Social, clinical and microbiological differential characteristics of tuberculosis among immigrants in Spain.

<h4>Background</h4>To identify the differential tuberculosis (TB) characteristics within the immigrant population with respect to natives in Spain.<h4>Methodology/principal findings</h4>A prospective cohort study design was implemented to examine the TB cases diagnosed and st...

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Autores principales:	José-María García-García, Rafael Blanquer, Teresa Rodrigo, Joan A Caylà, José A Caminero, Rafael Vidal, Martí Casals, Juan Ruiz-Manzano, Working Group on Completion of Tuberculosis Treatment in Spain
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2011
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/a557f106c5c641fd8ed9d9c7b85a7e74
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spelling	oai:doaj.org-article:a557f106c5c641fd8ed9d9c7b85a7e742021-11-18T07:00:08ZSocial, clinical and microbiological differential characteristics of tuberculosis among immigrants in Spain.1932-620310.1371/journal.pone.0016272https://doaj.org/article/a557f106c5c641fd8ed9d9c7b85a7e742011-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/21283716/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>To identify the differential tuberculosis (TB) characteristics within the immigrant population with respect to natives in Spain.<h4>Methodology/principal findings</h4>A prospective cohort study design was implemented to examine the TB cases diagnosed and starting standard antituberculous treatment in Spain, between January 1st 2006 and March 31st 2007. A logistic regression analysis was performed to determine differential characteristics. 1,490 patients were included in the study population, 1,048 natives and 442 (29.7%) immigrants. According to the multivariate analysis, the following variables were significantly associated with immigrant TB cases: younger age (OR = 3.79; CI:2.16-6.62), living in group situation (OR = 7.61; CI:3.38-12.12), lower frequency of disabled (OR:0.08; CI:0.02-0.26) and retired (OR:0.21; CI:0.09-0.48) employment status, lower frequency of pulmonary disease presentation (OR = 0.47; CI:0.24-0.92), primary or emergency care admission (OR = 1.80; CI:1.05-3.06 and OR = 2.16; CI:1.36-3.45), drug resistance (OR = 1.86; CI:1.01-3.46), treatment default (OR:2.12; CI:1.18-3.81), lower frequency of alcohol and cigarette consumption (OR = 2.10; CI:1.42-3.11 and OR = 2.85; CI:2.10-3.87 respectively), more directly observed treatment (OR = 1.68; CI:1.04-2.69), and poor understanding of TB disease and its treatment (OR = 3.11; CI:1.86-5.20). The low percentage of primary MDR-TB in the native population (0.1% vs. 2.2% of immigrants) should be noted.<h4>Conclusions/significance</h4>The differences show the need to introduce specific strategies in the management of TB within the immigrant population, including the improvement of social and work conditions.José-María García-GarcíaRafael BlanquerTeresa RodrigoJoan A CaylàJosé A CamineroRafael VidalMartí CasalsJuan Ruiz-ManzanoWorking Group on Completion of Tuberculosis Treatment in SpainPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 6, Iss 1, p e16272 (2011)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q José-María García-García Rafael Blanquer Teresa Rodrigo Joan A Caylà José A Caminero Rafael Vidal Martí Casals Juan Ruiz-Manzano Working Group on Completion of Tuberculosis Treatment in Spain Social, clinical and microbiological differential characteristics of tuberculosis among immigrants in Spain.
description	<h4>Background</h4>To identify the differential tuberculosis (TB) characteristics within the immigrant population with respect to natives in Spain.<h4>Methodology/principal findings</h4>A prospective cohort study design was implemented to examine the TB cases diagnosed and starting standard antituberculous treatment in Spain, between January 1st 2006 and March 31st 2007. A logistic regression analysis was performed to determine differential characteristics. 1,490 patients were included in the study population, 1,048 natives and 442 (29.7%) immigrants. According to the multivariate analysis, the following variables were significantly associated with immigrant TB cases: younger age (OR = 3.79; CI:2.16-6.62), living in group situation (OR = 7.61; CI:3.38-12.12), lower frequency of disabled (OR:0.08; CI:0.02-0.26) and retired (OR:0.21; CI:0.09-0.48) employment status, lower frequency of pulmonary disease presentation (OR = 0.47; CI:0.24-0.92), primary or emergency care admission (OR = 1.80; CI:1.05-3.06 and OR = 2.16; CI:1.36-3.45), drug resistance (OR = 1.86; CI:1.01-3.46), treatment default (OR:2.12; CI:1.18-3.81), lower frequency of alcohol and cigarette consumption (OR = 2.10; CI:1.42-3.11 and OR = 2.85; CI:2.10-3.87 respectively), more directly observed treatment (OR = 1.68; CI:1.04-2.69), and poor understanding of TB disease and its treatment (OR = 3.11; CI:1.86-5.20). The low percentage of primary MDR-TB in the native population (0.1% vs. 2.2% of immigrants) should be noted.<h4>Conclusions/significance</h4>The differences show the need to introduce specific strategies in the management of TB within the immigrant population, including the improvement of social and work conditions.
format	article
author	José-María García-García Rafael Blanquer Teresa Rodrigo Joan A Caylà José A Caminero Rafael Vidal Martí Casals Juan Ruiz-Manzano Working Group on Completion of Tuberculosis Treatment in Spain
author_facet	José-María García-García Rafael Blanquer Teresa Rodrigo Joan A Caylà José A Caminero Rafael Vidal Martí Casals Juan Ruiz-Manzano Working Group on Completion of Tuberculosis Treatment in Spain
author_sort	José-María García-García
title	Social, clinical and microbiological differential characteristics of tuberculosis among immigrants in Spain.
title_short	Social, clinical and microbiological differential characteristics of tuberculosis among immigrants in Spain.
title_full	Social, clinical and microbiological differential characteristics of tuberculosis among immigrants in Spain.
title_fullStr	Social, clinical and microbiological differential characteristics of tuberculosis among immigrants in Spain.
title_full_unstemmed	Social, clinical and microbiological differential characteristics of tuberculosis among immigrants in Spain.
title_sort	social, clinical and microbiological differential characteristics of tuberculosis among immigrants in spain.
publisher	Public Library of Science (PLoS)
publishDate	2011
url	https://doaj.org/article/a557f106c5c641fd8ed9d9c7b85a7e74
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Social, clinical and microbiological differential characteristics of tuberculosis among immigrants in Spain.

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