedenle, hastalık bir sağlık profesyoneli tarafından teşhis edildiğinde hastalık ilerleyebilir. Ayrıca, iletişim mümkün olmadığından bazı testler gerçekleştirilemeyebilir. Bu nedenle, klinisyenler zihinsel engeli olan kişilerin taramasında daha dikkatli olmalıdır. Ayrıca tüberküloz ile mücadeleye ara vermeden devam edilmelidir.

Keywords

Temas taraması, zihinsel engellilik, okul temelli tüberküloz, kaviter akciğer tüberkülozu

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