Screening for Tuberculosis Among Patients with Chronic Psychiatric Disorders in Hamedan

AUTHORS

Seyyed Hamid Hashemi ORCID 1 , * , Mojgan Mamani 1 , Shirin Jamal Omidi 1 , Ali Ghaleiha 2 , Ebrahim Nadi 1

1 Department of Infectious Diseases and Tropical Medicine, Hamedan University of Medical Sciences, Hamedan, IR Iran

2 Department of Psychiatry, Hamedan University of Medical Sciences, Hamedan, IR Iran

How to Cite: Hashemi S H, Mamani M, Jamal Omidi S, Ghaleiha A, Nadi E. Screening for Tuberculosis Among Patients with Chronic Psychiatric Disorders in Hamedan, Arch Clin Infect Dis. Online ahead of Print ; 4(1):31-4.

ARTICLE INFORMATION

Archives of Clinical Infectious Diseases: 4 (1); 31-4
Article Type: Research Article

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Abstract

Background: Tubercle bacilli most often are transmitted from one person by the airborne route. The aim of the present study was to determine the frequency of latent tuberculosis infection and active pulmonary tuberculosis among patients with chronic psychiatric disorders in Hamedan.

Patients and methods: In a cross sectional study, 215 patients with chronic psychiatric disorders were investigated for tuberculin skin test. Those with an induration of ?10 mm were introduced for further evaluation, including a chest-x-ray and examination of the sputum for acid-fast bacilli for those with radiographic abnormalities.

Results: Of 215 patients, 62 (28.8%) had positive tuberculin skin test reaction. Age and duration of psychiatric disorders were significantly associated with test positivity. Of 62 tuberculin-positive patients, 25 (40.3%) had radiographic evidences of inactive pulmonary tuberculosis. None of them had positive sputum smear for tuberculosis.

Conclusion: Chronic psychiatric patients are more susceptible to tuberculosis infection. Screening tests should be applied for these patients.

Keywords

Mental disorders, Screening, Tuberculosis, Tuberculin skin test.

© 0, Archives of Clinical Infectious Diseases. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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