Caminero J A, Caylà J A, Lara N
Hospital General Universitario de Gran Canaria Dr Negrin, Las Palmas de Gran Canaria, Spain.
Int J Tuberc Lung Dis. 2003 Mar;7(3):236-42.
There are no reliable official data available on tuberculosis (TB) in Spain.
To ascertain the epidemiological trends of TB in Spain from 1991-1999.
In an annual survey conducted by the Tuberculosis and Respiratory Infections (TRI) Working Group of the Spanish Society of Pneumology and Thoracic Surgery (SEPAR), data on tuberculosis disease and infection were solicited from two information sources: 1) the public health services of the 17 Autonomous Regions (AR), and 2) 60 TRI members in different parts of Spain.
TB incidence declined from 36.4/100,000 in 1991 to 26.7 in 1999 according to the AR (average annual decline 3.3%), and from 45.6 to 26.8 according to TRI members (annual decline 5.1%). A similar observation was made for smear-positive cases (AR annual decline: 3.0%; TRI: 5.6%). Tuberculosis infection at 6 years of age also decreased according to both information sources (AR: 0.87% in 1991 to 0.5% in 1998, annual decline 6%, and TRI members: 1.00% in 1991 and 0.9% in 1997, annual decline 4.2%).
The observed rates of TB are higher than stated in official figures. In spite of the decreasing trend, observed declines are small and the current rates continue to be among the highest among industrialised countries.
西班牙尚无关于结核病的可靠官方数据。
确定1991年至1999年西班牙结核病的流行病学趋势。
在西班牙胸科和呼吸外科学会（SEPAR）结核病与呼吸道感染（TRI）工作组进行的年度调查中，从两个信息来源收集结核病疾病和感染数据：1）17个自治区（AR）的公共卫生服务机构，以及2）西班牙不同地区的60名TRI成员。
根据自治区的数据，结核病发病率从1991年的36.4/10万降至1999年的26.7（年均下降3.3%）；根据TRI成员的数据，发病率从45.6降至26.8（年下降5.1%）。涂片阳性病例也有类似情况（自治区年下降率：3.0%；TRI：5.6%）。两个信息来源的数据均显示，6岁儿童的结核感染率也有所下降（自治区：从1991年的0.87%降至1998年的0.5%，年下降6%；TRI成员：1991年为1.00%，1997年为0.9%，年下降4.2%）。
观察到的结核病发病率高于官方数据所示。尽管呈下降趋势，但下降幅度较小，目前的发病率在工业化国家中仍处于最高水平。
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