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Current trends eptb


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Current trends eptb

  1. 1. Current trends of EPTB in SiberiaE. KulchavenyaNovosibirsk, Russia, e-mail: ku_ekaterina@mail.ruMaterial and Methods. Estimates of incidence and spectrum of EPTBin Siberia are presented on the basis of the statistical reports for 1999 –2009.Results. During the last decade the incidence rate of TB in Siberiaincreased up to 20%. Every year there are about 1000 new EPTBpatients. Within the last decade the spectrum of EPTB has changedsignificantly. TB of the central nervous system almost doubled from4.9% to 8.5%, mostly due to co-morbidity with HIV. Bone and jointsTB increased from 20.3% to 30.8%, and among this group TBspondylitis with neurological disorders predominates. The proportion ofUGTB decreased from 42.9% to 33.9% with change in genderdistribution from male : female of 1:2 in 1999 to 1:1 in 2008. Incontrary, there was a decrease of peripheral lymph nodes TB from16.7% to 11.0%, but fistulous disease still frequent. At the end of thelast century ocular TB in Siberia accounted for 7.4% and in 2008 (in2009 listed in “others”) for 4.4% of the patients with EPTB.Accordingly, in 1999 other form of TB accounted for 7.8% and in 2009for 15.8%.Conclusion. In Siberia 50there is still a severe 45epidemic situation now. 40Low living standard, 35poverty, as well as poor 30knowledge and 25ignorance of EPTB 20 15both by medical service 10and population lead to 5late diagnosis of EPTB 0with complicated multi- 1999 2003 2004 2005 2006 2007 2008 2009organ forms. CNS Bone&joint UGTB LN-TB Ocular TB others