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• W2169297961 abstract "The National Tuberculosis Programme in Singapore where, among resident cases, higher tuberculosis (TB) rates have been reported in ethnic Malays.To describe the socio-demographic and clinical characteristics of resident TB cases by ethnicity, and to assess whether Malays differ from other groups in terms of the above parameters.Cross-sectional review of records from the tuberculosis registry's electronic database.Among 15 622 resident cases notified, 72.2% were Chinese, 18.7% Malay, 5.8% Indian and 2.9% were from other minorities. Compared to other ethnicities, Malays were more likely to be incarcerated at the time of notification (odds ratio [OR] 3.70, 95%CI 3.03-4.52) and clustered at the same residential address (OR 1.65, 95%CI 1.44-1.89), but were less likely to be aged ≥65 years (OR 0.61, 95%CI 0.54-0.70) or to reside in high-cost housing (OR 0.11, 95%CI 0.07-0.17). In terms of disease characteristics, more Malays had diabetes mellitus (OR 1.54, 1.37-1.73), a highly-positive acid-fast bacilli smear (OR 1.64, 95%CI 1.47-1.83) and cavitary disease on chest X-ray (OR 1.41, 95%CI 1.28-1.55).Compared to other ethnicities, reported TB cases among Malays were more severe and were likely to be more infectious. Increased vigilance in case management and contact investigations, as well as an improvement in the socio-economic conditions of this community, are required to reduce TB rates in this ethnic group.Programme National de la Tuberculose à Singapour, où parmi les cas chez les résidents, des taux plus élevés de tuberculose (TB) ont été signalés chez les sujets d’ethnie malaise.Décrire les caractéristiques socio-démographiques et cliniques des cas de TB chez les résidents en fonction de leur ethnie et évaluer dans quelle mesure les Malais diffèrent des autres groupes en ce qui concerne ces paramètres.Révision transversale des dossiers de la base de données électroniques du registre de la tuberculose.Parmi 15 622 cas déclarés chez les résidents, 72,2% étaient Chinois, 18,7% Malais, 5,8% Indiens et 2,9% originaires d’autres minorités. Par comparaison avec les autres ethnies, les Malais sont plus susceptibles d’être emprisonnés au moment de la déclaration (OR 3,70 ; IC95% 3,03–4,52) et de se retrouver en grappes à la même adresse de résidence (OR 1,65 ; IC95% 1,44–1,89), mais sont moins susceptibles d’avoir un âge ≥65 ans (OR 0,61 ; IC95% 0,54–0,70) et de résider dans des habitats à coût élevé (OR 0,11 ; IC95% 0,07–0,17). En termes de caractéristiques de la maladie, chez les Malais le diabète sucré est plus fréquent (OR 1,54 ; IC95% 1,47–1,73), les frottis à la recherche de bacilles acido-résistants sont plus fortement positifs et une excavation est plus fréquente au cliché thoracique (OR 1,41 ; IC95% 1,28–1,55).Par comparaison avec ceux d’autres ethnies, les cas de TB signalés chez les Malais sont plus graves et plus susceptibles d’être contagieux. Si l’on veut réduire les taux de TB dans cette ethnie, il faut veiller à une vigilance accrue dans la prise en charge des cas et dans les investigations des contacts ainsi qu’à une amélioration des conditions socio-économiques de cette collectivité.El Programa Nacional contra la Tuberculosis en Singapur, donde las tasas más altas de tuberculosis (TB) en los residentes se notifican en la población de etnia malaya.Describir las características sociodemográficas y clínicas de los casos de TB en residentes en función de la etnia de los pacientes y evaluar si los malayos se diferencian de otros grupos con respecto a estos criterios.Se llevó a cabo un estudio transversal con examen de las historias clínicas a partir de la base de datos electrónica del registro de TB.De los 15 622 casos residentes notificados, el 72,2% correspondió a chinos, el 18,7% a malayos, el 5,8% a indios y el 2,9% a pacientes pertenecientes a otras minorías. En comparación con otras etnias, fue más frecuente que los malayos estuviesen reclusos en el momento de la notificación (OR 3,70; IC95% 3,03–4,52) y que se encontrasen agrupados en una misma dirección domiciliaria (OR 1,65; IC95% 1,44–1,89); fue menos frecuente que tuviesen ≥65 años de edad (OR 0,61; IC95% 0,54–0,70) y que habitasen en viviendas de alto costo (OR 0,11; IC95% 0,07–0,17). Con respecto a las características de la enfermedad, más malayos tenían un diagnóstico de diabetes (OR 1,54; IC95% 1,37–1,73), obtuvieron una baciloscopia positiva de alto grado (OR 1,64; IC95% 1,47–1,83) y presentaron imágenes de cavernas en la radiografía de tórax (OR 1,41; IC95% 1,28–1,55).En comparación con otras etnias, los casos de TB notificados en la población malaya fueron más graves y con mayor frecuencia eran contagiosos. Sería oportuno prestar mayor atención al manejo de los casos y a la investigación de los contactos en esta comunidad, a fin de disminuir las tasas de TB en las personas de etnia malaya." @default.
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• W2169297961 date "2013-12-21" @default.
• W2169297961 modified "2023-09-24" @default.
• W2169297961 title "Notified tuberculosis among Singapore residents by ethnicity, 2002–2011" @default.
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• W2169297961 doi "https://doi.org/10.5588/pha.13.0055" @default.
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