Effect of Smoking in Development of Pulmonary Tuberculosis
Journal Title: Journal of Advanced Medical and Dental Sciences Research - Year 2017, Vol 5, Issue 10
Abstract
Background: Tuberculosis is a bacterial disease caused by mycobacterium tuberculosis, a gram positive bacteria. It is the leading cause of death worldwide affects one third of current global population. Tuberculosis is a bacterial disease caused by mycobacterium tuberculosis, a gram positive bacteria. It is the leading cause of death worldwide affects one third of current global population. Materials & Methods: This study was conducted in the department of Pulmonary Medicine in year 2014. It included 60 patients found sputum smear positive, diagnosed clinically and radiologically positive for mycobacterium tuberculosis. Patients were divided into 2 groups. Group I consisted of controls (60) and group II consisted of TB positive patients. A detailed history was taken from each individually particularly pertaining to respiratory system like fever, cough, expectoration, chest pain, hemoptysis, breathlessness weight loss, appetite loss, leg swelling etc. Results: Both group I and II comprised of 60 patients each. The difference was non- significant (P-1). In group I, 40 and in group II, 28 were non smokers. In group I, 7 were mild, 5 were moderate and 8 were moderate smokers. In group II, 12 were mild, 8 were moderate and 12 were heavy smokers. The difference was significant (P< 0.05). Common radiological findings were emphysema in group I (5) and group II (7), hilar opacities in group I (3) and group II (5), infiltrations in group I (2) and group II (3), fibrocavitory in group I (1) and group II (4) and cavity alone in group II (4), lung collapse in group I (2) and group II (3), military opacities in group I (1) and group II (2), bronchopneumonia in group I (3) and group II (2), pleural effusion in group I (1) and group II (1) and consolidation in group I (1) and group II (1). AFB 1 +ve were seen in 4 patients, 2 +ve was seen in 6 patients and 3 +ve in 22 patients. The difference was significant (P<0.05). Conclusion: The incidence of pulmonary tuberculosis increases with the duration of smoking. Smoking is an important risk factor for development of pulmonary tuberculosis.
Authors and Affiliations
Devesh Prasad Mishra, Abhishek Srivastava
Keywords
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