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TITLE:

FREQUENCY AND PATTERN OF PATIENTS WITH BRONCHIECTASIS

AUTHORS:

Dr. Shafi Muhammad Khuhawar, Dr. Khalil Ahmed Shaikh, Dr. Jetesh Kumar, Dr. Hamid Nawaz Ali Memon, Dr. Samar Raza and Muhammad Jan Khetran

ABSTRACT:

Objective: To determine the frequency and pattern of patients with bronchiectasis Patients and Methods:A total of fifty patients known case of bronchiectasis were included in the study. The criterion for the selection of the patients for the study was those patients diagnosed case of bronchiectasis >18 year of age and either gender. The exclusive criteria were known patients of asthma, pleurisy, pneumonia, upper respiratory tract infections, lung malignancy and allergic rhinitis and patients already on immune-suppressive therapy. After having selected cases for the study, careful history & physical examination was carried out in each patient in particular relation to respiratory system. The demographical and clinical profile of subjects was also noted. The co-morbidities were also explored while the etiological profile was also explored through clinical history, physical examination and specific investigations whereas the frequency / percentages (%) and means ±SD compute d for study variables. Results: During six month study period total fifty patients had bronchiectasis were explored and study. The mean ± SD for age (yrs) of population was 51.82±6.83. Regarding gender distribution male 30 (60%) and female 20 (40%) while the symptoms reported as productive cough 84%, hemoptysis 44%, dyspnea 70% and signs as clubbing 48%, weight loss 74%, abnormal chest findings on auscultation 80% and co-pulmonale 36%. Regarding the pathogen mixed organisms 14%, streptococcus pneumonia 8.0%, staphylococcus aureus 10%, pseudomonas 14%, haemophilus influenza 12% mycobacterium tuberculosis 26% and no pathogen identified 16% whereas regarding the etiological profile the post tubercular broncheactasis74%, rheumatoid arthritis 4.0%, allergic bronchopulmonary aspergillosis (ABPA) 10%, cystic fibrosis 2.0% and no cause identified 10% respectively. Conclusion:Bronchiectasis stays one of the significant constant respiratory illnesses, post tubercular assortment being the commonest type. KeyWords: Bronchiectasis, respiratory tract infections and pulmonary pathology.

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