Tobacco Cessation and Prevention |

Minimal Medical Advice to Quit Smoking and Smoking Behavior Among Patients During Tuberculosis Treatment FREE TO VIEW

Roxana Nemes*, PhD; Doinita Lugoji, MD; Domnica Chiotan, PhD; Ileana Dediu, MD; Carmen Teoibas, MD; Ramona Nedelcu, MD; Ioana Munteanu, PhD; Mirela Tigau, MD; Florin Mihaltan, PhD
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Institute of Pulmonology, Bucharest, Romania

Chest. 2012;142(4_MeetingAbstracts):1087A. doi:10.1378/chest.1389610
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SESSION TYPE: Tobacco Cessation and Prevention Posters

PRESENTED ON: Wednesday, October 24, 2012 at 01:30 PM - 02:30 PM

PURPOSE: To analyze the smoking paterns among TB patient before and after apply a minimal medical advice to quit smoking at any monitoring visit during DOTS treatment

METHODS: We analyzed the pattern of tobacco smoking in patients with TB at the beginning and during the DOTS treatment when they received minimal advice to quit smoking (at any monitoring visit); we consider subgroups as : current smokers, relapsed smoker (they start to smoke after having quit for a period of time), quitters. To assess the degree of compliance with quit smoking we used measurements of carbon monoxide (CO) in expired air. Exhaled CO, a simple marker that can be assessed using a noninvasive technique that produces immediate a reliable result express in ppm (parts per million), a value > 20 ppm is for heavy smokers; we consider that for CO bellow 6ppm smoking is not occurring. We noticed either: demographic data, age for starting smoking, number pack-year (PA), number for daily cigarettes, Fagerstrom test (FT) for nicotinic dependence, passive smoking condition (at home and/or office)

RESULTS: 61 patients during DOTS treatment were consecutively recruited during: dec 2010 - sept 2011. There were 21 women (33.9%) and 40 men (64.5%), mean age 40.7 +/-14.9, mean score for FT was significantly higher(p<0.01) in men (6.5+/-1.2) than in women (3.2+/-2.3) at the beginning of DOTS treatment. 34% of them never asked by physician about smoking status and don’t receive advice about quit smoking. Relapsed smokers were significantly younger (mean age: 28.6 +/- 2.1years) than quitters (42.6+/- 5.3years) (p<0.001), and started to smoke their first cigarette earlier (at mean age 16.5+/- 3.2years) than quitters (22.1+/-1.5years ). 18.03% (11/61) quit smoking when under treatment and remained quitters 6 months later (mean CO 3.1+/-2.6 ppm), but 5 relapsed less than 6 month; 73% from relapsed patients had concomitant exposure to passive smoking condition at home and/or office.

CONCLUSIONS: according to prevalence of smoking in TB patients, evaluation of tobacco smoking behavior is very important; minimal advice to quit smoking is a simple method and can offer the TB patient the first chance to quit smoking.

CLINICAL IMPLICATIONS: Minimal advice to quit smoking can be provided by any physician

DISCLOSURE: The following authors have nothing to disclose: Roxana Nemes, Doinita Lugoji, Domnica Chiotan, Ileana Dediu, Carmen Teoibas, Ramona Nedelcu, Ioana Munteanu, Mirela Tigau, Florin Mihaltan

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Institute of Pulmonology, Bucharest, Romania




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