Esparza Muñoz H, Tobalina Gómez M, Larrañaga Larrañaga N, García Calabuig M A
Unidad de Epidemiologia, Departamento de Sanidad del Gobierno Vasco, Vitoria-Gasteiz.
Rev Esp Salud Publica. 1996 Jan-Feb;70(1):35-43.
Study of the incidence and change the number of cases of tuberculosis within the Alava Medical Care Area from 1990-1993 and comparison with reported cases.
Active research of tuberculosis cases diagnosed in hospitals located in the Area. All cases reported to the Epidemiological Unit of the Alava Territorial Health Delegation via the System of Compulsory Declaration of Diseases (EDO) were also included.
756 cases of tuberculosis were detected, representing an average incidence of 69.4 cases/100,0000 inhabitants. There was an increase from 57.3 in 1990 to 86.6 cases/100,000 inhabitants in 1993, in particular amongst people over the age of 80. People under the age of 20 not only showed the lowest rate (7.1 cases/100,000 inhabitants) but also remained stable over the period analysed. The greatest number of cases were males (71.3%) aged from 20-39 (48.9%). 22% of all cases were patients suffering from AIDS. The annual increase in the total number of patients was 23.3% as opposed to 12.3% of AIDS patients. A deficient level of declaration was observed over the 4 year period, gradually decreasing from 28.9% in 1991 to 16.9% in 1993.
The incidence of cases of tuberculosis within the Alava Medical Care Area is extremely high, showing an increasing trend during the period not covered by EDOs, which should be confirmed by a study carried out over a longer period of time.
研究1990 - 1993年阿拉瓦医疗保健区内结核病的发病率及病例数变化，并与报告病例进行比较。
对该地区医院诊断出的结核病病例进行主动研究。还纳入了所有通过法定疾病报告系统（EDO）报告给阿拉瓦地区卫生代表团流行病学部门的病例。
共检测到756例结核病病例，平均发病率为69.4例/10万居民。发病率从1990年的57.3例/10万居民增加到1993年的86.6例/10万居民，特别是80岁以上人群。20岁以下人群不仅发病率最低（7.1例/10万居民），而且在分析期间保持稳定。病例数最多的是20 - 39岁的男性（占71.3%）。所有病例中有22%是艾滋病患者。患者总数的年增长率为23.3%，而艾滋病患者为12.3%。在这4年期间观察到报告水平不足，从1991年的28.9%逐渐降至1993年的16.9%。
阿拉瓦医疗保健区内结核病的发病率极高，在法定疾病报告系统未涵盖的期间呈上升趋势，这一点应通过更长时间的研究加以证实。
