TY - JOUR TT - DIAGNOSIS OF PULMONARY EMBOLISM IN SECONDARY CARE AU - Tuncer, Leyla Yağci AU - Akkaya, Esen AU - Baran, Ateş AU - Güngör, Sinem AU - Yalçınsoy, Murat AU - Mihmanlı, Aydanur AU - Duman, Dildar AU - Duman, Gülcihan PY - 2009 DA - December JF - İzmir Göğüs Hastanesi Dergisi JO - İzmir Göğüs Dergisi PB - İzmir Göğüs Hastalıkları Hastanesi WT - DergiPark SN - 1300-4115 SP - 131 EP - 135 VL - 23 IS - 3 KW - Tüberküloz KW - klinik seyir KW - sigara N2 - Smoking is not only a risk factor for tuberculosis (TB) but can also increases the gravity of clinical course. In our study we examined the effects of smoking on pulmonary TB patients in terms of initial smear positivity, radiological presentations, smear conversion on follow~up, efect on treatment periods. Patients (n=226) were separated into 2 groups as Group I smokers (n=145, F/M: 22/123, mean age: 40 ± 13) and Group II non-smokers (n=81, F/M: 24/57, mean age: 36 ± 15). We determined the ratios of the patients diagnosed by smear positivity as 92.7% in Group I and 77.8% in Group II. We did not obtain any significant difference between the groups in terms of the radiological presentation and the existence of cavity on chest X-Ray (p>0.05). When the groups are compared in terms of the smear positivity in diagnosis; we found a significantly higher positivity in the smoker group (p= 0.001). As a result, initial conclusions of our study which is still continuing, bacterial discharge was found significantly higher in the smoker group and this is important for TB contagiousness. Because of this, the coexistence of TB and smoking has more risk for health care instead of each one separately. We think smoking cessation programs also may help TB control. CR - 1. Zellweger JP. Tobacco and tuberculosis. Monaldi Arch Chest Dis 2008; 69(2): 83-5. CR - 2. Chiang CY, Slama K, Enarson DA. Associations between tobacco and tuberculosis. 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