Decline of tuberculosis burden in vietnam measured by consecutive national surveys, 2007-2017

Hai Viet Nguyen, Hoa Binh Nguyen, Nhung Viet Nguyen, Frank Cobelens, Alyssa Finlay, Cu Huy Dao, Veriko Mirtskhulava, Philippe Glaziou, Huyen T. T. Pham, Petra de Haas, Edine Tiemersma

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Abstract

Vietnam, a high tuberculosis (TB) burden country, conducted national TB prevalence surveys in 2007 and 2017. In both surveys participants were screened by using a questionnaire and chest radiograph; sputum samples were then collected to test for Mycobacterium tuberculosis by smear microscopy and Löwenstein-Jensen culture. Culture-positive, smear-positive, and smear-negative TB cases were defined by laboratory results, and the prevalence of tuberculosis was compared between the 2 surveys. The results showed prevalence of culture-positive TB decreased by 37% (95% CI 11.5%-55.4%), from 199 (95% CI 160-248) cases/100,000 adults in 2007 to 125 (95% CI 98-159) cases/100,000 adults in 2017. Prevalence of smear-positive TB dropped by 53% (95% CI 27.0%-69.7%), from 99 (95% CI 78-125) cases/100,000 adults to 46 (95% CI 32-68) cases/100,000 adults; smear-negative TB showed no substantial decrease. Replacing microscopy with molecular methods for primary diagnostics might enhance diagnosis of pulmonary TB cases and further lower TB burden.
Original languageEnglish
Pages (from-to)872-879
Number of pages8
JournalEmerging infectious diseases
Volume27
Issue number3
DOIs
Publication statusPublished - 1 Mar 2021

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