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Tuberculosis evolution and treatment outcome in drug addicted patients

Lesnic, Evelina; Cotelea, Eugen


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{
  "publisher": "Zenodo", 
  "DOI": "10.5281/zenodo.1456877", 
  "container_title": "Moldovan Medical Journal", 
  "language": "eng", 
  "title": "Tuberculosis evolution and treatment outcome in drug addicted patients", 
  "issued": {
    "date-parts": [
      [
        2018, 
        10, 
        15
      ]
    ]
  }, 
  "abstract": "<p><strong>Background: </strong>Drug injection is considered an important issue for the public health of the Republic of Moldova. In the RM the intravenous drug users&nbsp;(IVDU) are the key population for HIV infection, B and C hepatitis, TB and sexual transmitted diseases. The aim of the study was to assess the tuberculosis&nbsp;evolution and treatment outcome in intravenous drug addicted patients.</p>\n\n<p><strong>Material and methods: </strong>A retrospective selective, descriptive study targeting socioeconomic, demographic, economic and epidemiological peculiarities,&nbsp;case-management, diagnosis of radiological aspects and microbiological characteristics of 233 patients with pulmonary tuberculosis registered in Chisinau&nbsp;city from 2012 to 2016 among them 48 IVDU was performed. The results were compared with a sample of 34 IVDU.</p>\n\n<p><strong>Results:</strong> Men were predisposed for drug addiction and the age is younger in addicts with tuberculosis. Socioeconomic vulnerability is extended in the&nbsp;selected groups; however, the poverty deepness was more important in addicted patients with tuberculosis. Close contact with a sick patient predominated&nbsp;in addicts with tuberculosis, but nobody assessed the contact in addicts without tuberculosis. Associated diseases predominated in addicts with or without&nbsp;tuberculosis, more frequently were: HIV infected individuals, viral hepatitis and neurological disorders.</p>\n\n<p><strong>Conclusions:</strong> Risk factors for tuberculosis in drug addicts were: unemployment and associated lack of health insurance, patient&rsquo;s homeless state, middle&nbsp;adulthood and the immune suppressive condition &ndash; HIV infection. Major disease-related characteristic in IVDU patients was the presence of severe&nbsp;destructive forms of tuberculosis and &quot;loss to follow-up&quot; as outcome.</p>", 
  "author": [
    {
      "family": "Lesnic, Evelina"
    }, 
    {
      "family": "Cotelea, Eugen"
    }
  ], 
  "page": "15-23", 
  "volume": "61(3)", 
  "type": "article-journal", 
  "id": "1456877"
}
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