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

den Boon, Saskia; van Lill, Schalk W.P.; Borgdorff, Martien W.; Enarson, Donald A.; Verver, Suzanne; Bateman, Eric D.; Irusen, Elvis; Lombard, Carl J.; White, Neil W.; de Villiers, Christine; Beyers, Nulda

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

Published Date:

Aug 2007

Source:

Emerg Infect Dis. 13(8):1189-1194.

[PDF-188.05 KB]

Details:

Alternative Title:

Emerg Infect Dis

Personal Author:

den Boon, Saskia ; van Lill, Schalk W.P. ; Borgdorff, Martien W. ; Enarson, Donald A. ; Verver, Suzanne ; ... More ▼

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 > or = 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.

Subject:

[+]

Document Type:

Journal Article

Place as Subject:

South Africa

Collection(s):

Emerging Infectious Diseases

Main Document Checksum:

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