Enfermedades Emergentes
Volume 12, Issue 2, 2010, Pages 115-120

Impact of the immigration from Romania in the tuberculosis of a Mediterranean area [Impacto de la inmigración desde Rumanía en la tuberculosis de un área mediterránea] (Article)

Royo M.M.* , Muñoz R.M. , Fortuño M.G. , Bueso Ma.J. , Romeu Ma.A. , Morán F.G.
  • a Sección de Neumología, Hospital General de Castellón, Spain
  • b Servicio de Microbiología, Hospital General de Castellón, Spain
  • c Servicio de Microbiología, Hospital General de Castellón, Spain
  • d Sección de Neumología, Hospital General de Castellón, Spain
  • e Salud Pública, Castellón, Spain
  • f Salud Pública, Valencia, Spain

Abstract

Aim: To know the characteristics of the Tuberculosis in the Castellón's province and to analyze the changes that this has produced in because of the arrival of the immigration proceeding from Romania. Methods: Retrospective observacional study of all the declared cases of Tuberculosis in the department 2 and 3 of Castellón's province between the year 2004 and 2007. Results: 306 cases were studied, observing stabilization of cases in autocthonous and progressive increase in immigrants who in 2007 represented 47%, of which 64% comes from Romania. The rumanian patients are younger (33,8 from to 47,8 years), previously healthy, with a higher women's proportion (47% from 67%) and with clinical forms exclusively pleuropulmonars. They present a high percentage of treatment abandon (7,9%) and losses of the case (15,8%). The global rate of resistances to tuberculostáticos in the whole of cases has been 4,5% and of multirresistencia 1,4%. In the complete group of immigrants, total resistance has been 5,15%: 1,6% in the group of rumanian immigrants and 11,4% in the group of immigrants of other nationalities. Conclusions: The phenomenon of immigration is modifying the dynamics of Tuberculosis in Castellón. A brake has taken place in the decline of represented annual rates of TB mainly off the increase of cases in foreigners, who in 2007 suppose 47%, being in the main of rumanian nationality.

Author Keywords

Immigration tuberculosis Romania

Index Keywords

male Spain female human tuberculosis major clinical study antibiotic resistance immigrant treatment refusal observational study retrospective study demography Incidence Article immigration adult multidrug resistance
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84455171754&partnerID=40&md5=9b72a9a994dbae6c5113ba238b1f2cb5
ISSN: 15754723
Cited by: 1
Original Language: Spanish