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

..... SUlIlfltdry11MConclU.non Conclusions 1- Haemoptysis, chest pain and fever were the symptoms urging the patient to seek medical advise rapidly in comparison to other symptoms. 2- Haemoptysis in middle age group, dyspnea, anorexia and night sweating in elderly age group and expectoration in both middle and elderly age group were statistically significant symptoms among sputum +ve cases for AFB in relation to age groups. 3- Specificity ofcommon respiratory symptoms are as follow: Chest pain 71%, Haemptysis 59.4%, dyspnea 53.1%, expectoration 50% and cough 37.5% 4- Specificity of common general symptoms are as follow: Anorexia 75%, weight loss 65.6%, night sweat 59.4% and fever 46.6%. ..,.--- 5- Sensitivity ofcommon respiratory symptoms proved to be : Cough 97.4%, expectoration 87%, haemptysis 51.9%, dyspnea 50% and chest pain 34.4%. 6- Sensitivity of common general symptoms are:- Fever 60.4%, weight loss 51.9%, night sweat 40.3% and anorexia 27.3% 7- In an Egyptian community Cough dry or productive, haemoptysis, dyspnea, weight loss and fever among smokers were highly suggestive of pulmonary tuberculosis. This statement holds more good when TB like picture and +ve tuberculin test are present. 115

I ... _- ." I RECOMMENDATIONS

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SUlIlfltdry11MConclU.non<br />

Conclusions<br />

1- Haemoptysis, chest pain and fever were the <strong>symptoms</strong> urging the patient<br />

to seek medical advise rapidly in comparison to other <strong>symptoms</strong>.<br />

2- Haemoptysis in middle age group, dyspnea, anorexia and night sweating<br />

in elderly age group and expectoration in both middle and elderly age<br />

group were statistically significant <strong>symptoms</strong> <strong>among</strong> <strong>sputum</strong> +ve cases<br />

for AFB in relation to age groups.<br />

3- Specificity <strong>of</strong>common <strong>respiratory</strong> <strong>symptoms</strong> are as follow:<br />

Chest pain 71%, Haemptysis 59.4%, dyspnea 53.1%, expectoration<br />

50% and cough 37.5%<br />

4- Specificity <strong>of</strong> common general <strong>symptoms</strong> are as follow:<br />

Anorexia 75%, weight loss 65.6%, night sweat 59.4% and fever<br />

46.6%.<br />

..,.--- 5- Sensitivity <strong>of</strong>common <strong>respiratory</strong> <strong>symptoms</strong> proved to be :<br />

Cough 97.4%, expectoration 87%, haemptysis 51.9%, dyspnea 50%<br />

and chest pain 34.4%.<br />

6- Sensitivity <strong>of</strong> common general <strong>symptoms</strong> are:-<br />

Fever 60.4%, weight loss 51.9%, night sweat 40.3% and anorexia<br />

27.3%<br />

7- In an Egyptian community Cough dry or productive, haemoptysis,<br />

dyspnea, weight loss and fever <strong>among</strong> smokers were highly suggestive<br />

<strong>of</strong> pulmonary tuberculosis. This statement holds more good when TB<br />

like picture and +ve tuberculin test are present.<br />

115

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