Interaction of Two Important Health Public Problems: Smoke and Tuberculosis

Yıl 2010, Cilt: 17 Sayı: 4, 407 - 412, 01.08.2010

Murat Yalçınsoy Sinem Güngör Bilgen Begüm Afşar Belma Akbaba Bağcı Engin Burak Selçuk Esen Akkaya

Öz

Tobacco smoking and tuberculosis (TB) are two both of the world's greatest public health problems. Even though risk factors of TB well defined, association between smoking and TB is still a matter of debate and controversy. In recent studies have summarized a large body of published literature on the association between smoking and various TB outcomes produced evidence that smoking is a risk factor for TB infection and TB disease. In majority of these studies smoking causes additional mortality risk. Active TB disease treatment is not enough anymore. Convertible risk factors such as smoking are new viewpoint. World Health Organization (WHO) set up TB control programs with control from critical and preventable risk factors as smoking and alcoholism within a Directly Observed Treatment Strategy-based (DOTS) programme. Key words: Tuberculosis; Smoking; Risk Factors.

Anahtar Kelimeler

Tuberculosis; Smoking; Risk Factors.

İki Büyük Halk Sağlığı Sorununun Birlikteliği: Sigara ve Tüberküloz

Öz

Günümüzde sigara kullanımı ve tüberküloz (TB) önemli iki halk sağlığı sorunudur. TB gelişiminde risk faktörleri iyi tanımlanmış olmakla birlikte sigaranın yeri hep tartışmalı kalmıştır. Son yıllarda yapılan çalışmalarda sigara içiminin TB enfeksiyonu, aktif TB gelişimi ve mortaliteye etkisi araştırılmış, sigaranın TB enfeksiyonu ve aktif TB gelişimini etkilediği, tartışmalı olmakla birlikte yayınların pek çoğunda da mortaliteyi arttırdığı sonucuna varılmıştır. Günümüzde, aktif hastalığın tedavisinin, tek başına yeterli olmadığının gösterilmesi ile değiştirilebilir risk faktörlerinin tedavideki yeri; örneğin sigara kullanımının bırakılması, yeni bakış açısı oluşturmuştur. Dünya sağlık örgütü (DSÖ) gelecekteki tüberküloz kontrol programlarını, direkt gözlem altında tedavi (DGT) uygulamaları yanı sıra sigara ve alkol gibi tehlikeli ama önlenebilir davranışsal risk faktörlerinden korunmayı da içerecek şekilde hazırlamaktadır. Anahtar kelimeler: Tüberküloz; Sigara; Risk Faktörleri.

Anahtar Kelimeler

Tüberküloz; Sigara; Risk Faktörleri.

Kaynakça

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