Evaluation of tuberculosis clinical characteristics by gender

İrem Akova; Esma Kılıç

doi:10.7197/cmj.874974

EN

Evaluation of tuberculosis clinical characteristics by gender

Abstract

Objective: The aim of this study was to evaluate the clinical features of tuberculosis (TB) in terms of gender differences over a ten-year period.

Method: This retrospective cohort study was performed using Sivas Tuberculosis Dispensary 2010- 2019 TB patient records. TB incidence, mortality, drug sensitivity percentages and some clinical characteristics of patients were determined.

Results: The rate of female new patients was 51.4 % and the female to male ratio was 1.05. The gender difference in rates was highest in the 0-19 age group. Most of the cases (49.9 %) were extra-pulmonary tuberculosis (EPTB) and this rate in female (66.6 %) was significantly higher than in male (33.4 %). The most common extra-pulmonary involvement was the lymphatic system (39.7 %). Complete the disease as a cure (65.7 %), treatment failure (100.0 %) and deaths (66.7 %) due to TB were significantly higher in male. We recorded the drug resistance 9 % for ethambutol, 8.6 % for isoniazid, 4.5 % for streptomycin and 2.8 % for rifampicin and there was no significant difference by gender. The incidences of all TB forms, pulmonary tuberculosis (PTB) and EPTB showed a decreasing trend in both genders and age groups except for those aged 60 and over in male. TB mortality rate and drug sensitivity percentages were in an increasing trend in both genders.

Conclusions: Significant changes were found in some clinical features of TB according to gender. It is thought that situations arising from gender changes in TB control programs should be considered.

Keywords

References

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Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Research Article

Authors

İrem Akova ^*
0000-0002-2672-8863
Türkiye

Esma Kılıç
0000-0001-8503-4995
Türkiye

Publication Date

March 31, 2021

Submission Date

February 5, 2021

Acceptance Date

February 28, 2021

Published in Issue

Year 2021 Volume: 43 Number: 1

DOI

https://doi.org/10.7197/cmj.874974

IZ

https://izlik.org/JA34NT77MH

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RIS / Bibtex

AMA

1.Akova İ, Kılıç E. Evaluation of tuberculosis clinical characteristics by gender. CMJ. 2021;43(1):8-19. doi:10.7197/cmj.874974

Öz

Evaluation of tuberculosis clinical characteristics by gender

Abstract

Keywords

References

Details

Primary Language

Subjects

Journal Section

Authors

Publication Date

Submission Date

Acceptance Date

Published in Issue

DOI

IZ

Cite