Pulmonary tuberculosis epidemiology in Coimbra's District (2000-2011): Information is essential to understand high risk groups.
نویسندگان
چکیده
Tuberculosis (TB) knows no boundaries. It is a disease not only of the patient as an individual, but also of the community itself. Its control has always transcended the conventional strategies and made it necessary to understand the individual interaction with the social and economic culture. In order to do so, the surveillance programs provide support for evaluation of the burden of TB, the effectiveness of its control and suggested hypotheses for further research. Considering the importance of active case finding in low incidence settings, an epidemiological study was developed to assess high risk groups for Pulmonary TB cases notified and residing in Coimbra District (Portugal), between 2000 and 2011, contributing to a proper understanding for programmatic approaches. The study was designed as a retrospective cohort. It was carried out at the Respiratory Diagnostic Centres of Coimbra and Figueira da Foz. There were 556 cases retrospectively enrolled, of which only 339 were identified with antimicrobial susceptibility testing on their clinical records. Various parameters were analyzed, such as demographic, socioeconomic, and associated diseases data, using descriptive statistics. The incidence was the highest in 2004 (14.2/100 thousand). After 2005, it reverted to its previous decreasing tendency until 2010 (Fig. 1). The study population enrolled was 72.3% male (402/556). In 2000 and 2011 the median age was 40 and 47 years respectively. Only in 2000, 2005 and 2006 there were patients reported under 18 years of age (14, 6 and 5, respectively). The annual ratio between men and women peaked at 2.9:1 in 2004, and was lowest at 0.9:1 in 2011. There were 88.1% (490/556) national and 11.9% (66/556) foreign-born patients reported. The median age was 44
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ورودعنوان ژورنال:
- Revista portuguesa de pneumologia
دوره 22 4 شماره
صفحات -
تاریخ انتشار 2016