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Association between serum selenium level and conversion of bacteriological tests during antituberculosis treatment
Milena Lima de Moraes1, Daniela Maria de Paula Ramalho2, Karina Neves Delogo2
1McGill University, Montreal, QC, Canada.
Higher serum selenium levels after 60 days of treatment are linked to successful bacteriological test conversion in pulmonary tuberculosis patients. This finding highlights selenium
Area of Science:
- Nutritional biochemistry
- Infectious diseases
- Clinical medicine
Background:
- Pulmonary tuberculosis (TB) is a significant global health challenge.
- Nutritional status, including trace element levels, may influence TB treatment outcomes.
- Selenium is an essential trace element with immune-modulating properties.
Purpose of the Study:
- To investigate the association between serum selenium levels and bacteriological conversion in pulmonary TB patients.
- To explore the relationship between selenium and treatment response after eight weeks of standard therapy.
Main Methods:
- A case-control study involving 35 pulmonary TB patients and 35 healthy controls.
- Measurement of serum selenium, albumin, and C-reactive protein (CRP) at baseline, 30, and 60 days of treatment.
- Assessment of anthropometric indices and sputum microscopy/culture for bacteriological conversion.
Main Results:
- Pulmonary TB patients exhibited lower baseline serum selenium levels compared to controls.
- Bacteriological test conversion at 60 days was associated with the CRP/albumin ratio and serum selenium levels.
- A significant proportion of TB patients presented with malnutrition and unhealthy lifestyle factors.
Conclusions:
- Elevated serum selenium levels at 60 days of treatment correlate with successful bacteriological conversion in pulmonary TB.
- Selenium status may play a role in the treatment efficacy of pulmonary tuberculosis.
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