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Epidemiology of Extrapulmonary Tuberculosis among Inpatients, China, 2008-2017

Emerging infectious diseases, 2019-03, Vol.25 (3), p.457-464 [Peer Reviewed Journal]

COPYRIGHT 2019 U.S. National Center for Infectious Diseases ;COPYRIGHT 2019 U.S. National Center for Infectious Diseases ;ISSN: 1080-6040 ;EISSN: 1080-6059 ;DOI: 10.3201/eid2503.180572 ;PMID: 30789144

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Title:
Epidemiology of Extrapulmonary Tuberculosis among Inpatients, China, 2008-2017
Author: Pang, Yu ; An, Jun ; Shu, Wei ; Huo, Fengmin ; Chu, Naihui ; Gao, Mengqiu ; Qin, Shibing ; Huang, Hairong ; Chen, Xiaoyou ; Xu, Shaofa
Subjects: Adolescent ; Adult ; Aged ; Aged, 80 and over ; BCG ; BCG vaccines ; Child ; China ; China - epidemiology ; Comparative analysis ; Diabetes ; Diabetes mellitus ; Diabetics ; Drug resistance ; Drug resistance in microorganisms ; Epidemiology ; Epidemiology of Extrapulmonary Tuberculosis among Inpatients, China, 2008–2017 ; extrapulmonary ; Female ; History, 21st Century ; Humans ; Incidence ; Inpatients - statistics & numerical data ; Male ; Microbial drug resistance ; Middle Aged ; Mycobacterium tuberculosis ; Public Health Surveillance ; risk factor ; Risk Factors ; Rural areas ; Tuberculosis ; Tuberculosis - epidemiology ; Tuberculosis - history ; Tuberculosis - microbiology ; Young Adult
Is Part Of: Emerging infectious diseases, 2019-03, Vol.25 (3), p.457-464
Description: We investigated the epidemiology of extrapulmonary tuberculosis (TB) among patients admitted to Beijing Chest Hospital, Beijing, China, during January 2008-December 2017. Of 19,279 hospitalized TB patients, 33.4% (6,433) had extrapulmonary TB and 66.6% (12,846) had pulmonary TB. The most frequent forms of extrapulmonary TB observed were skeletal TB (41.1%) and pleural TB (26.0%). Younger, female patients from rural areas were more likely to have extrapulmonary TB. However, patients with diabetes mellitus were less likely to have extrapulmonary TB compared with patients without diabetes. A higher proportion of multidrug-resistant (MDR) TB was observed among patients with extrapulmonary TB than among patients with pulmonary TB. We observed a large increase in MDR TB, from 17.3% to 35.7%, for pleural TB cases. The increasing rate of drug resistance among extrapulmonary TB cases highlights the need for drug susceptibility testing and the formulation of more effective regimens for extrapulmonary TB treatment.
Publisher: United States: U.S. National Center for Infectious Diseases
Language: English
Identifier: ISSN: 1080-6040
EISSN: 1080-6059
DOI: 10.3201/eid2503.180572
PMID: 30789144
Source: Centers for Disease Control and Prevention
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Epidemiology of Extrapulmonary Tuberculosis among Inpatients, China, 2008-2017

COPYRIGHT 2019 U.S. National Center for Infectious Diseases ;COPYRIGHT 2019 U.S. National Center for Infectious Diseases ;ISSN: 1080-6040 ;EISSN: 1080-6059 ;DOI: 10.3201/eid2503.180572 ;PMID: 30789144

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