KMID : 0383820100690030163
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Tuberculosis and Respiratory Diseases 2010 Volume.69 No. 3 p.163 ~ p.170
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Characteristics of Pulmonary Tuberculosis in Elderly People
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Shin Ji-Young
Jung Sun-Young Lee Jung-Eun Park Ji-Won Yoo Su-Jin Park Hee-Sun Kim Ju-Ock Kim Sun-Young
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Abstract
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Background : Pulmonary tuberculosis remains a health concern in Korea despite major progress in the development of new strategies for diagnosing and treating tuberculosis. In particular, the diagnosis of newly developed pulmonary tuberculosis is on the rise in elderly persons. The aim of this study was to investigate the clinical, radiographic characteristics, and treatment outcomes of pulm onary tuberculosis in the elderly.
Materials and Methods : The medical records of 113 young (£¼65 years old) and 112 elderly (¡Ã65 years old) pulmonary tuberculosis patients diagnosed at Chungnam National University hospital between January 2007 and December 2008 were reviewed.
Results : There was no difference in the prevalence of typical symptoms between the younger and the elderly group. Dypsnea was the only symptom that occurred more frequently in the elderly group (16.8% vs 5.5%, p=0.008). On radiological study, pneumonic infiltration type was more common in the elderly group (28.6% vs 16.8%, p=0.035). Sputum Acid fast bacilli smear positivity rate was similar between the 2 groups. Elderly patients with anti-tuberculosis medication had more frequent adverse drug reactions; however, there was no significant difference between the 2 groups in the number of patients required to stop medication due to an adverse drug reaction. There were more patients lost to follow-up in the elderly group (22/112, 19.6% vs 11/113, 9.7%, p=0.036).
Conclusion : The majority of elderly patients did not complete the treatment, resulting in a poorer outcome. Therefore, we need to make an effort to support the continued screening of elderly patients by making this economically feasible.
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KEYWORD
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Tuberculosis, Pulmonary, Aged, Patient Compliance
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