Tüberküloz hastalarında aile içi temas taraması yeterli midir? Köy taraması sonuçları

Objectives: Transmission of tuberculosis (TB) disease occurs with droplet infection and contact time and intenssity are important factors in contagion. In this report, the results of a village TB screening were presented, due to a non-compliant patient that abandoned regular TB treatsment. Materials and methods: In lDiyarbakir No.1 Tuberculossis Dispensary, TB treatment was started in a 18 year-old male patient with the diagnosis of lnew sputum smear positive lung tuberculosis\'. However, this patient lost to follow-up of therapy in the second month. After three months, the patient was found again and then anti-TB drugs were began for the diagnosis of ltreatment after interruption smear positive lung tuberculosis\'. Therefore directly observed TB treatment was given to this patient and therapy resulted in complete cure. Results: Patient was an inhabitant of a village bound to Diyarbakir city and 810 people lived there, thus a microsfilm screening was performed in this village. Microfilms of 485 persons were taken and tuberculin skin test (TST) was performed to 225 people in this investigation. Spustum smear was obtained from 15 people. Four additional people diagnosed as pulmonary TB so these people resceived antituberculosis therapy. Eighteen people took prophylactic isoniazid therapy due to positive TST reacstivity. Four patients with TB were close relatives of the index patient. In this village, tuberculosis prevalence was 617 per thousand in 2006. Conclusion: In low-socioeconomic people, TB patient should be looked for not only with passive methods, but also with active methods. Furthermore, TB scanning should be carried not only in index patient\'s household contacts, but also in persons having close relationships with him because of social life.