Tuberculosis control in lower Franconia 1995 - 2001. Case-finding and treatment outcome

How useful is active case-finding for the controlling of tuberculosis (TB) in Lower Franconia? What treatment outcome is being achieved and which factors reduce this success? All 867 TB cases reported to the public health departments in Lower Franconia between 1995 and 2001 were used as anonymous da...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Pneumologie (Stuttgart, Germany) Germany), 2002-06, Vol.56 (6), p.349-356
Hauptverfasser: Loytved, G, Steidle, B, Benz, E, Koszczynski, W
Format: Artikel
Sprache:ger
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 356
container_issue 6
container_start_page 349
container_title Pneumologie (Stuttgart, Germany)
container_volume 56
creator Loytved, G
Steidle, B
Benz, E
Koszczynski, W
description How useful is active case-finding for the controlling of tuberculosis (TB) in Lower Franconia? What treatment outcome is being achieved and which factors reduce this success? All 867 TB cases reported to the public health departments in Lower Franconia between 1995 and 2001 were used as anonymous data for a prospective study. Average age, gender, country of origin and rates of bacterial resistance of the patients coincided to a large degree with the data of the DZK study. The percentage of resettlers from the former Soviet Union with TB was, however, almost double. Therapeutic success was reached in approx. 79 % of the contagious TB and thus surpassed the rates of published investigations slightly. A negative impact upon the treatment outcome was caused by the following circumstances: A number of asylum seekers disappeared into illegality before the treatment was completed; certain TB-patients stopped taking the medication after surgical removal of the focus; only half of the sick persons who died of the disease were diagnosed when still alive. Active TB case-finding is useful mainly among asylum seekers and resettlers. An improvement of the treatment outcome in Lower Franconia is desirable but appears to be only possible within strict limits.
format Article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_71815073</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>71815073</sourcerecordid><originalsourceid>FETCH-LOGICAL-p545-a98a70694a5888a299220bd42ea8eef81db2e25201958b66567a5cb06b9187be3</originalsourceid><addsrcrecordid>eNo1kE1LxDAURbNQnHH0L0hW7ir5aNJkKcVRYcBNwWV5aV8l0iY1aRH_vQXH1YXL4XC5F2TPrCwLI021I9c5fzLGpBDsiuy4YFpqrvbkvVkdpm4dY_aZdjEsKY7UBzrGb0z0mCBspQfKrVW0oIIx_kBryFgMPvQ-fFAIPV0SwjJhWGhcly5OeEMuBxgz3p7zQJrjU1O_FKe359f68VTMqlQFWAMV07YEZYwBYe22z_WlQDCIg-G9EyiUYNwq47RWugLVOaad5aZyKA_k_k87p_i1Yl7ayecOxxECxjW3FTdcsUpu4N0ZXN2EfTsnP0H6af-fkL9BQ1cC</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>71815073</pqid></control><display><type>article</type><title>Tuberculosis control in lower Franconia 1995 - 2001. Case-finding and treatment outcome</title><source>MEDLINE</source><source>EZB Electronic Journals Library</source><creator>Loytved, G ; Steidle, B ; Benz, E ; Koszczynski, W</creator><creatorcontrib>Loytved, G ; Steidle, B ; Benz, E ; Koszczynski, W</creatorcontrib><description>How useful is active case-finding for the controlling of tuberculosis (TB) in Lower Franconia? What treatment outcome is being achieved and which factors reduce this success? All 867 TB cases reported to the public health departments in Lower Franconia between 1995 and 2001 were used as anonymous data for a prospective study. Average age, gender, country of origin and rates of bacterial resistance of the patients coincided to a large degree with the data of the DZK study. The percentage of resettlers from the former Soviet Union with TB was, however, almost double. Therapeutic success was reached in approx. 79 % of the contagious TB and thus surpassed the rates of published investigations slightly. A negative impact upon the treatment outcome was caused by the following circumstances: A number of asylum seekers disappeared into illegality before the treatment was completed; certain TB-patients stopped taking the medication after surgical removal of the focus; only half of the sick persons who died of the disease were diagnosed when still alive. Active TB case-finding is useful mainly among asylum seekers and resettlers. An improvement of the treatment outcome in Lower Franconia is desirable but appears to be only possible within strict limits.</description><identifier>ISSN: 0934-8387</identifier><identifier>PMID: 12063615</identifier><language>ger</language><publisher>Germany</publisher><subject>Female ; Germany - epidemiology ; Humans ; Incidence ; Male ; Middle Aged ; Patient Compliance ; Treatment Outcome ; Tuberculosis, Pulmonary - epidemiology ; Tuberculosis, Pulmonary - prevention &amp; control ; Tuberculosis, Pulmonary - therapy</subject><ispartof>Pneumologie (Stuttgart, Germany), 2002-06, Vol.56 (6), p.349-356</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12063615$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Loytved, G</creatorcontrib><creatorcontrib>Steidle, B</creatorcontrib><creatorcontrib>Benz, E</creatorcontrib><creatorcontrib>Koszczynski, W</creatorcontrib><title>Tuberculosis control in lower Franconia 1995 - 2001. Case-finding and treatment outcome</title><title>Pneumologie (Stuttgart, Germany)</title><addtitle>Pneumologie</addtitle><description>How useful is active case-finding for the controlling of tuberculosis (TB) in Lower Franconia? What treatment outcome is being achieved and which factors reduce this success? All 867 TB cases reported to the public health departments in Lower Franconia between 1995 and 2001 were used as anonymous data for a prospective study. Average age, gender, country of origin and rates of bacterial resistance of the patients coincided to a large degree with the data of the DZK study. The percentage of resettlers from the former Soviet Union with TB was, however, almost double. Therapeutic success was reached in approx. 