Yoğun Bakımda Akciğer Tüberkülozu: Tanı, Tedavi Ve İzolasyon
Anahtar Kelimeler
Tuberculosis (TB) is a chronic, necrotic infection with a wide variety of
clinical manifestations caused by a group of mycobacteria defined as
Mycobacterium tuberculosis complex. Apart from causing disease mostly in the
lungs, bacilli can also affect the lymphatic system, bone structure, central
nervous system, urinary system, digestive system and genital system. Tuberculosis
is a socially important disease that can be prevented, treated and cured. Pulmonary
Tuberculosis is used for TB involving the lung parenchyma. Involvement in all
other systems, including pleural effusion or intrathoracic (hilus, mediastinum)
involvement without lung parenchymal involvement, is considered extrapulmonary
tuberculosis. Tuberculosis can be a serious and potentially fatal disease, but
early diagnosis and effective treatment have a major impact on recovery. Management of patients with tuberculosis in the intensive care unit is
complex and multifaceted, as the need for intensive care is often due to
advanced disease or treatment-resistant forms of tuberculosis. In addition,
management of tuberculosis-related complications or comorbid medical conditions
may be necessary in these patients. Mechanical ventilation support, maintenance
of fluid balance, nutritional support, and management of other comorbid
conditions are also critical. During the follow-up of tuberculosis patients in
intensive care units, it is extremely important to take appropriate isolation
precautions to ensure the safety of both healthcare professionals and other
patients. Since tuberculosis is an infection that can be transmitted through
the air, patients should be monitored in appropriate isolation conditions, in
negative pressure rooms. It is important that we take the necessary care to
ensure that healthcare personnel who will work with tuberculosis patients wear
the necessary personal protective equipment.
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