Matches in SemOpenAlex for { <https://semopenalex.org/work/W3026652605> ?p ?o ?g. }
- W3026652605 endingPage "126" @default.
- W3026652605 startingPage "119" @default.
- W3026652605 abstract "In recent decades, there has been an increase in extrapulmonary TB (EP-TB) rates in industrialized countries with a low incidence of tuberculosis (TB), especially among specific foreign-born population groups. The aim of this study was to describe sociodemographic, epidemiological, microbiological, clinical and treatment characteristics of EP-TB cases and associated risk factors in Spain. We performed a descriptive, retrospective, multi-center observational study of new TB cases in different regions in Spain (Comunidades Autónomas, CCAA) between 2006 and 2014. We used logistic regression and calculated odd ratios (OR) and 95% confidence intervals (CI) to determine EP-TB-associated factors. The proportion of EPTB were higher among the foreign-born population (22.1%) than among native Spaniards (15.9%; p = 0.001). Foreign cases were mostly Asian, with up to 42.8% of India-Pakistan cases showing some form of EP-TB. The factors related were: immigrant status (OR:1.62; CI:1.35–1.95); age >50 years; (OR:1.70; CI:1.36–2.13); diagnosis delay of >51 days (OR:1.38; CI:1.17–1.62); co-infection with HIV (OR:1.77; CI:1.21–2.55); negative smear sputum microscopy (OR:3.01; CI:2.50;3.61); negative culture; (OR:8.1; CI:6.57–10.02); poor clinical progression during disease progression (OR:2.93; CI:1.30–6.39). We detected a high percentage of EP-TB forms in the foreign-born population, mostly in Asian people. Special attention should be devoted to the diagnosis of EP-TB in these groups. Other measures required include increased clinical suspicion and improved microbiological diagnosis to support earlier and adequate treatment. En las últimas décadas se ha producido un aumento de las tasas de tuberculosis extrapulmonar (TBEP) en los países industrializados con baja incidencia de tuberculosis (TB), especialmente en grupos específicos de población de origen extranjero. El objetivo de este estudio fue describir las características sociodemográficas, epidemiológicas, microbiológicas, clínicas y del tratamiento de los casos de TBEP en España y los factores de riesgo asociados. Realizamos un estudio observacional descriptivo, retrospectivo y multicéntrico de los nuevos casos de TB en diferentes regiones de España (comunidades autónomas [CC. AA.]) entre 2006 y 2014. Utilizamos la regresión logística y calculamos las odds ratio (OR) y el intervalo de confianza (IC) del 95% para determinar los factores asociados a la TBEP. La proporción de TBEP fue mayor entre la población nacida en el extranjero (22,1%) que entre los españoles nativos (15,9%; p = 0,001). Los casos extranjeros eran en su mayoría asiáticos; el 42,8% de los casos procedentes de India-Pakistán mostraban algún tipo de TBEP. Los factores relacionados fueron: situación de migrante (OR: 1,62; IC 95%: 1,35-1,95); edad > 50 años (OR: 1,70; IC 95%: 1,36-2,13); retraso en el diagnóstico de > 51 días (OR: 1,38; IC 95%: 1,17-1,62); coinfección con VIH (OR: 1,77; IC 95%: 1,21-2,55); examen microscópico de frotis de esputo negativo (OR: 3,01; IC 95%: 2,50-3,61); cultivo negativo (OR: 8,1; IC 95%: 6,57-10,02); mala evolución clínica durante la progresión de la enfermedad (OR: 2,93; IC 95%: 1,30-6,39). Detectamos un alto porcentaje de formas TBEP en la población nacida en el extranjero, principalmente en personas asiáticas. Debe prestarse especial atención al diagnóstico de TBEP en estos grupos. Otras medidas requeridas incluyen una mayor sospecha clínica y un mejor diagnóstico microbiológico para apoyar un tratamiento temprano y más adecuado." @default.
- W3026652605 created "2020-05-29" @default.
- W3026652605 creator A5000032823 @default.
- W3026652605 creator A5000598745 @default.
- W3026652605 creator A5004630674 @default.
- W3026652605 creator A5005681634 @default.
- W3026652605 creator A5006922492 @default.
- W3026652605 creator A5007986578 @default.
- W3026652605 creator A5008328285 @default.