79 % of the contagious TB and thus surpassed the rates of published investigations slightly. A negative impact upon the treatment outcome was caused by the following circumstances: A number of asylum seekers disappeared into illegality before the treatment was completed; certain TB-patients stopped taking the medication after surgical removal of the focus; only half of the sick persons who died of the disease were diagnosed when still alive. Active TB case-finding is useful mainly among asylum seekers and resettlers. An improvement of the treatment outcome in Lower Franconia is desirable but appears to be only possible within strict limits.</description><subject>Female</subject><subject>Germany - epidemiology</subject><subject>Humans</subject><subject>Incidence</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Patient Compliance</subject><subject>Treatment Outcome</subject><subject>Tuberculosis, Pulmonary - epidemiology</subject><subject>Tuberculosis, Pulmonary - prevention &amp; control</subject><subject>Tuberculosis, Pulmonary - therapy</subject><issn>0934-8387</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1kE1LxDAURbNQnHH0L0hW7ir5aNJkKcVRYcBNwWV5aV8l0iY1aRH_vQXH1YXL4XC5F2TPrCwLI021I9c5fzLGpBDsiuy4YFpqrvbkvVkdpm4dY_aZdjEsKY7UBzrGb0z0mCBspQfKrVW0oIIx_kBryFgMPvQ-fFAIPV0SwjJhWGhcly5OeEMuBxgz3p7zQJrjU1O_FKe359f68VTMqlQFWAMV07YEZYwBYe22z_WlQDCIg-G9EyiUYNwq47RWugLVOaad5aZyKA_k_k87p_i1Yl7ayecOxxECxjW3FTdcsUpu4N0ZXN2EfTsnP0H6af-fkL9BQ1cC</recordid><startdate>200206</startdate><enddate>200206</enddate><creator>Loytved, G</creator><creator>Steidle, B</creator><creator>Benz, E</creator><creator>Koszczynski, W</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200206</creationdate><title>Tuberculosis control in lower Franconia 1995 - 2001. Case-finding and treatment outcome</title><author>Loytved, G ; Steidle, B ; Benz, E ; Koszczynski, W</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p545-a98a70694a5888a299220bd42ea8eef81db2e25201958b66567a5cb06b9187be3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>ger</language><creationdate>2002</creationdate><topic>Female</topic><topic>Germany - epidemiology</topic><topic>Humans</topic><topic>Incidence</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Patient Compliance</topic><topic>Treatment Outcome</topic><topic>Tuberculosis, Pulmonary - epidemiology</topic><topic>Tuberculosis, Pulmonary - prevention &amp; control</topic><topic>Tuberculosis, Pulmonary - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Loytved, G</creatorcontrib><creatorcontrib>Steidle, B</creatorcontrib><creatorcontrib>Benz, E</creatorcontrib><creatorcontrib>Koszczynski, W</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Pneumologie (Stuttgart, Germany)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Loytved, G</au><au>Steidle, B</au><au>Benz, E</au><au>Koszczynski, W</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Tuberculosis control in lower Franconia 1995 - 2001. Case-finding and treatment outcome</atitle><jtitle>Pneumologie (Stuttgart, Germany)</jtitle><addtitle>Pneumologie</addtitle><date>2002-06</date><risdate>2002</risdate><volume>56</volume><issue>6</issue><spage>349</spage><epage>356</epage><pages>349-356</pages><issn>0934-8387</issn><abstract>How useful is active case-finding for the controlling of tuberculosis (TB) in Lower Franconia? What treatment outcome is being achieved and which factors reduce this success? All 867 TB cases reported to the public health departments in Lower Franconia between 1995 and 2001 were used as anonymous data for a prospective study. Average age, gender, country of origin and rates of bacterial resistance of the patients coincided to a large degree with the data of the DZK study. The percentage of resettlers from the former Soviet Union with TB was, however, almost double. Therapeutic success was reached in approx. 79 % of the contagious TB and thus surpassed the rates of published investigations slightly. A negative impact upon the treatment outcome was caused by the following circumstances: A number of asylum seekers disappeared into illegality before the treatment was completed; certain TB-patients stopped taking the medication after surgical removal of the focus; only half of the sick persons who died of the disease were diagnosed when still alive. Active TB case-finding is useful mainly among asylum seekers and resettlers. An improvement of the treatment outcome in Lower Franconia is desirable but appears to be only possible within strict limits.</abstract><cop>Germany</cop><pmid>12063615</pmid><tpages>8</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0934-8387
ispartof Pneumologie (Stuttgart, Germany), 2002-06, Vol.56 (6), p.349-356
issn 0934-8387
language ger
recordid cdi_proquest_miscellaneous_71815073
source MEDLINE; EZB Electronic Journals Library
subjects Female
Germany - epidemiology
Humans
Incidence
Male
Middle Aged
Patient Compliance
Treatment Outcome
Tuberculosis, Pulmonary - epidemiology
Tuberculosis, Pulmonary - prevention & control
Tuberculosis, Pulmonary - therapy
title Tuberculosis control in lower Franconia 1995 - 2001. Case-finding and treatment outcome
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-17T17%3A49%3A56IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Tuberculosis%20control%20in%20lower%20Franconia%201995%20-%202001.%20Case-finding%20and%20treatment%20outcome&rft.jtitle=Pneumologie%20(Stuttgart,%20Germany)&rft.au=Loytved,%20G&rft.date=2002-06&rft.volume=56&rft.issue=6&rft.spage=349&rft.epage=356&rft.pages=349-356&rft.issn=0934-8387&rft_id=info:doi/&rft_dat=%3Cproquest_pubme%3E71815073%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=71815073&rft_id=info:pmid/12063615&rfr_iscdi=true