Type 2 diabetes and tuberculosis in a dynamic bi-national border population.

Abstract:

:The epidemic of type 2 diabetes in the United States prompted us to explore the association between diabetes and tuberculosis (TB) on the South Texas-Mexico border, in a large population of mostly non-hospitalized TB patients. We examined 6 years of retrospective data from all TB patients (n=5049) in South Texas and northeastern Mexico and found diabetes self-reported by 27.8% of Texan and 17.8% of Mexican TB patients, significantly exceeding national self-reported diabetes rates for both countries. Diabetes comorbidity substantially exceeded that of HIV/AIDS. Patients with TB and diabetes were older, more likely to have haemoptysis, pulmonary cavitations, be smear positive at diagnosis, and remain positive at the end of the first (Texas) or second (Mexico) month of treatment. The impact of type 2 diabetes on TB is underappreciated, and in the light of its epidemic status in many countries, it should be actively considered by TB control programmes, particularly in older patients.

journal_name

Epidemiol Infect

authors

Restrepo BI,Fisher-Hoch SP,Crespo JG,Whitney E,Perez A,Smith B,McCormick JB,Nuevo Santander Tuberculosis Trackers.

doi

10.1017/S0950268806006935

subject

Has Abstract

pub_date

2007-04-01 00:00:00

pages

483-91

issue

3

eissn

0950-2688

issn

1469-4409

pii

S0950268806006935

journal_volume

135

pub_type

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