- W3026652605 creator A5008888242 @default.
- W3026652605 creator A5009794103 @default.
- W3026652605 creator A5009823402 @default.
- W3026652605 creator A5010592399 @default.
- W3026652605 creator A5014006267 @default.
- W3026652605 creator A5015172048 @default.
- W3026652605 creator A5017057419 @default.
- W3026652605 creator A5018100709 @default.
- W3026652605 creator A5019610493 @default.
- W3026652605 creator A5020153341 @default.
- W3026652605 creator A5020845596 @default.
- W3026652605 creator A5021904682 @default.
- W3026652605 creator A5023276607 @default.
- W3026652605 creator A5024583236 @default.
- W3026652605 creator A5026762110 @default.
- W3026652605 creator A5030633450 @default.
- W3026652605 creator A5031949793 @default.
- W3026652605 creator A5033278204 @default.
- W3026652605 creator A5034369317 @default.
- W3026652605 creator A5034621002 @default.
- W3026652605 creator A5036361399 @default.
- W3026652605 creator A5036419832 @default.
- W3026652605 creator A5037014522 @default.
- W3026652605 creator A5037019359 @default.
- W3026652605 creator A5037123273 @default.
- W3026652605 creator A5037463938 @default.
- W3026652605 creator A5037760433 @default.
- W3026652605 creator A5038563272 @default.
- W3026652605 creator A5038843767 @default.
- W3026652605 creator A5040943905 @default.
- W3026652605 creator A5042442917 @default.
- W3026652605 creator A5042546830 @default.
- W3026652605 creator A5043186798 @default.
- W3026652605 creator A5043434151 @default.
- W3026652605 creator A5043459230 @default.
- W3026652605 creator A5043714226 @default.
- W3026652605 creator A5044220538 @default.
- W3026652605 creator A5044446928 @default.
- W3026652605 creator A5044670082 @default.
- W3026652605 creator A5045564038 @default.
- W3026652605 creator A5046497822 @default.
- W3026652605 creator A5046676036 @default.
- W3026652605 creator A5046968057 @default.
- W3026652605 creator A5046996075 @default.
- W3026652605 creator A5048830866 @default.
- W3026652605 creator A5049433095 @default.
- W3026652605 creator A5049678131 @default.
- W3026652605 creator A5050928126 @default.
- W3026652605 creator A5052910695 @default.
- W3026652605 creator A5053451086 @default.
- W3026652605 creator A5053825739 @default.
- W3026652605 creator A5055157943 @default.
- W3026652605 creator A5055397796 @default.
- W3026652605 creator A5055671798 @default.
- W3026652605 creator A5057221643 @default.
- W3026652605 creator A5057914820 @default.
- W3026652605 creator A5058067725 @default.
- W3026652605 creator A5058528458 @default.
- W3026652605 creator A5059816214 @default.
- W3026652605 creator A5060523557 @default.
- W3026652605 creator A5061338918 @default.
- W3026652605 creator A5062847705 @default.
- W3026652605 creator A5063792927 @default.
- W3026652605 creator A5064219739 @default.
- W3026652605 creator A5065315516 @default.
- W3026652605 creator A5068185652 @default.
- W3026652605 creator A5068239333 @default.
- W3026652605 creator A5068244127 @default.
- W3026652605 creator A5069280643 @default.
- W3026652605 creator A5069839934 @default.
- W3026652605 creator A5070095044 @default.
- W3026652605 creator A5072229781 @default.
- W3026652605 creator A5072987840 @default.
- W3026652605 creator A5073807440 @default.
- W3026652605 creator A5073869195 @default.
- W3026652605 creator A5073882218 @default.
- W3026652605 creator A5074730119 @default.
- W3026652605 creator A5075556412 @default.
- W3026652605 creator A5075950171 @default.
- W3026652605 creator A5076437296 @default.
- W3026652605 creator A5079574675 @default.
- W3026652605 creator A5081561861 @default.
- W3026652605 creator A5083552072 @default.
- W3026652605 creator A5083557155 @default.
- W3026652605 creator A5084609369 @default.
- W3026652605 creator A5084734601 @default.
- W3026652605 creator A5088196697 @default.
- W3026652605 creator A5088400026 @default.
- W3026652605 creator A5089509050 @default.