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THE EPIDEMIOLOGIC PROFILE OF TUBERCULOSIS DURING THE YEARS 1987-1996 AND 2005 FREE TO VIEW

Perlat Kapisyzi; Ilirian Mino, MD, MSc; Jorgjeta Bukli, MD
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National University Hospital of Lung Diseases, Tirana, Albania


Chest


Chest. 2007;132(4_MeetingAbstracts):641a. doi:10.1378/chest.132.4_MeetingAbstracts.641a
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Abstract

PURPOSE: To study the epidemiological profile of TB during 1987-1996 and the comparison it with profile of TB cases during the years 2001-2005, the incidence of TB, the incidence of sputum acid-fast bacilli positive cases, the incidence of TB/HIV in hospitalized patients, the study of resistance of mycobacterium tuberculosis.

METHODS: This is a retrospective study. The data of 9982 patients diagnosed with TB were collected. We collected the data for vaccination of BCG the data from the treatment of diseases and the treatment for latent TB.

RESULTS: There are 3266, 3046, and 2670 new cases during 1987-1991, 1992-1996 and 2001-2005, respectively. In the curve of absolute incidence of TB during the years 1987-1991 is shown that the disease has a tendance to go down.The mean incidence for 100 000 inhabitans during the years 1987-1991, 1992-1996 and 2001-2005 is 20.4; 18.5; 17.2 new cases respectively. During 1987-1991, the sputum for acid-fast bacilli was positive for 35.7% of all cases and 57.8% of pulmonary cases, during 1992-1996, the sputum for acid-fast bacilli was positive in 26.7% of all cases and 44.1% of pulmonary cases, during 2001-2005 the sputum for acid-fast bacilli was positive in 42.2% of all cases and 60.5% of pulmonary cases.

CONCLUSION: The incidence of the disease has a tendency to go down, most of patients are more than 65 years old. 2% of cases has shown multidrug resistence. The co-morbidity of TB/HIV is seen in 11 cases from a total of 21 cases with HIV and pulmonary problems.There was a strong correlation between the number of BK positive cases and total number of TB cases. Regression analysis found out that for ten BK positive cases there is 64 cases with tuberculosis.

CLINICAL IMPLICATIONS: To make more chemioprophilaxy in districts were the incidence is higher and to amiliorate the microbiologic examinations for acid-fast bacilium tuberculosis in district were the incidence of postive sputum for acid-fast bacilium is lower than other districts.

DISCLOSURE: Perlat Kapisyzi, None.

Wednesday, October 24, 2007

12:30 PM - 2:00 PM


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