Chest Infections |

Tuberculosis Endemia Evolution in Romania’s Regions 2008-2012 FREE TO VIEW

Constantin Marica, MD; Didilescu Cristian, MD; Mihaela Tanasescu, PhD; Beatrice Mahler, MD; Gina Ana Ciolan, PhD
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University of Medicine and Pharmacy Carol Davila Bucharest, Bucharest, Romania

Chest. 2014;145(3_MeetingAbstracts):132A. doi:10.1378/chest.1825210
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SESSION TITLE: Tuberculosis Posters

SESSION TYPE: Poster Presentations

PRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PM

PURPOSE: Romania still has the greatest number of tuberculosis cases from the EU countries. During 2002-2012, the incidence of tuberculosis in Romania decreased by 44% from 142.2 %000 to 79 %000. Even under these conditions, we retain the position of EU leaders in the number of TB cases. TB mortality has also decreased in this period. This study want to evaluate the incidence of tuberculosis in Romania since 2008-2012.

METHODS: The number of new cases registered in 2012 was 13997, while the relapses was 2911, compared to 15,963 cases, respectively, of 3359 of relapses in 2010. Infectious disease has become less frequent in the last 9 years among children. The number of cases decreased by 51% between 2002-2012. Last year, there were 770 cases in children compared to 1,843 cases in 2002.

RESULTS: Tuberculosis frequency is lower in urban areas, where there is 71.9 %000, compared to rural areas, where 96.2 %000. Although, in the last years it’s ascertained a decreasing mainstream of incidence, tuberculosis still remains an important challenge for health system so by the total number of cases and particularly by the MDR TB and XDR TB cases. Incidence by tuberculosis isn’t uniformly distributed in Romania territories. The detection rates of new cases positive smear was over 70% -the target proposed by the WHO-since 1995 (74% in 2010, compared with 73% in Europe) and a therapeutic success rate of new cases of pulmonary TB positive microscopy by over 80% since 2003 (86% in 2009 compared to 67% in Europe).

CONCLUSIONS: It is known that TB epidemiometrical indicators correlate well with the economic situation in a country. The dynamics is correlated with average income per capita.

CLINICAL IMPLICATIONS: These differences in territory bear out economics and social difficulties, unemployment and deficiency at counties levels in apply of health programs, sanitary education, responsibilities of sanitary workers.

DISCLOSURE: The following authors have nothing to disclose: Constantin Marica, Didilescu Cristian, Mihaela Tanasescu, Beatrice Mahler, Gina Ana Ciolan

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