Incidence of pulmonary tuberculosis in Korean civil servants

Kim, S.J.; Hong, Yong Pyo; Lew, Woo Jin; Yang, Stephen C.; Lee, E.G.

doi:10.1016/0962-8479(95)90530-8

Cited by 17 publications

(12 citation statements)

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“…The incidence of active PTB in Koreans was as high as 393/10 5 person-year between 1988 and 1990, and 202/10 5 person-year between 1992 and 1994[ 31 , 32 ]. However, it appears to be decreasing with time, showing 119.3/10 5 person-year between 2006 and 2008[ 6 ].…”

Section: Discussionmentioning

confidence: 99%

Temporal trends in the misdiagnosis rates between Crohn’s disease and intestinal tuberculosis

Seo

Lee

et al. 2017

WJG

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AIMTo investigate the temporal trends in the misdiagnosis rate between Crohn’s disease (CD) and intestinal tuberculosis (ITB) in South Korea.METHODSWe retrospectively reviewed the medical records of patients managed for CD or ITB at Asan Medical Center, a tertiary referral hospital, Seoul, Korea between 1996 and 2014. The temporal trends in the misdiagnosis rates between the two diseases were analyzed. The demographic and clinical characteristics were compared between CD patients who were initially misdiagnosed as ITB (final CD group) and vice versa (final ITB group). Final diagnostic criteria for ITB and medication for CD before definite diagnosis of TB were also analyzed in final ITB group.RESULTSIn total, 2760 patients were managed for CD and 772 patients for ITB between 1996 and 2014. As well, 494 of the 2760 CD patients (17.9%) were initially misdiagnosed as ITB and 83 of the 772 ITB patients (10.8%) as CD. The temporal trend in misdiagnosing CD as ITB showed a decrease (OR = 0.89, 95%CI: 0.87-0.91, P < 0.001), whereas the temporal trend in misdiagnosing ITB as CD showed an increase (OR = 1.06, 95%CI: 1.01-1.11, P = 0.013). Age at diagnosis, presenting symptoms, and proportion of patients with active/past perianal fistula and active/inactive pulmonary tuberculosis (TB) were significantly different between final CD group and final ITB group. Forty patients (48.2%) in final ITB group were diagnosed by favorable response to empirical anti-TB treatment. Seventeen patients (20.5%) in final ITB group had inappropriately received corticosteroids and/or thiopurines due to misdiagnosis as CD. However, there were no mortalities in both groups.CONCLUSIONCases of CD misdiagnosed as ITB have been decreasing, whereas cases of ITB misdiagnosed as CD have been increasing over the past two decades.

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Section: Discussionmentioning

confidence: 99%

Temporal trends in the misdiagnosis rates between Crohn’s disease and intestinal tuberculosis

Seo

Lee

et al. 2017

WJG

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“…A cohort study in Hong Kong, limited to people aged 65 years or more, found an adjusted hazard ratio (HR) of 1.77 for active tuberculosis. Kim et al [10] found that diabetic patients were at relative risk of 3.47 for pulmonary tuberculosis in an unadjusted analysis among Korean civil servants. Dobler et al [11] reported that people with diabetes had a 1.5 fold increased risk of developing tuberculosis in a large population-based cohort study conducted in Australia.…”

Section: Discussionmentioning

confidence: 99%

Type 2 Diabetes : An Independent Risk Factor for Tuberculosis: A Nationwide Population-Based Study

Kuo

Lin

et al. 2013

PLoS ONE

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ObjectiveTuberculosis continues to be a major global health problem. We wanted to investigate whether Type 2 diabetes was a risk factor for tuberculosis in an Asian population.MethodsFrom Taiwan’s National Health Insurance Research Database, we collected data from 31,237 female patients with type 2 diabetes and 92,642 female controls and 32,493 male patients with type 2 diabetes and 96,977 male controls. Cox proportional hazard regression was performed to evaluate independent risk factors for tuberculosis in all patients and to identify risk factors in patients with type 2 diabetes.ResultsDuring the study period, both female (standardized incidence ratio (SIR): 1.40, p<0.01) and male (SIR: 1.48, p<0.01) patients with type 2 diabetes were found to have a significantly higher rate of incident tuberculosis than the control group. Type 2 diabetes (HR:1.31, 1.23–1.39, p<0.001) was significantly associated with tuberculosis after adjusting sex, age, bronchiectasis, asthma and chronic obstructive lung disease.ConclusionsPatients with type 2 diabetes have a higher risk of tuberculosis compared to control subjects after adjusting for confounding factors. The current diabetes epidemic may lead to a resurgence of tuberculosis in endemic regions. Therefore, preventive measures, including addressing the possibility that type 2 diabetes increase the individual’s susceptibility for incident TB, should be taken to further reduce the incidence of tuberculosis.

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“…This is at least partially related to the imperfection of the laboratory techniques and the quality, quantity, freshness and method of specimen collection. [1][2][3] The report by Aslam et al in this issue of Public Health Action provides useful insight into and interesting diagnostic findings with gastric aspirate (GA) specimens from adult patients unable to expectorate sputum. The setting is a hospital in Pakistan under routine practice from 2012 to 2015.…”

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confidence: 99%

Gastric aspiration: routine use for diagnosis of pulmonary tuberculosis patients unable to expectorate sputum

Kim

Rieder

2017

public health action

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Incidence of pulmonary tuberculosis in Korean civil servants

Cited by 17 publications

References 1 publication

Temporal trends in the misdiagnosis rates between Crohn’s disease and intestinal tuberculosis

Temporal trends in the misdiagnosis rates between Crohn’s disease and intestinal tuberculosis

Type 2 Diabetes : An Independent Risk Factor for Tuberculosis: A Nationwide Population-Based Study

Gastric aspiration: routine use for diagnosis of pulmonary tuberculosis patients unable to expectorate sputum

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