Author:
ANYAMA N.,BRACEBRIDGE S.,BLACK C.,NIGGEBRUGGE A.,GRIFFIN S. J.
Abstract
SUMMARYWe examined different patient outcomes following diagnosis of tuberculosis (TB). Incident cases were reported to the enhanced surveillance system in the East of England, between 2000 and 2003. For the 575 cases reported in 2001 and 2002, outcomes were assessed 1 year after initiating treatment. The crude clinical incidence rate of TB was 6·0 cases/100 000 person-years (pyr) [95% confidence interval (CI) 5·7–6·4], highest in the 25–29 years age group (14·9, 95% CI 12·9–17·1 cases/100 000 pyr) and among Black Africans (328·6, 95% CI 286·9–374·6 cases/100 000 pyr). Patients born abroad were 2·35 (95% CI 1·03–5·32) times more likely to be lost to follow-up than those born in the United Kingdom. Age at diagnosis (OR 1·05, 95% CI 1·04–1·07) and pulmonary disease (OR 2·73, 95% CI 1·21–6·15) were independently associated with mortality. Elderly patients and those with pulmonary TB appear to have worse outcomes despite treatment. Foreign-born patients may need closer follow-up to ensure favourable outcomes.
Publisher
Cambridge University Press (CUP)
Subject
Infectious Diseases,Epidemiology
Reference39 articles.
1. Outcome of tuberculosis treatment in Hamburg: a survey, 1997–2001;Diel;International Journal of Tuberculosis and Lung Disease,2003
2. Chemotherapy and management of tuberculosis in the United Kingdom: recommendations 1998
3. WHO's new Stop TB Strategy
4. Can the poor adhere? Incentives for adherence to TB prevention in homeless adults;Tulsky;International Journal of Tuberculosis and Lung Disease,2004
5. Improving tuberculosis control: an interdisciplinary approach
Cited by
7 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献