Browsing by Author "Bati Solomon"
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Item Prevalence and Distribution of Fungal Species in Sputum Collected from Pulmonary Tuberculosis Suspected Patients at Saint Peter’s Specialized Hospital, Addis Ababa, Ethiopia.(Addis Ababa University, 2019-10) Bati Solomon; Bitew AdaneBackground: Pulmonary mycosis is a systemic fungal infection that occurs when fungi cause’sdisease of the lungs. Fungal pulmonary infection has been emerging recently due to widely usedbroad-spectrum antibiotics and steroids, immune deficiency or suppression in tuberculosis,patients are easily vulnerable to opportunistic fungal infections. Objective: To determine the distribution of pulmonary fungal isolates among pulmonarytuberculosis presumptive patients in the sputum sample by conventional culture. Methods: A cross sectional study was conducted at Saint Peters specialized hospital on 636sputum samples from presumptive tuberculosis patients. Early morning sputum samples werecollected aseptically and Presence of pulmonary Tuberculosis was screened by Xpert MTBRif/assay. All sputum samples were cultured using Sabrouad dextrose agar and Brain heart infusion agar medium incubated at 250C and 370C for 4 weeks respectively for each sputumsamples. Identification was performed by noting; the growth form and rate of growth, surface and reversed coloration. Yeasts were identified by conventional biochemical tests andassimilation characteristics. Chromo agar medium used for Candida species and urease used forCryptococcus neoformance and the rest were non-yeast species. Data analysis was carried outusing SPSS version 23 software. Results: The distribution of pulmonary fungal isolates among pulmonary tuberculosispresumptive patients was at 75.9% of the infected patients, male patients accounted for 51.4%)%, whereas female patients accounted for 48.6%.Yeast isolates (82%) and mold isolates were(18%). Among 163 tuberculosis (TB) cases 127(77.9%) were co-infected with pulmonary fungal pathogen. Conclusion: High distribution of fungal isolation (75.9%) was obtained in patients withrespiratory symptoms. We recommend for policy makers to conduct further studies and considerthe need of fungal screening in these patients.