PT  - JOURNAL ARTICLE
AU  - Iacomi, Vladimir
AU  - Kulcitkaia, Stela
AU  - Iavorschi, Constantin
AU  - Vilc, Valentina
AU  - Bursacovschi, Daniela
TI  - Evolution of pulmonary TB in military recruits
AID  - 10.1183/13993003.congress-2016.PA2739
DP  - 2016 Sep 01
TA  - European Respiratory Journal
PG  - PA2739
VI  - 48
IP  - suppl 60
4099  - http://erj.ersjournals.com/content/48/suppl_60/PA2739.short
4100  - http://erj.ersjournals.com/content/48/suppl_60/PA2739.full
SO  - Eur Respir J2016 Sep 01; 48
AB  - 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.