Study of respiratory symptoms among sputum positive

Study of respiratory symptoms among sputum positive Study of respiratory symptoms among sputum positive

10.04.2013 Views

.Jo.. -- .-1'. SU1ltlltdryt/1tifConclit.nOn fever 35.5% haemoptysis 28.8%. No patients complaint from general symptoms of more than 6 month duration, but this statement is not holding good in respiratory symptoms exceed that period and all except haemoptysis. Analysis of mean duration of each symptom showed that haemoptysis and fever among smear positive for AFB were the shortest duration 1.3 ± 0.71 months and 1.38 ± 0.6 months respectively a result was significantly higher than smear -ve control group P < 0.002. Mean duration of cough and expectoration in smear positive tuberculous cases were 3.6 ± 3.5 months and 3.9 ± 3.7 months respectively and showed non significant deference in comparison with smear +ve tuberculous cases and smear -ve control group, P > 0.05. The highest mean duration was chest wheezes followed by dyspnea 13.97 ± 15.9 months, 6.35 ± 10.1 months respectively, P> 0.05 .. (5) Symptoms which were significantly higher in smear +ve than in smear -ve for AFB (Cough, expectoration and weight loss) when combined represents 44.20/0 in smear +ve and 23% in smear -ve and was significantly different (P < 0.019) and when added to typical CXR presentation the significance was increased P < 0.014. And noted in this study some combined symptoms (Cough either dry or productive and haemoptysis and dyspnea and fever and loss of weight) with typical CXR and +ve tuberculin skin test only presented in smear +ve for AFB. And not present in smear -ve for AFB. (6) Some risk factors (TB contact and D.M and smoking). Prevalence of smoking in smear +ve 58.4% and smear -ve 31.3% was significantly different between smear +ve and smear -ve for AFB (P < 0.01) and 131

.Jo.. --<br />

.-1'.<br />

SU1ltlltdryt/1tifConclit.nOn<br />

fever 35.5% haemoptysis 28.8%. No patients complaint from general<br />

<strong>symptoms</strong> <strong>of</strong> more than 6 month duration, but this statement is not<br />

holding good in <strong>respiratory</strong> <strong>symptoms</strong> exceed that period and all<br />

except haemoptysis. Analysis <strong>of</strong> mean duration <strong>of</strong> each symptom<br />

showed that haemoptysis and fever <strong>among</strong> smear <strong>positive</strong> for AFB<br />

were the shortest duration 1.3 ± 0.71 months and 1.38 ± 0.6 months<br />

respectively a result was significantly higher than smear -ve control<br />

group P < 0.002. Mean duration <strong>of</strong> cough and expectoration in smear<br />

<strong>positive</strong> tuberculous cases were 3.6 ± 3.5 months and 3.9 ± 3.7<br />

months respectively and showed non significant deference in<br />

comparison with smear +ve tuberculous cases and smear -ve control<br />

group, P > 0.05. The highest mean duration was chest wheezes<br />

followed by dyspnea 13.97 ± 15.9 months, 6.35 ± 10.1 months<br />

respectively, P> 0.05 ..<br />

(5) Symptoms which were significantly higher in smear +ve than in smear<br />

-ve for AFB (Cough, expectoration and weight loss) when combined<br />

represents 44.20/0 in smear +ve and 23% in smear -ve and was<br />

significantly different (P < 0.019) and when added to typical CXR<br />

presentation the significance was increased P < 0.014. And noted in this<br />

study some combined <strong>symptoms</strong> (Cough either dry or productive and<br />

haemoptysis and dyspnea and fever and loss <strong>of</strong> weight) with typical<br />

CXR and +ve tuberculin skin test only presented in smear +ve for<br />

AFB. And not present in smear -ve for AFB.<br />

(6) Some risk factors (TB contact and D.M and smoking). Prevalence <strong>of</strong><br />

smoking in smear +ve 58.4% and smear -ve 31.3% was significantly<br />

different between smear +ve and smear -ve for AFB (P < 0.01) and<br />

131

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