Recent epidemiological trends in extrapulmonary TB in Galicia, Spain-Reference-Cited by-同舟云学术

Recent epidemiological trends in extrapulmonary TB in Galicia, Spain

Published:2021-05-01 Issue:5 Volume:25 Page:373-381
ISSN:1027-3719
Container-title:The International Journal of Tuberculosis and Lung Disease
language:en
Short-container-title:int j tuberc lung dis

Author:

Ferreiro L.¹,Ruano-Raviña A.²,Otero-Mallo R.³,Pou-Álvarez C.³,Riveiro-Blanco V.³,Casal A.³,Suárez-Antelo J.³,Toubes M. E.³,Cruz-Ferro E.⁴,Rodríguez-Núñez N.³,Ursúa-Díaz M. I.⁵,Lama A.³,Piñeiro-Lamas M.⁶,Rábade C.³,Zamarrón C.³,González-Barcala F. J.⁷,Valiño-López P.⁸,Anibarro L.⁹,Taboada-Rodríguez J. A.⁵,Valdés; L.¹⁰,Galician Programme for the Prevention and Con

Affiliation:

1. Servicio de Neumología, Complejo Hospitalario Universitario de Santiago de Compostela. Santiago de Compostela, Spain, Grupo Interdisciplinar de Investigación en Neumología, Instituto de Investigaciones Sanitarias de Santiago de Compostela, Santiago de Compostela, Spain

2. Departamento de Medicina Preventiva y Salud Pública, Universidade de Santiago de Compostela, Santiago de Compostela, Spain

3. Servicio de Neumología, Complejo Hospitalario Universitario de Santiago de Compostela. Santiago de Compostela, Spain

4. Programa Gallego de Prevención y Control de la Tuberculosis, Dirección General de Innovación y Gestión de la Salud Pública, Consellería de Sanidad, Xunta de Galicia, Santiago de Compostela, Spain

5. Programa Gallego de Prevención y Control de la Tuberculosis, Dirección General de Innovación y Gestión de la Salud Pública, Consellería de Sanidad, Xunta de Galicia, Santiago de Compostela, Spain

6. CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain

7. Servicio de Neumología, Complejo Hospitalario Universitario de Santiago de Compostela. Santiago de Compostela, Spain, Grupo Interdisciplinar de Investigación en Neumología, Instituto de Investigaciones Sanitarias de Santiago de Compostela, Santiago de Compostela, Spain

8. Servicio de Neumología, Complejo Hospitalario Universitario de A Coruña, A Coruña, Spain

9. Unidad de Tuberculosis, Enfermedades Infecciosas, Servicio de Medicina Interna, Complejo Hospitalario Universitario de Pontevedra, Pontevedra, Spain

10. Servicio de Neumología, Complejo Hospitalario Universitario de Santiago de Compostela. Santiago de Compostela, Spain, Grupo Interdisciplinar de Investigación en Neumología, Instituto de Investigaciones Sanitarias de Santiago de Compostela, Santiago de Compostela, Spain

Abstract

OBJECTIVE: To describe the epidemiological trends and characteristics of extrapulmonary tuberculosis (EPTB) in Galicia, Spain, from 2000 to 2019.METHODS: This was a retrospective cohort study based on data from the Galician TB information system.RESULTS: Of the total number of TB cases (n = 15,871), 5,428 (34.2%) had EPTB. The absolute number of cases and incidence of EPTB decreased dramatically (from 480 cases and 17.8 cases/100,000 in 2000, to 172 and 6.4 cases/100,000 in 2019, respectively), with a mean annual decrease of respectively 64% and 4.7% for absolute cases and incidence rates. The risk for EPTB was higher in men than in women (RR 3.86, 95% CI 3.66–4.07). The most frequent age group was 15–44 years (2,234 patients, 41.2%); overall reductions per age group were 82% (0–14 years), 75% (15–44 years), 44% (45–64 years) and 63% (≥65 years), with statistically significant differences. The most frequently locations were the pleura (1,916 cases; 35.3%) and the lymph nodes (1,504; 27.7%).CONCLUSION: The incidence of EPTB in Galicia has decreased significantly in the last 20 years. The epidemiological characteristics have not changed, except for the number of patients with risk factors. This improvement of EPTB epidemiological trends coincides with the implementation of the programme for the prevention and control of TB, which suggests that it has been very effective in the control of the EPTB.

Publisher

International Union Against Tuberculosis and Lung Disease

Subject

Infectious Diseases,Pulmonary and Respiratory Medicine

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