TUBERCULOSIS AND HUMAN IMMUNODEFICIENCY VIRUS INFECTION - 11/09/11
Résumé |
Mycobacterium tuberculosis infects one third of the world's population, and tuberculosis (TB) remains one of the most common infectious diseases of humans. Each year, more than 8 million new cases and 3 million deaths are reported worldwide, 90% of them in the developing world.8, 76 From a global perspective, TB may be one of the most common human immunodeficiency virus (HIV)–related opportunistic infections. In the United States, for decades, there had been a steady decline in the number of cases of TB until 1985, when the number leveled off. By the late 1980s, incident TB cases began to increase steadily. Although there was an almost 15% decline in cases reported annually during 1995 compared with 1992, the number of reported cases in 1995 still exceeded that reported in 1985 (Fig. 1).15, 23 Factors that contributed to the resurgence of TB in the United States included homelessness, increased immigration from TB-endemic areas outside of the United States, and inadequate support of both the public health infrastructure and TB control programs.11, 23, 62, 101 Arguably, however, the most important factor responsible for the increased rates of TB is the epidemic of HIV infection.
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| Address reprint requests to Edward E. Telzak, MD, Department of Medicine, Bronx-Lebanon Hospital Center, Albert Einstein College of Medicine, 1650 Grand Concourse, Bronx, NY 10457 |
Vol 81 - N° 2
P. 345-360 - mars 1997 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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