Morbidity Trends and Risk of Tuberculosis: Mexico 2007-2017
Morbidity Trends and Risk of Tuberculosis: Mexico 2007-2017
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DOI：
10.1155/2019/8295261
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发表时间：
2019-01-01
影响因子：
2.2
通讯作者：
Ibanez-Cervantes, Gabriela
中科院分区：
文献类型：
--
作者：
Manuel Bello-Lopez, Juan;Leon-Garcia, Gregorio;Ibanez-Cervantes, Gabriela
背景为了了解墨西哥结核病及其并发症脑膜结核病的流行病学和地理分布现状，这项工作分析了流行病学总局（GDE）发布的国家监测数据（10年）。方法.对墨西哥GDE发布的年度报告进行了2007年1月至2017年12月肺结核和脑膜结核病例月度和年度报告的观察性和回顾性分析。病例数和发病率按年份、州、年龄组、性别和季节分类。结果绘制了全国肺结核和脑膜结核发病率病例分布图。在此期间，肺结核和脑膜结核病报告病例分别为184 003例和3 388例，平均每年分别为16 727.5例和308例。每年肺结核和脑膜结核的病例数和发病率表明，男性在这两个参数上都呈现持续增长。对结核病病例分布的地理分析表明，在此期间，像格雷罗、塔巴斯科和韦拉克鲁斯这样的州结核病病例的平均数较高。与其他州相比，北方州的病例数最多。在墨西哥，肺结核和脑膜结核是季节性的。有趣的是，脑膜结核病例在10月和11月（秋季）有所增加。结论.在墨西哥，2007-2017年期间，男性结核病患者的比例有所增加。仍然有必要实施在成年人中，特别是在男子中发现结核病的战略，因为结核病在人口的早期阶段可能难以识别，耐药菌株的出现可能导致疾病发病率的增加。
Background. To know the current status of the epidemiological and geographic distribution of tuberculosis and its complication meningeal tuberculosis in Mexico, this work analyzes national surveillance data (ten years) issued by the General Directorate of Epidemiology (GDE). Methods. An observational and retrospective analysis of monthly and annual reports of pulmonary and meningeal tuberculosis cases from January 2007 to December 2017 was performed on the annual reports issued by the GDE in Mexico. The number of cases and incidence were classified by year, state, age group, gender, and seasons. Results. A national case distribution map of pulmonary and meningeal tuberculosis incidence was generated. During this period, a total of 184,003 and 3,388 cases were reported with a median of 16,727.5 and 308 cases per year for pulmonary and meningeal tuberculosis diseases, respectively. The number of cases and incidence of pulmonary and meningeal tuberculosis per year showed that male gender presented a continuous increase in both parameters. The geographic analysis of the distribution of cases of tuberculosis showed that states like Guerrero, Tabasco, and Veracruz presented higher means of tuberculosis cases during this period. Northern states had the highest number of cases in the country compared to other states. In Mexico, pulmonary tuberculosis and meningeal tuberculosis are seasonal. Interestingly, cases of meningeal tuberculosis show an increase during October and November (autumn). Conclusions. In Mexico, during the years 2007-2017, there has been an increase in the proportion of male TB patients. It remains necessary to implement strategies to detect TB in the adult population, especially among men, because tuberculosis could be difficult to recognize in an early stage in the population, and the appearance of resistant strains can cause an increase in the incidence of the disease.