Geographical distribution and clinical relevance of non-tuberculous mycobacteria in Croatia

Autor: Ivan Sabol, Miroslav Samarzija, Ljiljana Zmak, Marko Jakopović, V. Katalinic Jankovic, Mateja Janković, J. van Ingen, Ante Marušić, Brigita Tićac, Mihaela Obrovac
Rok vydání: 2013
Předmět:
Lung Diseases
Male
Veterinary medicine
epidemiological study
BIOMEDICINE AND HEALTHCARE. Clinical Medical Sciences
Distribution (economics)
Disease
Cohort Studies
0302 clinical medicine
atypical mycobacteria
geographical diversity
pulmonary NTM disease
030212 general & internal medicine
Child
Aged
80 and over

education.field_of_study
Incidence (epidemiology)
BIOMEDICINA I ZDRAVSTVO. Kliničke medicinske znanosti
Incidence
Nontuberculous Mycobacteria
Middle Aged
3. Good health
Infectious Diseases
Child
Preschool

Female
geographic locations
Cohort study
Pulmonary and Respiratory Medicine
Adult
Tuberculosis
Adolescent
Croatia
Population
Mycobacterium Infections
Nontuberculous

03 medical and health sciences
Young Adult
Clinical Medical Sciences
medicine
Humans
Clinical significance
education
Aged
Retrospective Studies
business.industry
Poverty-related infectious diseases [N4i 3]
Infant
Retrospective cohort study
medicine.disease
bacterial infections and mycoses
030228 respiratory system
business
Demography
Zdroj: The International Journal of Tuberculosis and Lung Disease
Volume 17
Issue 6
International Journal of Tuberculosis and Lung Disease
International Journal of Tuberculosis and Lung Disease, 17, 836-41
International Journal of Tuberculosis and Lung Disease, 17, 6, pp. 836-41
ISSN: 1815-7920
1027-3719
DOI: 10.5588/ijtld.12.0843
Popis: Item does not contain fulltext SETTING: The clinical relevance of non-tuberculous mycobacteria (NTM) in Croatia is unknown. OBJECTIVE: To estimate the isolation rate of NTM, record geographical differences and assess the burden of pulmonary NTM disease in Croatia. DESIGN: Nationwide retrospective cohort study of all Croatian residents with NTM isolated by culture in the period from 2006 to 2010. Microbiological criteria of the American Thoracic Society were used to establish a laboratory-based case definition of possible and probable NTM disease. RESULTS: Of 1187 individuals with pulmonary NTM isolates, 8.6% met the possible and 5.5% met the probable disease criteria. We estimated an annual incidence of probable pulmonary NTM disease of 0.23 per 100,000 population. This estimated annual incidence was 0.35/100,000 in the coastal region and 0.17/100,000 in the continental region. Species distribution differed between coastal and continental Croatia. NTM isolation frequency increased over the study period. CONCLUSION: Geography plays an important role in NTM species distribution and possible disease. The overall burden of NTM pulmonary disease in Croatia is still low compared to that of tuberculosis, but it is higher in the coastal region compared to the continental region.
Databáze: OpenAIRE