Chest
Original ResearchPleural TuberculosisPleural Tuberculosis in the United States: Incidence and Drug Resistance
Section snippets
Materials and Methods
The national TB surveillance system uses a standardized case report form (Report of Verified Case of Tuberculosis) to collect information on newly diagnosed persons with TB from 50 states and the District of Columbia.1213 Demographic, clinical, laboratory, and sociodemographic data, including country of origin, date of arrival in the United States, HIV seropositivity status, and anti-TB drug resistance, were collected.
We analyzed data from the national TB surveillance database, which is
Demographic Characteristics
From 1993 through 2003, a total of 210,978 TB cases were reported in the United States. The major sites of TB disease were pulmonary (n = 167,261; 79.3%), pleural (n = 8,354; 3.9%), and other (eg, lymph node, bone/joint, genitourinary, meningeal, and peritoneal) [n = 35,363; 16.8%]. For the 167,261 reports of pulmonary TB, 156,779 (93.7%) gave no secondary sites of disease, 3,392 (2.0%) listed “pleural” as a secondary site, and 7,090 (4.3%) listed “other” as a secondary site. For the 8,354
Discussion
This study is the most recent and comprehensive assessment of the epidemiology of pleural TB in the United States. Although the total number of pleural TB cases decreased between 1993 and 2003, the proportion of pleural TB cases compared to the total number of cases in the United States remained relatively stable (median proportion, 3.6%) [Fig 1]. This confirms earlier estimates and counters thoughts that those estimates were low.36 The total number and proportion of pulmonary TB cases have
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The findings and conclusions in this report are those of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention.
The authors have reported to the ACCP that no significant conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.