A STUDY OF DETECTION OF PYOGENIC NON-TUBERCULOUS BACTERIA IN CASES OF PULMONARY TUBERCULOSIS

Dr. Rajiv Kumar; Dr. Ram Babu; Dr.Anita

Volume : VIII, Issue : IX, September - 2019

A STUDY OF DETECTION OF PYOGENIC NON-TUBERCULOUS BACTERIA IN CASES OF PULMONARY TUBERCULOSIS

Dr. Rajiv Kumar, Dr. Ram Babu, Dr. Anita

Abstract :

Objectives: The present study IS being undertaken with the purpose of – To find out the bacterial flora of upper and lower respiratory tract in cases of pulmonary tuberculosis. Material and methods: The present study was conducted on patients of pulmonary tuberculosis admitted to the wards of Maharani Laxmi Bai Medical College, Jhansi during Feuary 2018 to April 2019. The diagnosis of pulmonary tuberculosis was made on the basic of history, clinical examination, radiological evidence and detection of tubercle bacillus from sputum examination. Results: A total number of 60 patients of pulmonary tuberculosis were studied to elucidate the presence of pyogenic non-tuberculous bacteria in these cases. More than 60% of cases were from rural areas. Females mostly were housewife while male patients were mostly labourers. The socio-economic status of the study group (50%) patient were in the social class IV and 31.6% patient were in class V and 16.6% patients were in class III. Some patients have positive family history. 20% patients were having symptoms from less than 3 months. 100% cases having hemoglobin less than 11.5% gm%, total leucocyte count was increased. Acid fast bacilli in the sputum was positive in 68.3% cases. potential pathogens were preset in 65% of cases. 48.3% yielded potential pathogens in their throat swab and 39 (65%) in sputum culture. Staphylococcus aureus Klebsiella, pseudomonas, Pneumococcus and proteus was seen in throat swabs and sputum. Discussion: In this study the pulmonary tuberculosis mainly affected lower socio- economic groups. Family history of tuberculosis is mainly concerned with a history of contact. In this study cough, expectoration and loss of appetite were the man features and were present in almost 100% cases. Appearance of symptoms depends primarily upon the state of natural resistance, allergic hypersensitivity and the virulence of the infective organism. Moreover symptoms may persist even after the lesions is healed, as in residual onchiectasis fiosis, chronic onchitis, and secondary infections. In present study acid fast bacilli in sputum were positive in 68.3% cases. This present study is limited to the isolation in sputum and in throats swab of pyogenic organism only. Inspite of these limitations it was possible to established a fair degree of certainly of presence of non tuberculous pyogenic bacteria in case of pulmonary tuberculosis.The finding of study emphasize that sputum is still an adequate material to isolate pathogens. The microorganism could be grown from 64.7% specimen of sputum. The present study shows predominantly Staphyllococcus Aureus, Klebsiella, Pseudomonas, Pneumococcus and Proteus.Conclusion: It could be concluded that in the management of pulmonary tuberculosis one must dispense with routine bacteriology as a guide to therapy and to select suitable antibiotic against specific pathogens.