Evaluation of Pulmonary Status of Post-Tuberculosis Patients with Spirometry and Chest X-Ray
Journal Title: International Journal of Experimental Research and Review - Year 2024, Vol 40, Issue 4
Abstract
In 2022, 7.5 million new cases of tuberculosis were reported worldwide. Mycobacterium tuberculosis results in tuberculosis, an infectious disease mostly affecting the lungs. However, many completely treated post-tubercular patients experience persistent changes in lung anatomy (bronchial and parenchymal structure), Increasing their risk of lung complications and early death. These changes affect the airway's size, leading to higher resistance and decreased airflow. Our study aimed to assess the overall clinical status and lung function of treated post tuberculosis patients using spirometry. The study constituted patients over the age of 18 who presented to the Outpatient department of the Pulmonary Medicine Department, Chettinad Hospital and research institute, Kelambakkam, after receiving complete treatment and being certified cured. Convenience sampling technique was used, 87 patients participated in this trial. The Institutional Ethical Committee approved the study, which lasted 18 months. A proforma was used to collect a complete socio-demographic history and clinical history, particularly in terms of pulmonary symptomatology, and information about previous anti-tb treatment. Each of these patients had chest radiography, smear microscopy, and lung function testing. Mean age was 44.1± 15.2 years, mean BMI was 22.27 ± 3.66 kg/m2. There were 66.2% men and 33.8% females. 42% employed and 52% literate. In the current study, 41(53.25%) of the individuals reported dyspnea and 22(28.57%) had dry cough, cough with expectoration 12(15.58%), Fever 8(10.4%), Haemoptysis 7(9%), chest pain 2(2.6%). Following Post tuberculosis treatment, 38(44%) had normal chest radiographs, 31(35.6%) of the patients had fibrosis/Fibrotic strand, 8(9.1%) had consolidation, 5(5.7%) had ectatic changes, 3(3.4%) had fibrocavity, 1(1%) had calcification and cicatricial collapse. In the current study, we found that 31(40.25%) had normal spirometry followed by 23(29.87%) had mixed pattern and 12(15.6%) had restrictive pattern findings, 11(14.28%) had obstructive pattern findings. In spite of appropriate suggestions, the majority of post-tb pulmonary impairment individuals suffer in quiet or undergo poor medical care. As a result, comprehensive recommendations for patient follow-up following tuberculosis treatment are required in order to monitor lung function and provide appropriate care to improve quality of life.
Authors and Affiliations
Akhil Paritala, Muthukumaran Lakshmanan, Meenakshi Narasimhan, Sridhar Rathinam
Keywords
Related Articles
- EP ID EP739939
- DOI 10.52756/ijerr.2024.v40spl.019
- Views 30
- Downloads 1
Advanced News Archiving System with Machine Learning-Driven Web Scraping and AI-Powered Summarization Using T5, Pegasus, BERT and BART Architectures
Data plays a crucial role in the contemporary era of technology, as it is a vital element in the publication of news on the internet or a website. Nevertheless, understanding long reports in order to fully comprehend eve...
Factors Determining Household Waste Segregation Behaviour: An Indian Case Study
Waste represents used things or materials that are no longer required or wanted. These articles are cast off as they have stopped working or because they have ceased to be of value. Human settlements inevitably generate...
Comparative evaluation of lipsticks developed using isolated pigments of Capsicum annuum and Lycopersicon esculentum fruits and various natural bases
Cosmetics have lured mankind from time immemorial. Colourant cosmetics have secured a respectable space at the dressing table or salon for their various benefits. Capsicum is widely cultivated across the globe for its pu...
Changes of gut microbiota in FAP and UC patients in Mediterranean region of Turkey: an omic landscape to be discovered
Inflammatory bowel diseases, familial adenomatous polyposis (FAP) and colorectal cancer (CRC) are associated with alterations of the intestinal microbiota. However, few data are available on the perpetuation of FAP and u...
Documentation and diversity analysis by DNA fingerprinting of the indigenous Mango (Mangifera indica L.) germplasm of West Bengal
Mango (Mangifera indica L.) has been reported to have extensive diversity due to alloploidy, outbreeding, continuous grafting and phenotypic differences arising from varied agro climatic conditions in different mango gro...