The Trend of Tuberculosis in Tekirdağ

AimThe incidence rate of tuberculosis (TB) is estimated by the World Health Organization as 128/100.000 worldwide. The main principles of TB control are early case detection and diagnosis, followed by directly observed treatment of patients. The aim of this study was to analyse the dynamics of TB be...

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Main Authors: Hayati Güneş, Remzi Altın, Levent Cem Mutlu, Mustafa Doğan, Mustafa Oran, Salman Işık, Gürdal Salt, Ayşe Demet Kaya, Birol Topçu
Format: Article
Language:English
Published: Galenos Yayincilik 2015-04-01
Series:Namık Kemal Tıp Dergisi
Subjects:
Online Access: http://namikkemalmedj.com/archives/archive-detail/article-preview/the-trend-of-tuberculosis-in-tekirda/40477
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author Hayati Güneş
Remzi Altın
Levent Cem Mutlu
Mustafa Doğan
Mustafa Oran
Salman Işık
Gürdal Salt
Ayşe Demet Kaya
Birol Topçu
author_facet Hayati Güneş
Remzi Altın
Levent Cem Mutlu
Mustafa Doğan
Mustafa Oran
Salman Işık
Gürdal Salt
Ayşe Demet Kaya
Birol Topçu
author_sort Hayati Güneş
collection DOAJ
description AimThe incidence rate of tuberculosis (TB) is estimated by the World Health Organization as 128/100.000 worldwide. The main principles of TB control are early case detection and diagnosis, followed by directly observed treatment of patients. The aim of this study was to analyse the dynamics of TB between 2007 and 2011 in Tekirdağ.Material and MethodsData were obtained from TB dispensaries and separated into oneyear categories. Case notification rates were analysed by different age groups (0–14, 15–24, 25–44, 45–64, 65 and above). The patients were divided into two groups according to involved organs: pulmonary (smear/culture positive=PSP and smear/culture negative/unknown=PSN/U) and extrapulmonary. Antibiotic susceptibility tests to major antituberculosis drugs were performed on M. tuberculosis strains that were grown in culture and suspected of being resistant. Resistance to both INH and rifampicin were accepted as multiple drug resistance tuberculosis (MDR-TB).ResultsA total of 162.291 patients were examined, and out of this population, 1311 (0.8%) tuberculosis patients were evaluated. The distribution of case notification rates by year were 44.6%, 34.6%, 33.4%, 28.6%, and 27.6%from 2007 to 2011, respectively. Pulmonary and extrapulmonary TB rates were 74.5%(46.0%PSP and 28.5%PSN/U) and 25.5%, respectively. Extrapulmonary TB rates were 42.3% and 17.6% in men and women, respectively. Resistance rates against INH, rifampicin, ethambutol, and streptomycin were 21.6%, 8.8%, 1.6%, and 6.4%, respectively. The MDR-TB rate was 6.4%.ConclusionSystematic implementation of directly observed treatment programs plays an important role in decreasing TB incidence. Because the TB rates in our region are above the average for Turkey, screening and follow-up procedures must be conducted more stringently and regularly.
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spelling doaj.art-2541d96c12aa4a88b3bd8a659e66321b2023-02-15T16:21:22ZengGalenos YayincilikNamık Kemal Tıp Dergisi2587-02622015-04-0131202513049054The Trend of Tuberculosis in TekirdağHayati Güneş0Remzi Altın1Levent Cem Mutlu2Mustafa Doğan3Mustafa Oran4Salman Işık5Gürdal Salt6Ayşe Demet Kaya7Birol Topçu8 Namık Kemal Üniversitesi Tıp Fakültesi Tıbbi Mikrobiyoloji AD, Tekirdağ Namık Kemal Üniversitesi, Tıp Fakültesi, Göğüs Hastalıkları AD, Tekirdağ Namık Kemal Üniversitesi, Tıp Fakültesi, Göğüs Hastalıkları AD, Tekirdağ Namık Kemal Üniversitesi, Tıp Fakültesi, Enfeksiyon Hastalıkları AD, Tekirdağ Namık Kemal Üniversitesi, Tıp Fakültesi, İç Hastalıkları AD, Tekirdağ Tekirdağ Verem Savaş Dispanseri, Tekirdağ Tekirdağ Verem Savaş Dispanseri, Tekirdağ Namık Kemal Üniversitesi Tıp Fakültesi Tıbbi Mikrobiyoloji AD, Tekirdağ Namık Kemal Üniversitesi, Tıp Fakültesi, Biyoistatistik ve Tıbbi Bilişim AD, Tekirdağ AimThe incidence rate of tuberculosis (TB) is estimated by the World Health Organization as 128/100.000 worldwide. The main principles of TB control are early case detection and diagnosis, followed by directly observed treatment of patients. The aim of this study was to analyse the dynamics of TB between 2007 and 2011 in Tekirdağ.Material and MethodsData were obtained from TB dispensaries and separated into oneyear categories. Case notification rates were analysed by different age groups (0–14, 15–24, 25–44, 45–64, 65 and above). The patients were divided into two groups according to involved organs: pulmonary (smear/culture positive=PSP and smear/culture negative/unknown=PSN/U) and extrapulmonary. Antibiotic susceptibility tests to major antituberculosis drugs were performed on M. tuberculosis strains that were grown in culture and suspected of being resistant. Resistance to both INH and rifampicin were accepted as multiple drug resistance tuberculosis (MDR-TB).ResultsA total of 162.291 patients were examined, and out of this population, 1311 (0.8%) tuberculosis patients were evaluated. The distribution of case notification rates by year were 44.6%, 34.6%, 33.4%, 28.6%, and 27.6%from 2007 to 2011, respectively. Pulmonary and extrapulmonary TB rates were 74.5%(46.0%PSP and 28.5%PSN/U) and 25.5%, respectively. Extrapulmonary TB rates were 42.3% and 17.6% in men and women, respectively. Resistance rates against INH, rifampicin, ethambutol, and streptomycin were 21.6%, 8.8%, 1.6%, and 6.4%, respectively. The MDR-TB rate was 6.4%.ConclusionSystematic implementation of directly observed treatment programs plays an important role in decreasing TB incidence. Because the TB rates in our region are above the average for Turkey, screening and follow-up procedures must be conducted more stringently and regularly. http://namikkemalmedj.com/archives/archive-detail/article-preview/the-trend-of-tuberculosis-in-tekirda/40477 tuberculosisincidenceantitubercular agentsmultidrug resistanceantibiotic resistance
spellingShingle Hayati Güneş
Remzi Altın
Levent Cem Mutlu
Mustafa Doğan
Mustafa Oran
Salman Işık
Gürdal Salt
Ayşe Demet Kaya
Birol Topçu
The Trend of Tuberculosis in Tekirdağ
Namık Kemal Tıp Dergisi
tuberculosis
incidence
antitubercular agents
multidrug resistance
antibiotic resistance
title The Trend of Tuberculosis in Tekirdağ
title_full The Trend of Tuberculosis in Tekirdağ
title_fullStr The Trend of Tuberculosis in Tekirdağ
title_full_unstemmed The Trend of Tuberculosis in Tekirdağ
title_short The Trend of Tuberculosis in Tekirdağ
title_sort trend of tuberculosis in tekirdag
topic tuberculosis
incidence
antitubercular agents
multidrug resistance
antibiotic resistance
url http://namikkemalmedj.com/archives/archive-detail/article-preview/the-trend-of-tuberculosis-in-tekirda/40477
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