1. Prevalence of lung function impairment in cured pulmonary tuberculosis patients in Cotonou, Benin
- Author
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Séverin Anagonou, G. Agodokpessi, A. A. Fiogbe, Dissou Affolabi, J F Tessier, O. Marcy, Djimon Marcel Zannou, G Adé, C Raherison-Semjen, Bordeaux population health (BPH), and Université de Bordeaux (UB)-Institut de Santé Publique, d'Épidémiologie et de Développement (ISPED)-Institut National de la Santé et de la Recherche Médicale (INSERM)
- Subjects
Pulmonary and Respiratory Medicine ,Spirometry ,Adult ,Lung Diseases ,Male ,medicine.medical_specialty ,Tuberculosis ,Time Factors ,Cross-sectional study ,ISPED ,HIV Infections ,Logistic regression ,IDLIC ,FR ,03 medical and health sciences ,0302 clinical medicine ,Sex Factors ,Pulmonary tuberculosis ,Interquartile range ,Risk Factors ,Internal medicine ,medicine ,Benin ,Humans ,030212 general & internal medicine ,Hospitals, Teaching ,Tuberculosis, Pulmonary ,Lung function ,Exercise Tolerance ,medicine.diagnostic_test ,business.industry ,Case-control study ,EPICENE ,Middle Aged ,medicine.disease ,3. Good health ,Infectious Diseases ,Cross-Sectional Studies ,030228 respiratory system ,Case-Control Studies ,Exercise Test ,[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie ,Female ,business - Abstract
Setting National teaching hospital for the management of respiratory diseases, Cotonou, Benin. Objective 1) To estimate the prevalence of lung function impairment (LFI) and associated factors in patients cured of pulmonary tuberculosis (PTB); and 2) to determine the link between human immunodeficiency virus (HIV) infection and LFI occurrence. Design We performed a cross-sectional study in cured patients with smear-positive TB (PTB+) treated between 2012 and 2015. We recruited two control groups of 70 HIV-infected (HIV+/TB-) and 70 HIV-negative participants without TB (HIV-/TB-). We performed spirometry in all participants to identify LFI (obstructive, restrictive or mixed) and the 6-min walk test (6-MWT) in PTB+ participants. We assessed the factors associated with LFI using logistic regression. Results Of 4711 subjects with PTB, 241 were contacted and 189 were included. The median age was 37 years; 128 (68.0%) were male. Overall, 85 cured PTB+ patients had LFI (45.0%). Extent of initial radiological lesions, time between symptom onset and treatment, and female sex were independently associated with LFI. Fifty-five (29.1%) cured PTB+ patients had an abnormal 6-MWT; those with LFI had a higher risk of poor exercise tolerance (OR 2.23; interquartile range 1.16-4.30). We did not find any association between HIV infection and LFI. Conclusion LFI is very common in cured PTB+ patients from Benin and significantly impacts exercise tolerance.
- Published
- 2019
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