Resumo

AGUILAR ARAGON, Javier Antonio et al. Prevalencia de hemoptisis luego de la cura bacteriológica en pacientes dados de alta del Programa de Control de Tuberculosis del Hospital Nacional Cayetano Heredia. Rev Med Hered [online]. 2003, vol.14, n.4, pp.167-174. ISSN 1018-130X.

Tuberculosis causes pulmonary structural and functional disorders, persisting even after bacterological cure (sequelaes). Hemoptysis is frequent and causes great morbidity and increase health services demand. Objective: To know the epidemiological characteristics and risk factors, a descriptive, analytic study was carried out with unique cohort method of patients from Tuberculosis Control Programme (PCT) of the Hospital Nacional Cayetano Heredia (HNCH) between january 1984 and december 1996. Home visits were programmed. Material and Method: We evaluated 109 patients. A baciloscopy assay was done for symptomatic patients. Results: Hemoptysis was found in 15 cases (13.76%), 7 of them had bacteriological relapse. Baciloscopy was negative in all of cases. Hemoptysis was more frequent in males (p = 0.0017. RR = 10.61) and in the group of < 28 years (p = 0.022 RR = 2.92). The incidence was major in the first and fourth years after treatment finish. None of the factors potencially cause of lung disease previous to tuberculosis diagnostic show assotiation with hemoptysis. Twelve cases (80%) appeared in 3 years after treatment finish. Bloody sputum in the first tuberculosis episode show assotiation with the presence of hemoptysis after PCT discharge (p = 0.036 RR = 2.75). Hemoptysis was more frequent in patients who persist sypmtomatic after treatment finish. A relevant result was the finding of the important assotiation between hemoptysis and bacteriological relapse after the treatment finish (p < 0.0001 RR = 7.8). Conclusion: In patients discharged from PCT of HNCH, the hemoptysis prevalence is 13.76% and the risk is increased in males, age minor than 28 years, patients with bloody sputum in the first tuberculosis episode, patients who persist symptomatic after discharge and patients who have bacteriological relapse.

Palavras-chave : Tuberculosis; hemoptysis; relapse.

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