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Evolution of pulmonary TB in military recruits

Vladimir Iacomi, Stela Kulcitkaia, Constantin Iavorschi, Valentina Vilc, Daniela Bursacovschi
European Respiratory Journal 2016 48: PA2739; DOI: 10.1183/13993003.congress-2016.PA2739
Vladimir Iacomi
1Pediatric, State University of Medicine and Pharmacy, Nicolae Testemitanu, Chisinau, Republic of Moldova
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Stela Kulcitkaia
2Pneumophthisiology, State University of Medicine and Pharmacy, Nicolae Testemitanu, Chisinau, Republic of Moldova
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Constantin Iavorschi
2Pneumophthisiology, State University of Medicine and Pharmacy, Nicolae Testemitanu, Chisinau, Republic of Moldova
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Valentina Vilc
2Pneumophthisiology, State University of Medicine and Pharmacy, Nicolae Testemitanu, Chisinau, Republic of Moldova
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Daniela Bursacovschi
3Cardiology, State University of Medicine and Pharmacy,Nicolae Testemitanu, Chisinau, Republic of Moldova
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Abstract

Introduction: The development of pulmonary TB in young people directly influences the social and economic status of a country, especially TB in military recruits.

Aims and objectives: To define the features of confirming pulmonary TB and evaluate the risk factors for military recruits, as well as the clinical manifestations and treatment efficacy.

Methods: We examined a sample of 50 cases of pulmonary TB that were diagnosed during the military service of the recruits for the 2000-2015 period.

Results: The study sample showed that in 39 (78%) cases the average recruit was 18-19 years old. In 33 (66%) cases the pulmonary TB was diagnosed in the first 6 months of military work. The detection of TB in the recruits has been done by clinical symptoms in 20 (40%) cases, and through routine X-ray examination in 30 (60%) cases. Obvious contact with TB patients was found in 20 (40%) recruits. A half of the diagnosed militaries were active smokers. After evaluation of the disease clinical types it was found 42 (84%) cases of infiltrative pulmonary TB, followed by 6 (12%) cases of nodular TB and 2 (4%) cases of TB pleurisy. Pulmonary destruction was radiologically described in 9 (18%) cases. Microscopic confirmation has been done in 8 (16%) cases, and 31 (60%) cases through culture test. MDR-TB was established in 2 (4%) cases. The treatment was according to the sensibility chart and the case complexity, thus in 30 (60%) cases it was successful, while 6 (12%) cases were lost out of direct supervision, and 14 (28%) – continue treatment.

Conclusion: The TB risk in military recruits is higher in the first 6 months of service, being mainly X-ray diagnosed. In most cases the treatment has been successful.

  • Tuberculosis - diagnosis
  • Tuberculosis - management
  • Copyright ©the authors 2016
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Evolution of pulmonary TB in military recruits
Vladimir Iacomi, Stela Kulcitkaia, Constantin Iavorschi, Valentina Vilc, Daniela Bursacovschi
European Respiratory Journal Sep 2016, 48 (suppl 60) PA2739; DOI: 10.1183/13993003.congress-2016.PA2739

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Evolution of pulmonary TB in military recruits
Vladimir Iacomi, Stela Kulcitkaia, Constantin Iavorschi, Valentina Vilc, Daniela Bursacovschi
European Respiratory Journal Sep 2016, 48 (suppl 60) PA2739; DOI: 10.1183/13993003.congress-2016.PA2739
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