#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Specifics of tuberculosis at the elderly in these days


Authors: H. Matějovská Kubešová;  K. Bielaková;  J. Matějovský
Published in: Geriatrie a Gerontologie 2016, 5, č. 4: 202-208
Category: Review Article

Overview

Authors give the review of development and current situation with tuberculosis in the Czech Republic. The recorded cases are classified into respiratory tract tuberculosis – more than 80% – and other localizations. Attention is devoted to tuberculosis prevalence in homeless and immigrant populations – the absolute number is stable, but the overall incidence decreases. The same situation can be seen as for tuberculosis and non-tuberculosis mycobacteria – the current rate is 4 to 1. More than 80 % of cases are diagnosed passively, as a results of the patient’s difficulties, which is a surprising fact. Active screening discovered less than 10 % of the recorded cases. Because of risk factor accumulation there is significantly higher tuberculosis incidence in population aged over 75. This review is illustrated by two case reports and the influence of concomitant diseases and possible drug interactions is stressed.

KEYWORDS:
Mycobacterium tuberculosis – non-tuberculosis mycobacteria – risk factors of tuberculosis infection – drug interactions of antituberculotics – concomitant diseases


Sources

1. Tuberkulóza a respirační nemoci 2014. Ústav zdravotnických informací a statistiky 2015.

2. Potrepčiaková S, Skřičková J. Tuberkulóza. Practicus 2008; 4: 24–29.

3. Kubín M, Kalina P, Jágrová Z a kol. Cizinci a bezdomovci – nové epidemiologické a sociologické faktory v kontrole TBC v Praze. Praktický lékař 2010; 90(6): 352–357.

4. Homolka J, Krejbich F. Tuberkulóza u cizinců v České republice v letech 2003–2006. Čas Lék Čes 2008; 147: 155–158.

5. Menon S, Rossi R, Nshimyumukiza L, et al. Convergence of a diabetes mellitus, protein energy malnutrition, and TB epidemic: the neglected elderly population. BMC Infectious Diseases 2016; 16: 361.

6. Vlachová M. Tuberkulóza v seniorském věku. Geri a gero 2015; 4(1): 26–30.

7. Vašáková M. Tuberkulóza v České republice. Současný stav. Diagnostika, léčba, prevence. Vnitřní lékařství 2013; 59(4): 284–289.

8. Rajagopalan S. Tuberculosis and aging. A global health problem. Aging and infectious diseases 2001; 33:1034–1039.

9. Wang CH, Yu CT, Lin HC, et al. Hypodense alveolar macrophages in patients with diabetes mellitus and active pulmonary tuberculosis. Tuber Lung Dis 1999; 79: 235–242.

10. Seo GH, Kim MJ, Seo S. Cancer-specific incidence rates of tuberculosis: A 5-year nationwide population-based study in a country with an intermediate tuberculosis burden. Medicine (Baltimore) 2016; 95(38): e4919.

11. Leung CC, Lam TH, Chan WM, et al. Diabetic control and risk of tuberculosis: a cohort study. Am J Epidemiol 2008; 167: 1486–1494.

12. Leow MK, Dalan R, Chee CB. Latent tuberculosis in patients with diabetes mellitus: prevalence, progression and public health implications. Exp Clin Endocrinol Diabetes 2014; 122(9): 528–532.

13. Drake VJ. Nutrition and Immunity. Linus Pauling Institute 2010. Dostupné z: http://lpi.oregonstate.edu/mic/micronutrients-health/immunity

14. Tuberkulóza dospělých – standard léčebného plánu. Česká pneumologická a ftizeologická společnost [online]. Dostupné z: http://www.pneumologie.cz/guidelines

15. Culqui-Lévano DR, Rodriguez-Valín E, Donado-Campos JM. Analysis of extrapulmonary tuberculosis in Spain: 2007–2012 National Study. Enferm Infecc Microbiol Clin 2016; Jul 26.

16. Kalvach Z, Zadák Z, Jirák R a kol. Geriatrie a gerontologie. Praha: Grada Publishing 2004; s. 541.

17. Mamo JP, Brij SO. Treating tuberculosis in the elderly population:a lesson in multi-disciplinary care. Scott Med J 2013; 58(4): e15–16.

18. Tuberculin Skin Testing. CDC. Dostupné z: http://www.cdc.gov/tb/publications/factsheets/testing/skintesting.htm

19. SPC Nidrazid.

20. SPC Pyrazinamid.

21. SPC Benemicin.

22. Criteria for discontinuation of vaccination programmes using Bacille Calmette-Guerin (BCG) in countries with a low prevalence of tuberculosis. A statement of the International Union Against Tuberculosis and Lung Disease. Tuber Lung Dis 1994; 75(3): 179–180.

23. Metodika pravidelného očkování proti tuberkulóze. Dostupné z: http://www.pneumologie.cz/stranka/62/sekce-pro-tuberkulozu/

Labels
Geriatrics General practitioner for adults Orthopaedic prosthetics
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#