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Epidemiology and control of tuberculosis in Victoria, a low-burden state in south-eastern Australia, 2005-2010.
- Source :
-
The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease [Int J Tuberc Lung Dis] 2013 Jun; Vol. 17 (6), pp. 752-8. - Publication Year :
- 2013
-
Abstract
- Setting: Victoria, Australia.<br />Objective: To describe the epidemiology and control of tuberculosis (TB) in Victoria, 2005-2010.<br />Design: Retrospective review of laboratory-confirmed TB in Victoria, 2005-2010. State TB reference laboratory records were matched with Department of Health notification records to obtain laboratory, demographic, clinical and treatment data.<br />Results: The incidence of TB fell in the Australian-born population but increased overall, reflecting an increase in the proportion of overseas-born cases from 88.9% to 95.8% between 2005 and 2010 (P = 0.03). Patients from India and Viet Nam accounted for over one third of all cases. For overseas-born cases, the median time between arrival and diagnosis was 4 years. Half of all diagnoses were pulmonary disease, of which 45.4% were Ziehl-Neelsen smear-positive. Treatment was most commonly self-administered (76.9%), and very few patients defaulted or failed treatment (1.1%). Only 4.1% of cases were linked to another laboratory-confirmed case. Multidrug-resistant TB remained uncommon (1.7% of cases).<br />Conclusions: TB in Victoria remains low by global standards and continues to overwhelmingly affect the overseas-born population. Current TB control strategies in Victoria are effective, but strengthened control in high-burden countries will also improve TB control locally.
- Subjects :
- Adolescent
Adult
Aged
Aged, 80 and over
Antitubercular Agents therapeutic use
Child
Child, Preschool
Humans
Incidence
Infant
Male
Middle Aged
Retrospective Studies
Self Administration
Sputum microbiology
Time Factors
Tuberculosis diagnosis
Tuberculosis drug therapy
Tuberculosis, Multidrug-Resistant diagnosis
Tuberculosis, Multidrug-Resistant drug therapy
Tuberculosis, Multidrug-Resistant epidemiology
Tuberculosis, Pulmonary diagnosis
Tuberculosis, Pulmonary drug therapy
Victoria epidemiology
Young Adult
Antitubercular Agents administration & dosage
Emigrants and Immigrants statistics & numerical data
Tuberculosis epidemiology
Tuberculosis, Pulmonary epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1815-7920
- Volume :
- 17
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease
- Publication Type :
- Academic Journal
- Accession number :
- 23676157
- Full Text :
- https://doi.org/10.5588/ijtld.12.0791