Tuberculosis Programme, European Centre for Disease Prevention and Control, Stockholm, Sweden.
Euro Surveill. 2013 Mar 21;18(12):20431.
Tuberculosis (TB) is decreasing in the European Union/European Economic Area (EU/EEA), but remains a significant public health problem. Although pulmonary TB accounts for the majority of the cases and is the main transmissible form of the disease, extrapulmonary TB also contributes to the burden of disease and does not receive specific attention in international control strategies. We performed a descriptive analysis to assess the burden and trends of extrapulmonary TB in EU/EEA countries. During 2002–11, 167,652 cases of extrapulmonary TB were reported by the 30 Member States. Extrapulmonary TB accounted for 19.3% of all notified cases, ranging from 5.8% to 44.4% among the Member States. Overall, TB notification rates decreased in 2002–11 due to a decrease in pulmonary TB. Notification rates of extrapulmonary TB remained stable at 3.4 per 100,000 in 2002 and 3.2 per 100,000 in 2011. Thus the proportion of extrapulmonary TB increased from 16.4% in 2002 to 22.4% in 2011. Of all extrapulmonary TB cases reported during 2002–11, 37.9% were foreign-born or citizens of another country, 33.7% were culture-confirmed, and the overall treatment success was 81.4%. A significant percentage of notified TB cases are extrapulmonary, and in contrast to pulmonary TB, extrapulmonary TB rates are not decreasing.
结核病（TB）在欧盟/欧洲经济区（EU/EEA）正在减少，但仍是一个重大的公共卫生问题。虽然肺结核占大多数病例，也是该病主要的传染性形式，但肺外结核也对疾病负担有影响，但在国际控制策略中并未得到特别关注。我们进行了描述性分析，以评估欧盟/EEA 国家肺外结核的负担和趋势。在 2002-11 年期间，30 个成员国报告了 167,652 例肺外结核。肺外结核占所有报告病例的 19.3%，成员国的比例范围为 5.8%至 44.4%。总体而言，由于肺结核的减少，2002-11 年结核病的通报率有所下降。肺外结核的通报率在 2002 年保持在每 10 万人 3.4 例不变，2011 年也保持在每 10 万人 3.2 例不变。因此，肺外结核的比例从 2002 年的 16.4%增加到 2011 年的 22.4%。在 2002-11 年期间报告的所有肺外结核病例中，37.9%为外国出生或另一个国家的公民，33.7%为培养确诊，总体治疗成功率为 81.4%。很大一部分通报的结核病病例为肺外结核，与肺结核不同，肺外结核的发病率并未下降。
