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Trends and challenges in tuberculosis in a medium-sized southern European setting [Notes from the field]

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Trends in tuberculosis (TB) admissions over 40 years at the Infectious Diseases Clinic of Perugia University Hospital, Perugia, Italy, show that in the last decade non-Italian TB case admissions outweighed those of Italians, with a large number of cases from Eastern Europe (25.2%) and Africa (23.4%). Non-Italians tended to be younger and were generally new pulmonary TB cases, and drug resistance was also more common. Overall, the number of multidrug-resistant cases increased. Only one case occurred in a native-born Italian, and five of seven cases had newly diagnosed TB. In low TB incidence settings such as Perugia, Italy, TB prevention and control programmes for the foreign-born need to be reinforced.

Keywords: Mycobacterium tuberculosis; admissions; anti-tuberculosis drug resistance; foreign-born

Document Type: Research Article

Affiliations: 1: Infectious Disease Clinic Section, Department of Experimental Medicine and Biochemical Sciences, Perugia University, Perugia, Italy 2: Microbiology Section, Department of Experimental Medicine and Biochemical Sciences, Perugia University, Perugia, Italy 3: Department of Mathematics and Computer Sciences, Perugia University, Perugia, Italy 4: Respiratory Diseases Section, Department of Internal Medicine, Perugia University, Perugia, Italy 5: Respiratory Diseases Section, Department of Internal Medicine, Perugia University, Perugia, Italy; Lung Allergi Kliniken, Karolinska University Hospital, Stockholm, Sweden

Publication date: 01 May 2012

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