1. Pregnancy in patients with tuberculosis: a TBNET cross-sectional survey.
- Author
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Bothamley GH, Ehlers C, Salonka I, Skrahina A, Orcau A, Codecasa LR, Ferrarese M, Pesut D, Solovic I, Dudnyk A, Anibarro L, Denkinger C, Guglielmetti L, Muylle I, and Confalonieri M
- Subjects
- Adult, Birth Rate, Cross-Sectional Studies, Europe epidemiology, Female, Humans, Incidence, Pregnancy, Pregnancy Complications, Infectious diagnosis, Tuberculosis, Pulmonary diagnosis, United States, Delayed Diagnosis statistics & numerical data, Pregnancy Complications, Infectious epidemiology, Tuberculosis, Pulmonary epidemiology
- Abstract
Background: Objectives: To determine whether the incidence of tuberculosis with pregnancy is more common than would be expected from the crude birth rate; to see whether there is significant delay in the diagnosis of tuberculosis during pregnancy., Method: Design: A cross-sectional survey., Setting: 13 tuberculosis clinics within different European countries and the USA., Population/sample: All patients with tuberculosis seen at these clinics for a period > 1 year., Instrument: Questionnaire survey based on continuous data collection., Main Outcome Measures: number and proportion of women with tuberculosis who were pregnant; timing of diagnosis in relation to pregnancy, including those who were pregnant or delivered in the 3 months prior to the diagnosis of TB and those who developed TB within 3 months after delivery., Results: Pregnancy occurred in 224 (1.5 %) of 15,217 TB patients and followed the expected rate predicted from the crude birth rate for the clinic populations. TB was diagnosed more commonly in the 3 months after delivery (n = 103) than during pregnancy (n = 68; χ
2 = 25.1, P < 0.001)., Conclusions: TB is diagnosed more frequently after delivery, despite variations in local TB incidence and healthcare systems.- Published
- 2016
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