October 2010- There is a decrease in the overall incidence of genitourinary tuberculosis in the Czech Republic in the last eight years since 2002 except for 2009 when an increase was noted, according to researchers who submitted their findings to the 10th Central European Meeting which opens tomorrow in Bratislava, Slovakia.
In their study P. Nencka of the Teaching Thomayers Hospital, Dept. of Urology in Prague said they aimed to monitor the current status of genitourinary tuberculosis (GUTB) in Czech Republic, evaluate basic demographic data and to compare the incidence in the period of 2002 – 2009. The trend of incidence of GUTB was also compared with overall tuberculosis (TB) incidence trends in Czech Republic.
The investigators created database of reported cases of GUTB in Czech Republic in the period of 2002 – 2009 according the UZIS CR database (Department of Medical Data and Statistics, Ministry of Health of Czech Republic).
They then evaluated incidence and its trends of GUTB in the monitored period (overall and bacteriologically proven GUTB) and intersexual differences. The incidence in all geographic regions of Czech Republic was also evaluated with focus on departments providing therapy and follow up. The researchers also compared the data of GUTB with the overall data of TB in Czech Republic.
The results showed that in the monitored period the researchers registered 132 cases of GUTB, 79 out of it were bacteriologically proven. There were 62 males (36 bacteriologically proven) with average age of 57 years and 70 females (43 bacteriologically proven) with average age of 72 years. The incidence of GUTB was 0.28/100 000 in 2002 and gradually decreased to 0.06/100 000 in 2008 and increased to 0.09/100 000 in 2009.
Overall TB incidence in Czech Republic was 12/100 000 in 2002 and gradually decreased to 8.42/100 000 in 2007 and increased to 8.44/ 100 000 in 2008. Data of 2009 are not available yet. Regional distribution of GUTB according to 14 official regions was available only for the period of 2008-2009, 3 regions reported 2 cases, 9 regions reported 1 case, 2 regions reported 0 cases. Reporting departments provided the follow up in 10 cases, 5 cases were transferred for follow up.
“Incidence of GUTB in Czech Republic decreased in the period of 2002-2008 and increased in 2009. It fully corresponds with the trend of overall incidence of TB in Czech Republic,” the researchers wrote.
They added that females suffered with GUTB slightly more often than males. “None of the Czech regions reports significantly higher incidence of GUTB and a special attention to this complex disease should be given everywhere,” the researchers said.
Source: P. Nencka, et al., “Genitourinary tuberculosis in Czech Republic – Data of 2002-2009, Incidence and Trends,” Abstract C39, 10th Central European Meeting, Bratislava, Slovakia, 22-23 October 2010.