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    Close contacts examination and chemoprophylaxis care level of Diyarbakir no 1 tuberculosis control dispensary
    (2006) Abakay A.; Abakay Ö.; Tanrikulu A.Ç.; Coşkunsel M.
    The preventive chemothreapy is important for preventing of tuberculosis in the close contacts. This regard the close contacts of tuberculosis patients are evaluated carefuly. In this study we investigated retrospectively 1986 close contacts of 360 tuberculosis patients who registered Diyarbakir No. 1 Tuberculosis Control Dispensary. In the tuberculosis patients, the mean age 31.5±16.1 years, 218 (% 60.6) cases were male and 142 (% 39.4) cases were female. Examinations reasons of tuberculosis patients were as 280 (% 77.8) and 74 (% 20.6) individual examination and close contact examination, respectively. It was found that index cases were as % 75 of pulmonary tuberculosis and % 25 extra pulmonary tuberculosis. Pulmonary tuberculosis cases were as % 63.7 of smear positive % 36.3 of smear negative. In the close contacts, the mean age 20.2±16.9 years, 948 (% 47.8) cases were male and 1038 (% 52.2) cases were female. It was found that mean 5.51±2.96 close contacts per a tuberculosis patient were recorded. It was found that examination was not made in the 596 (% 30) cases of close contacts. The number of examinated cases of close contacts was 1390. Examination results in the examinated cases were as follows respectively: preventive chemothreapy was applied in 264 (% 18.9) of the cases; active tuberculosis disease were determinated in 32 (% 2.3) of the cases; BCG was applied in 92 (% 6.7) of the cases; second control examination was suggested in 14 (% 1.1) of the cases. Preventive chemothreapy should be applied in 631 (% 45.4) of the examinated close contacts according to National Tuberculosis Guideline. However, it was found that preventive chemothreapy was not applied. It was determinated that the examinated rate was decreased because of the index cases were uneducated and unemployed and the examinated rate was not decreased because of the index cases were uninsured. Conclusion: Some defects were established in the care of tuberculosis control dispensary. It is thought the defects can be corrected by means of the application National Tuberculosis Guideline and the increasing education activities.
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    Öğe
    Comparison of approaches in tuberculosis diagnosis between dispensary and chest diseases clinics and defects into practice
    (2006) Abakay A.; Abakay Ö.; Tanrikulu A.Ç.; Coşkunsel M.
    Tuberculosis (TB) is an important health problem for our country. Tuberculosis conrol dispensaries (TCD) undertake important functions in application of national TB control programme. In this study, comparison of diagnosis methods in TB is aimed between Diyarbakir No.1 TCD and chest diseases clinics. The data of 360 cases were investigated retrospectively in Diyarbakir No.1 TCD. Systematic sample method was used in the selection of this cases within registered 916 cases between January 200? and December 2004. It was found that cases were as 270 (% 75) pulmonary TB and 90 (% 25) extra pulmonary TB. Pulmonary tuberculosis cases were as 172 (% 63.7) of smear positive 98 (% 36.3) of smear negative. Bacteriological and nonbacteriological methods were used in the 117 (% 72.2) cases and 45 (% 27.8) cases of 162 cases as diagnosed at pulmonary TB chest diseases clinics, respectively. Bacteriological and nonbacteriological methods were used in the 58 (% 64.4) cases and 32 (% 35.6) cases of 90 cases as diagnosed at pulmonary TB Diyarbakir No. 1 TCD, respectively. It was found that the diagnosis of 15 (% 46.8) cases that diagnosed by nonbacteriological methods at TCD was determinated to be as false by chest diseases clinics that have different diagnosis possibility. It was determinated that the mean treatment time was 7.51 ± 2.90 month. It was found that the 56 (% 15.6) cases were made some errors according to treatmet regime or treatment time. The false rate was found to be high when used nonbacteriological methods at TCD. National TB programme is suggested that smear negative cases are sent to health centers having different diagnosis possibility. As a result of, our study is in agreement this suggestion.