High Prevalence of Tuberculosis in Previously Treated Patients, Cape Town, South Africa

The tuberculosis (TB) notification rate is high and increasing in 2 communities in Cape Town, South Africa. In 2002, we conducted a prevalence survey among adults >15 years of age to determine the TB prevalence rate; 15% of households in these communities were randomly sampled. All persons living...

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Main Authors: Saskia den Boon, Schalk W.P. van Lill, Martien W. Borgdorff, Donald A. Enarson, Suzanne Verver, Eric D. Bateman, Elvis Irusen, Carl J. Lombard, Neil W. White, Christine de Villiers, Nulda Beyers
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2007-08-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/13/8/05-1327_article
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author Saskia den Boon
Schalk W.P. van Lill
Martien W. Borgdorff
Donald A. Enarson
Suzanne Verver
Eric D. Bateman
Elvis Irusen
Carl J. Lombard
Neil W. White
Christine de Villiers
Nulda Beyers
author_facet Saskia den Boon
Schalk W.P. van Lill
Martien W. Borgdorff
Donald A. Enarson
Suzanne Verver
Eric D. Bateman
Elvis Irusen
Carl J. Lombard
Neil W. White
Christine de Villiers
Nulda Beyers
author_sort Saskia den Boon
collection DOAJ
description The tuberculosis (TB) notification rate is high and increasing in 2 communities in Cape Town, South Africa. In 2002, we conducted a prevalence survey among adults >15 years of age to determine the TB prevalence rate; 15% of households in these communities were randomly sampled. All persons living in sampled households were eligible for chest radiography and sputum examination. Of the 3,483 adults who completed a questionnaire, 2,608 underwent chest radiography and sputum examination. We detected 26 bacteriologically confirmed TB cases and a prevalence of 10.0/1,000 (95% confidence interval [CI] 6.2–13.8 per 1,000). We found 18 patients with smear-positive TB, of whom 8 were new patients (3.1/1,000, 95% CI 0.9–5.1/1,000). More than half of patients with smear-positive TB (10, 56%) had previously been treated. Such patients may contribute to transmission of Mycobacterium tuberculosis and the high TB prevalence rate. Successful treatment of TB patients must be a priority.
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spelling doaj.art-64bf7d0c551646be8f5902e8b440f4232022-12-22T01:03:28ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592007-08-011381189118910.3201/eid1308.051327High Prevalence of Tuberculosis in Previously Treated Patients, Cape Town, South AfricaSaskia den BoonSchalk W.P. van LillMartien W. BorgdorffDonald A. EnarsonSuzanne VerverEric D. BatemanElvis IrusenCarl J. LombardNeil W. WhiteChristine de VilliersNulda BeyersThe tuberculosis (TB) notification rate is high and increasing in 2 communities in Cape Town, South Africa. In 2002, we conducted a prevalence survey among adults >15 years of age to determine the TB prevalence rate; 15% of households in these communities were randomly sampled. All persons living in sampled households were eligible for chest radiography and sputum examination. Of the 3,483 adults who completed a questionnaire, 2,608 underwent chest radiography and sputum examination. We detected 26 bacteriologically confirmed TB cases and a prevalence of 10.0/1,000 (95% confidence interval [CI] 6.2–13.8 per 1,000). We found 18 patients with smear-positive TB, of whom 8 were new patients (3.1/1,000, 95% CI 0.9–5.1/1,000). More than half of patients with smear-positive TB (10, 56%) had previously been treated. Such patients may contribute to transmission of Mycobacterium tuberculosis and the high TB prevalence rate. Successful treatment of TB patients must be a priority.https://wwwnc.cdc.gov/eid/article/13/8/05-1327_articleSurveyrecurrencetuberculosisprevalenceSouth Africaresearch
spellingShingle Saskia den Boon
Schalk W.P. van Lill
Martien W. Borgdorff
Donald A. Enarson
Suzanne Verver
Eric D. Bateman
Elvis Irusen
Carl J. Lombard
Neil W. White
Christine de Villiers
Nulda Beyers
High Prevalence of Tuberculosis in Previously Treated Patients, Cape Town, South Africa
Emerging Infectious Diseases
Survey
recurrence
tuberculosis
prevalence
South Africa
research
title High Prevalence of Tuberculosis in Previously Treated Patients, Cape Town, South Africa
title_full High Prevalence of Tuberculosis in Previously Treated Patients, Cape Town, South Africa
title_fullStr High Prevalence of Tuberculosis in Previously Treated Patients, Cape Town, South Africa
title_full_unstemmed High Prevalence of Tuberculosis in Previously Treated Patients, Cape Town, South Africa
title_short High Prevalence of Tuberculosis in Previously Treated Patients, Cape Town, South Africa
title_sort high prevalence of tuberculosis in previously treated patients cape town south africa
topic Survey
recurrence
tuberculosis
prevalence
South Africa
research
url https://wwwnc.cdc.gov/eid/article/13/8/05-1327_article
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