RESUMO
BACKGROUND: Differences in clinical presentation of tuberculosis (TB) have been reported in different age groups, gender and in different parts of the world. Study of gender differences in clinical presentation of patients will assist in targeting those at higher risk and ensure successful TB control planning. OBJECTIVE: To describe the differences in clinical presentation and risk factors for TB in male and female Nigerian patients with pulmonary tuberculosis (PTB). METHODS: Patients with cough of more than three weeks duration attending hospitals in Abuja, Nigeria were interviewed with a structured questionnaire. After clinical examination, sputum samples were examined by smear microscopy and one sample was cultured. Haematological examination, serum chemistries, HIV serology, and chest X-ray evaluation were also evaluated. RESULTS: Of 1186 patients who had sputum culture, 731 (62%) were positive for TB: 437 (60%) males and 394 (40%) females. The mean (SD) age of males was significantly greater than that of females, 34 (11) vs. 31 (12) years, rp = 0.001. Male patients were more likely to be employed and better educated than women. More men than women smoked cigarettes. Women were more likely to be co-infected with HIV and less likely to be smear-positive than men. Male patients had more severe radiological disease. CONCLUSION: More men than women appear to present with TB at hospitals in Abuja. Male patients were older and are more likely to have smear-positive TB, whereas, female patients were more likely to be co-infected with HIV.
Assuntos
Tuberculose Pulmonar/epidemiologia , População Urbana , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Nigéria/epidemiologia , Prevalência , Radiografia , Medição de Risco , Fatores de Risco , Fatores Sexuais , Escarro/química , Tuberculose Pulmonar/diagnóstico por imagem , Tuberculose Pulmonar/fisiopatologia , Adulto JovemAssuntos
Bacteriemia/microbiologia , Infecção Hospitalar/microbiologia , Doenças em Gêmeos/microbiologia , Infecções por Pseudomonas/microbiologia , Pseudomonas stutzeri , Amicacina/uso terapêutico , Ampicilina/uso terapêutico , Antibacterianos/uso terapêutico , Bacteriemia/diagnóstico , Bacteriemia/tratamento farmacológico , Técnicas Bacteriológicas , Infecção Hospitalar/diagnóstico , Infecção Hospitalar/tratamento farmacológico , Doenças em Gêmeos/diagnóstico , Doenças em Gêmeos/tratamento farmacológico , Quimioterapia Combinada , Humanos , Recém-Nascido , Controle de Infecções , Masculino , Testes de Sensibilidade Microbiana , Infecções por Pseudomonas/diagnóstico , Infecções por Pseudomonas/tratamento farmacológico , Doenças Raras , Arábia SauditaRESUMO
One hundred and seventy-eight Gambian women in their late 3rd trimestrer plus babies born to them; and later on some 11 randomly selected CMV positive and 11 CMV negative infants with their mothers and siblings; were examinated serologically; and virologically for the evidence of cytomegalovirus infection with a view to determining who is infecting who and how; in this community. There was significant correlation between CMV positive infants and CMV infection in their siblings; whereas there was no such correlation between these infants and their CMV positive mothers
Assuntos
Citomegalovirus/epidemiologiaRESUMO
An analysis of stools samples examined during a period of two years; from January; 1988 to December; 1989 in Jos University Teaching Hospital was carried out. Of the 15634 people examined during this period; 6698 were males; while 8936 were females. Monoparasitism occured in 4364 persons; while polyparasitism occured in 240 persons. Several parasites were identified in these cases
