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[Tuberculosis in the elderly: sociomedical aspects]

C Anastasatu1, P Mihăilescu, C Didilescu

  • 1Institutul de Pneumoftiziologie Marius Nasta, Bucureşti.

Pneumoftiziologia : Revista Societatii Romane De Pneumoftiziologie
|January 1, 1993
PubMed
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This study highlights challenges in treating tuberculosis (TB) in elderly patients, noting passive case-finding and treatment non-compliance contribute to poor outcomes in older adults.

Area of Science:

  • Geriatric Medicine
  • Public Health
  • Infectious Diseases

Background:

  • Tuberculosis (TB) remains a significant public health concern, particularly among vulnerable populations.
  • Elderly individuals present unique challenges in TB management due to physiological changes and comorbidities.

Purpose of the Study:

  • To evaluate the medical and social aspects of TB in elderly patients.
  • To compare TB characteristics in elderly patients with those in younger adults.

Main Methods:

  • A comparative study of 100 TB patients over 60 years old and a younger cohort (20-39 years).
  • Data collected between 1987-1991 in District 4, Bucharest.
  • Analysis included case-finding methods, disease forms, and treatment compliance.

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Main Results:

  • Predominantly passive case-finding was observed.
  • Extra-respiratory TB forms occurred in 25% of elderly patients.
  • High contamination risk (63% acid-fast bacilli positive) and significant treatment non-compliance (20%) were noted.
  • Treatment failures were linked to psychological factors and comorbidities in the elderly.

Conclusions:

  • Elderly TB patients face challenges including passive detection and poor treatment adherence.
  • Associated conditions and psychological factors in older adults contribute to treatment failures.
  • Improved strategies are needed to address TB in the aging population effectively.