Extrapulmonary tuberculosis by nationality, The Netherlands, 1993-2001.

Extrapulmonary tuberculosis by nationality, The Netherlands, 1993-2001.
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DOI:
10.3201/eid1209.050553
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发表时间:
2006-09
影响因子:
11.8
通讯作者:
Borgdorff MW
Borgdorff MW
中科院分区:
医学2区
文献类型:
--
作者:
te Beek LA;van der Werf MJ;Richter C;Borgdorff MW

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具有非西方种族背景的居民人数的增长很可能解释了荷兰肺外结核的增长。这项研究描述了1993年至2001年荷兰肺外结核(TB)的流行病学。我们评估了非西方种族背景的居民数量的增加是否对肺外患者的数量产生了影响。我们使用荷兰结核病登记处的数据,包括1993年1月1日至2001年12月31日期间在荷兰诊断的所有结核病病例。从登记册中检索有关年龄、性别、民族、诊断年份、培养结果、疾病部位的解剖位置和HIV状态的信息。在13,258名结核病患者中,8,216名(62%)患有肺结核,5,042名(38%)患有肺外结核。非荷兰国民更有可能患有大多数类型的肺外结核。荷兰非西方种族背景居民人数的增长解释了肺外结核的比例增长。医生需要了解结核病临床情况的变化。
The growth of the number of inhabitants with a non-Western ethnic background most likely explains the growth of extrapulmonary TB in the Netherlands. This study describes the epidemiology of extrapulmonary tuberculosis (TB) in the Netherlands from 1993 through 2001. We assessed whether the increasing numbers of inhabitants with a non-Western ethnic background had an effect on the number of extrapulmonary patients. We used data from the Netherlands Tuberculosis Register and included all cases of TB diagnosed in the Netherlands between January 1, 1993, and December 31, 2001. Information on age, sex, nationality, year of diagnosis, culture result, anatomic location of the site of disease, and HIV status was retrieved from the register. Of 13,258 patients with TB, 8,216 (62%) had pulmonary TB, and 5,042 (38%) had extrapulmonary TB. Non-Dutch nationals were more likely to have most types of extrapulmonary TB. The growth of the number of inhabitants with a non-Western ethnic background in the Netherlands explains the proportional growth of extrapulmonary TB. Physicians need to be aware of the changing clinical picture of TB.
DOI: 10.1001/jama.282.7.677
发表时间: 1999-08-18
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