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Free Content 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.
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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: 2012-05-01

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  • The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.

    Certain IJTLD articles are selected for translation into French, Spanish, Chinese or Russian. They are available on the Union website

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