COPD 2025

Youssef Suliman Marey Nasim speaker at World Congress on COPD and Pulmonary Diseases
Youssef Suliman Marey Nasim

Assiut Chest Hospital, Egypt


Abstract:

There are many reported causes of bronchiectasis, but post-infectious type especially following tuberculosis (TB) is still the main etiology. Yet, in some cases of bronchiectasis the etiology remains obscure and hence, it is named as idiopathic type. It was previously reported that TB patients had a frequency of bronchiectasis that ranges between 19% and 65% with higher incidence in fibroid stage of the disease. However, the relation between tuberculosis and bronchiectasis was historically recognized. Both tuberculosis and bronchiectasis are associated with chronic progressive deterioration in pulmonary function which can be presented by symptoms such as cough, wheezes, and dyspnea causes variable degrees of disabilities . Moreover, the risk of hospitalization in cases of TB with bronchiectasis is high . So, early detection of TB patients with subsequent prompt therapy may be associated with reduction in number of cases with bronchiectasis and its complications. In Egypt, the prevalence and burden of TB is well studied but there is paucity in data about bronchiectasis (prevalence, patterns, and burden) in TB patients. This study aims to assess the prevalence of bronchiectasis among TB patients in our locality and to study its clinical functional characteristics.  Methods :A cross sectional study have been conducted at the out- patient clinic of Assiut chest hospital ,1 year duration, 85 patients with confirmed TB were enrolled in the study. Those patients were clinically, laboratory, and radiologically evaluated. Any patient with other chest diseases was excluded from the study. Out of those patients, 19/85 (22.4%) patients had bronchiectasis. It was found that patients with bronchiectasis had higher frequency of urban residence, current cigarette or goza smoking, and diabetes mellitus. Hemoptysis and expectoration were the most frequent symptoms. Pulmonary function tests were significantly impaired in patients with bronchiectasis. Disease burden was significantly higher among bronchiectasis group in form of frequent hospitalization, longer hospital stay, and need of oxygen therapy. Conclusion: Bronchiectasis is not uncommon among TB patients. Co‑existence of bronchiectasis with TB has distinctive clinical, and functional characteristics that increase the burden of the diseases in the form of prolonged hospital stay and higher utilization of antibiotics and oxygen therapy. Smoking in tuberculous patients may is significantly associated with bronchiectasis.

Biography:

YOUSSEF NASIM has completed his bachelor degree in medicine and surgery at age of 25 years from faculty of medicine Assiut university and post graduate study " master degree in pulmonology" from faculty of medicine at the same university . He is working as a pulmonologist in Assiut chest hospital . He has published a paper carrying the same name of abstract title