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  • Ferrara 2009 Coming Soon

    Diunggah oleh

    Giovanni Ferrara
    15 tayangan15 halaman
    This document discusses tuberculosis (TB), including: 1. TB is the biggest cause of death from a curable infectious disease, causing 3 million deaths in 2002. 2. The majority of TB cases are in India and China, with Europe accounting for 10% of cases and Africa 21%. 3. TB diagnosis can be made through examination of pathological materials, gene amplification techniques, and culture. 4. Today, TB has an adequate treatment through a patient-centered approach to ensure adherence and monitoring response to therapy through repeated sputum tests and clinical evaluation.

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    This document discusses tuberculosis (TB), including: 1. TB is the biggest cause of death from a curable infectious disease, causing 3 million deaths in 2002. 2. The majority of TB cases are in India and China, with Europe accounting for 10% of cases and Africa 21%. 3. TB diagnosis can be made through examination of pathological materials, gene amplification techniques, and culture. 4. Today, TB has an adequate treatment through a patient-centered approach to ensure adherence and monitoring response to therapy through repeated sputum tests and clinical evaluation.

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    15 tayangan15 halaman

    Ferrara 2009 Coming Soon

    Diunggah oleh

    Giovanni Ferrara
    This document discusses tuberculosis (TB), including: 1. TB is the biggest cause of death from a curable infectious disease, causing 3 million deaths in 2002. 2. The majority of TB cases are in India and China, with Europe accounting for 10% of cases and Africa 21%. 3. TB diagnosis can be made through examination of pathological materials, gene amplification techniques, and culture. 4. Today, TB has an adequate treatment through a patient-centered approach to ensure adherence and monitoring response to therapy through repeated sputum tests and clinical evaluation.

    Hak Cipta:

    Attribution Non-Commercial (BY-NC)
    Unduh sebagai PPT, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    dari 15

    Universit degli Studi di Perugia

    Azienda Ospedaliera S. Maria Terni

    Cattedra di Malattie dellApparato Respiratorio

    La Tubercolosi

    Giovanni Ferrara
    Coming soon in Pneumologia Firenze, 14 febbraio 2009

    TB is the biggest cause of death from a curable or preventable infectious disease


    3.0 Millions of deaths in 2002

    2.0

    1.0

    0.0 HIV/AIDS Tuberculosis Malaria Measles

    The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. WHO 2005. All rights reserved

    Estimated new TB cases (all forms) per 100 000 population

    2005 8.8 million new TB cases and 1.6 million deaths due to TB

    0 - 24 25 - 49 50 - 99 100 - 299 300 or more No estimate

    Maggioranza casi TB in India e Cina


    Europa 10%
    Number of cases < 1 000 1 000 - 9 999 10 000 - 99 999

    100 000 - 999 999


    1 000 000 or more No estimate

    Africa 21%

    Asia 59%

    The designations employed and the presentation of material on this map do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. White lines on maps represent approximate border lines for which there may not yet be full agreement. WHO 2003

    Global Tuberculosis Control. WHO Report 2003. WHO/HTM/TB/2004.331

    Distribuzione per et e nazionalit


    Epidemiology
    180 160 140 120 100 80 60 40 20 0
    0-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 >85

    Residenti

    Immigrati
    Migliori GB et al. 1999

    Stime di incidenza della TB in provincia di Modena: Italiani: Immigrati: incidenza 8-16/100000 incidenza 140/100000

    MDR-TB prevalence in new cases, 1994-2003


    14.2 14.2 13.7 13.2 12.2 10.4 9.4 9.3 9.0 7.8 6.6 Kazakhstan Israel Russia (Tomsk) Uzbekistan Estonia China (Liaoning) Lithuania Latvia Russia (Ivanovo) China (Henan) Dominican Rep Ivory Coast Iran Ecuador

    7.8

    5.3 5.0 4.9

    Tubercolosi
    Sintomatologia

    Il paziente tossisce frequentemente, il suo espettorato spesso ed a volte contiene sangue. Il suo respiro come un flauto. La sua pelle fredda, ma i piedi sono caldi. Suda molto ed il suo cuore agitato. Quando la malattia avanti, soffre di diarrea Biblioteca di Assurbanipal 668 a.C. Ai sintomi generali possono associarsi sintomi localizzati come dolore, tumefazione delle linfoghiandole e dei tessuti, fistole cutanee. La sintomatologia pu essere insidiosa ed essere limitata alla tosse

    Tubercolosi polmonare

    Tubercolosi
    Diagnosi
    Esame diretto dei materiali patologici

    Tubercolosi
    Diagnosi
    Tecniche di amplificazione genica

    Tubercolosi
    Diagnosi Ricerca su coltura

    Un secolo per trovare il trattamento adeguato!

    IL TRATTAMENTO DELLA TUBERCOLOSI ATTIVA: Trattamento adeguato! OGGI!!!

    IL TRATTAMENTO DELLA TUBERCOLOSI ATTIVA: Trattamento adeguato!


    STANDARD N 9 Un approccio centrato sul paziente dovrebbe essere sviluppato al fine di garantire laderenza dello stesso al trattamento.. STANDARD N 10 Tutti i pazienti vanno seguiti per controllare la risposta alla terapia, che nei pazienti con TB polmonare si giudica meglio ripetendo gli espettorati al 2, 5 mese ed al termine del trattamento, oltre alla valutazione clinica.

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