New Enemy of Refugees: Tuberculosis
Journal Title: Turkish Journal of Intensive Care - Year 2020, Vol 18, Issue 4
Abstract
Objective: Tuberculosis (TB) remains a major concern to public health in Turkey. The disease can cause respiratory failure and is monitored in intensive care units (ICU) for various clinical symptoms, such as meningitis. The purpose of this study was to present the results of a 1-year TB follow-up. Materials and Methods: This retrospective, cross-sectional study evaluated the data of patients who were hospitalised at the Anaesthesia and Reanimation Clinic of University of Health Sciences Turkey, Bakırköy Dr. Sadi Konuk Training and Research Hospital between January 1, 2018, and December 31, 2018. Following the approval by the Ethics Committee, prognostic scores, reasons for hospitalisation, presence of additional diseases, types of discharge, presence of hospital infections, duration of mechanical ventilation, diagnosis and culture results were recorded. Results: Data was obtained from 22 patients with TB. Further, reasons for admission were respiratory failure in 12 patients (54.5%), septic shock in 6 (27.3%), and meningitis in 4 (18.2%). Of these 22 patients, 16 (72.7%) died and 6 (27.3%) were discharged with recovery, and 40% of all patients were immigrants. The duration of invasive mechanical ventilation in the survivor group was statistically significantly longer (p=0.024). Conclusion: TB is still a severe disease in our country, and it is projected that the number of cases will increase due to increased migration rates in recent years. During the course of the disease, intensive care follow-up may be required due to respiratory distress. Furthermore, immigration and changing public health can lead to structural changes in ICU.
Authors and Affiliations
Yasemin Tekdöş Şeker, Zuhal Yeşilbağ, İrem Özdemir, Zafer Çukurova
Keywords
Related Articles
- EP ID EP691616
- DOI 10.4274/tybd.galenos.2019.52533
- Views 110
- Downloads 0
The Effect of Endotracheal Tube Cuff Pressure Control on the Development of Microaspiration and Ventilator- Associated Pneumonia: Systematic Review
Objective: To investigate the effect of endotracheal tube cuff pressure control on microaspiration and ventilator-associated pneumonia. Materials and Methods: This study was created by using the Preferred Reporting Item...
Predicting Factors Affecting Post-operative Flap Complications in Patients Undergoing Flap Reconstruction Due to Tissue Defect in Lower Extremity
Objective: To evaluate the predicting factors affecting post-operative free flap complications in patients who underwent flap reconstruction due to tissue defect in the lower extremity and who were followed up in the int...
Effect of Heart Rate Control on Oxygenation and Vasopressor Need in Sepsis and Septic Shock-A Pilot Randomised Controlled Study
Objective: The goal of this study was to examine the effect of keeping resting heart rate below 95 bpm on oxygenation, organ function, vasopressor need and mortality in sepsis and septic shock. Materials and Methods: Pa...
Therapeutic Plasmapheresis Therapy in Patient with Thyroid Storm in the Intensive Care Unit
Thyroid storm is a rare clinical condition, and failure in management can lead to multiorgan failure and carries a high mortality. The comprehensive treatment approach is the administration of antithyroid drugs and radio...
Evaluation of Patients with Brain Death Diagnosis and Investigation of the Effect of New Regulation on the Duration of Diagnosis
Objective: Today, the number of patients waiting for organ transplantation is increasing. The detection of brain death in a cadaveric donor is valuable and should be performed quickly. In 2014, Turkish Ministry of Health...