S Lin1, M Shen, Y Sun. 1. Shanghai Tuberculosis Control Center, Shanghai 200031.
Abstract
OBJECTIVE: To understand the epidemiological trends and characteristics of tuberculosis patients complicated with diabetes in Shanghai. METHOD: All the registered tuberculosis (TB) cases from 1992 to 1997 in Shanghai were included in the analysis. The new registration rates and percentages of TB cases complicated with diabetes were calculated. RESULT: The new registration rate of the cases increased from 0.70/100,000 in 1992 to 2.10/100,000 in 1997 with an annual increase rate of 24.57%. The cases with the complication accounted for 4.86% in 1997. Diabetes tends to be more prevalent among TB patients in urban area. The greater the age, the more diabetes were found in TB patients. A significant difference was also observed between sex. Bacillary positive rate and percentage of infiltration type were higher, and cavity was more common in cases with the complication. The percentage of cases with relapse was also higher. CONCLUSION: The complication of diabetes significantly affected the epidemiological trend of TB in Shanghai. The diagnosis of diabetes in TB patients should be enforced, and short-course chemotherapy targeting the cases should be investigated.
OBJECTIVE: To understand the epidemiological trends and characteristics of tuberculosispatients complicated with diabetes in Shanghai. METHOD: All the registered tuberculosis (TB) cases from 1992 to 1997 in Shanghai were included in the analysis. The new registration rates and percentages of TB cases complicated with diabetes were calculated. RESULT: The new registration rate of the cases increased from 0.70/100,000 in 1992 to 2.10/100,000 in 1997 with an annual increase rate of 24.57%. The cases with the complication accounted for 4.86% in 1997. Diabetes tends to be more prevalent among TB patients in urban area. The greater the age, the more diabetes were found in TB patients. A significant difference was also observed between sex. Bacillary positive rate and percentage of infiltration type were higher, and cavity was more common in cases with the complication. The percentage of cases with relapse was also higher. CONCLUSION: The complication of diabetes significantly affected the epidemiological trend of TB in Shanghai. The diagnosis of diabetes in TB patients should be enforced, and short-course chemotherapy targeting the cases should be investigated.
Authors: Roland F Dyck; Helena Klomp; Darcy D Marciniuk; Leonard Tan; Mary Rose Stang; Heather A Ward; Vernon H Hoeppner Journal: Can J Public Health Date: 2007 Jan-Feb