Recent epidemiological trends in tuberculous pleural effusion in Galicia, Spain.

Autor: Valdés L; Department of Respiratory Diseases, University Hospital of Santiago de Compostela, Spain. luis.valdes.cuadrado@sergas.es, Ferreiro L, Cruz-Ferro E, González-Barcala FJ, Gude F, Ursúa MI, Alvarez-Dobaño JM, Golpe A, Toubes ME, Paniagua J, Taboada-Rodríguez JA, Soriano JB
Jazyk: angličtina
Zdroj: European journal of internal medicine [Eur J Intern Med] 2012 Dec; Vol. 23 (8), pp. 727-32. Date of Electronic Publication: 2012 Jul 18.
DOI: 10.1016/j.ejim.2012.06.014
Abstrakt: Objective: Knowledge on the distribution and determinants of tuberculous pleural effusions (TBPE) is incomplete. We aimed to describe the epidemiological trends and individual characteristics of TBPE in Galicia, Spain, over a 10-year period (2000-2009).
Design: A retrospective, observational study based on epidemiological data obtained from the Galician Tuberculosis Register.
Results: There were 1835 cases of TBPE (16.3% of the total 11,241 TB cases reported). The number and incidence of TBPE decreased significantly during the study period, from (262 and 9.6/100,000 inhabitants in 2000, to 133 and 4.8 in 2009, respectively; P<.001 for both). The mean annual decrease in TBPE incidence was 6.9%, and 50% overall. TBPE mainly affected males (63.5%), precisely 61.2% young males between 15 and 44 years. Twenty-five percent had lung involvement (chest X-ray), and 41.7% had a positive sputum culture. A significant increase (P<.001) was observed during the study in the percentage of patients who had more TB risk factors.
Conclusions: The incidence of TBPE decreased significantly during the study period, with no changes in epidemiological characteristics, and with trends similar to the total number of TB cases. The introduction of the Galician Prevention and Control Plan (GPCP) for tuberculosis appears to be effective for better control of TB.
(Copyright © 2012 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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