Volume 8, Issue 3 (Scientific Journal of Hamadan University of Medical Sciences-Autumn 2001)                   Avicenna J Clin Med 2001, 8(3): 0-0 | Back to browse issues page

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Ansari M, Shah Nazari H. Frequency of Smear Positive Pulmonary Tuberculosis in Prisoners of Central Prison of Hamadan in 1999. Avicenna J Clin Med 2001; 8 (3)
URL: http://sjh.umsha.ac.ir/article-1-851-en.html
Abstract:   (4241 Views)

All factors that produce active tuberculosis are present in prisoners.
   The over crowded condition of most prisons coupled with HIV infection,
   malnutrition and IV drug abusing among prisoners may lead to a substantial
   tuberculosis epidemic in the prison system . Between January and March
   1999 we carried out an active case finding survey in Hamadan central prison,
   Iran, through the WHO tuberculosis control program.

         We interviewed prisoners and those with cough of at least 3 weeks’
   duration were screened by sputum-smear microscopy. If sputum smear was
   negative after 10 days antibiotic administration and after three consecutive 
   negative smear , prisoner underwent chest radiography.

         106 of 1115 prisoners were screened; (all men , mean age 33.2years). 79
   prisoners (74.5%) had addiction to opium. The most common route of opium
   were inhalation (70 cases), oral (20 cases), inhalation-oral (15 cases) and
   parentral (4 cases). Two screened prisoners (1.88%) had pulmonary
   tuberculosis with positive smear and were not taking anti tuberculosis drugs
   and had addiction to heroin. 67 (53.7%) of 106 screened prisoners
   underwent chest  radiography. In 2 prisoners the chest radiograph
   suggested active tuberculosis, in 2 prisoners hilar lymph node calcification
   was seen due to old tuberculosis and in 2 prisoners suggested calcification
   and scar of old tuberculosis in pulmonary apices.

         As a result, the frequency of smear positive pulmonary tuberculosis in
   central prison of Hamadan was significant and must pay attention to it.

Type of Study: Original | Subject: Other Clinical Specialties

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