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The epidemiology of concurrent extrapulmonary tuberculosis in inpatients with extrapulmonary tuberculosis lesions in China: a large-scale observational multi-center investigation.

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收录情况： ◇ SCIE

作者：
Kang Wanli[1] * ; Liu Shengsheng[2] * ; Du Jian[1] * ; Tang Peijun[3] * ; Chen Hongyan[4] ; Liu Jianxiong[5] ; Ma Jinshan[6] ; Li Mingwu[7] ; Qin Jingmin[8] ; Shu Wei[1] ; Zong Peilan[9] ; Zhang Yi[10] ; Dong Yongkang[11] ; Yang Zhiyi[12] ; Mei Zaoxian[13] ; Deng Qunyi[14] ; Wang Pu[15] ; Han Wenge[16] ; Yan Xiaofeng[17] ; Chen Ling[18] ; Zhao Xinguo[19] ; Tan Lei[20] ; Li Fujian[21] ; Zheng Chao[22] ; Liu Hongwei[4] ; Li Xinjie[5] ; A Ertai[6] ; Du Yingrong[7] ; Liu Fenglin[8] ; Cui Wenyu[10] ; Wang Quanhong[11] ; Chen Xiaohong[12] ; Han Junfeng[13] ; Xie Qingyao[14] ; Feng Yanmei[15] ; Liu Wenyu[16] ; Yang Song[17] ; Zhang Jianyong[18] ; Zheng Jian[19] ; Chen Dawei[21] ; Yao Xiangyang[22] ; Ren Tong[4] ; Li Yan[5] ; Li Yuanyuan[6] ; Wu Lei[7] ; Song Qiang[8] ; Shen Xinghua[3] ; Zhang Jian[10] ; Liu Yuanyuan[13] ; Guo Shuliang[15] ; Yan Kun[16] ; Yang Mei[17] ; Lei Dan[18] ; Zhang Yanli[21] ; Wu Meiying[3,*2] ; Liang Li[1,*1] ; Tang Shenjie[1,*1] ;
机构： [1]Beijing Chest Hospital, Capital Medical University, Beijing Tuberculosis and Thoracic Tumour Research Institute, Beijing, China [2]Anhui Chest Hospital, Hefei, Auhui, China [3]The Fifth People’s Hospital of Suzhou, Suzhou, Jiangsu, China [4]Shenyang Chest Hospital, Liaoning, Shenyang, China [5]Guang Zhou Chest Hospital, Guangzhou, Guangdong, China [6]Chest Hospital of Xinjiang, Urumqi, Xinjiang, China [7]The Third People’s Hospital of Kunming, Kunming, Yunnan, China [8]Shandong Provincial Chest Hospital, Jinan, Shandong, China [9]Jiangxi Chest Hospital, Nanchang, Jiangxi, China [10]Chang Chun Infectious Diseases Hospital, Changchun, Jilin, China [11]Taiyuan Fourth People’s Hospital, Taiyuan, Shanxi, China [12]Fuzhou Pulmonary Hospital of Fujian, Fuzhou, Fujian, China [13]Tianjin Haihe Hospital, Tianjin, China [14]Third People’s Hospital of Shenzhen, Shenzhen, Guangdong, China [15]The First Affiliated Hospital of Chongqing Medical University, Chongqing, China [16]Weifang No.2 People’s Hospital, Weifang, Shandong, China [17]Chongqing Public Health Medical Center, Chongqing, China [18]Affiliated Hospital of Zunyi Medical College, Zunyi, Guizhou, China [19]The Fifth People’s Hospital of Wuxi, Wuxi, Jiangsu, China [20]TB Hospital of Siping City, Siping, Jilin, China [21]Baoding Hospital for Infectious Disease, Baoding, Hebei, China [22]The First Affiliated Hospital of Xiamen University, Xiamen, Fujian, China
出处：
DOI： 10.1016/j.ijid.2021.11.019
ISSN：

关键词： Extrapulmonary tuberculosis Epidemiology Association rule

摘要：
A high proportion of all tuberculosis (TB) cases present with extrapulmonary tuberculosis (EPTB), including concurrent EPTB involving more than one extrapulmonary lesion site within the body. However, previous reports only characterised lesions of single-site EPTB cases. This study aimed to investigate epidemiological characteristics and association rules of concurrent EPTB cases in China.An observational multi-centre study was carried out in China from Jan 2011 to Dec 2017 that included a total of 208,214 patients with EPTB lesions. Multivariable logistic regression analysis was used to identify associations between gender and age with concurrent EPTB. Association rules were analysed for significance using the Apriori algorithm.The most prevalent form of EPTB lesion was tuberculous pleurisy (49.8%), followed by bronchial tuberculosis (14.8%) and tuberculous meningitis (7.6%). The most predominant concurrent EPTB case type was tuberculous pleurisy concurrent with tuberculous peritonitis (1.80%). Altogether 22 association rules were identified that included 20 strong association rules, among which highest confidence rates were found for tuberculous myelitis concurrent with tuberculous meningitis and sacral TB concurrent with lumbar vertebral TB. Moreover, association rules of EPTB concurrent with other EPTB types were found to vary with gender and age. The confidence rate of tuberculous myelitis concurrent with tuberculous meningitis was higher in females (83.67%) than males and highest in patients of ages 25-34 years (87.50%).Many types of concurrent EPTB were found. Thus, greater awareness of concurrent EPTB disease characteristics is needed to ensure timely clinical diagnosis and treatment of this disease.Copyright © 2021. Published by Elsevier Ltd.

基金：
This work was supported by Key Project of Chinese National Programs (No. 2015ZX10003001), Beijing Key Clinical Specialty Project (20201214) and Tongzhou District development support plan for high-level talent (No. YHLD2019035).
语种：
外文
被引次数：
WOS：
PubmedID：
中科院(CAS)分区：
出版当年[2022]版：
大类 | 2 区 医学
小类 | 3 区 传染病学
最新[2023]版：
大类 | 2 区 医学
小类 | 2 区 传染病学
JCR分区：
出版当年[2021]版：
Q1 INFECTIOUS DISEASES
最新[2023]版：
Q1 INFECTIOUS DISEASES

影响因子： 最新[2023版] 最新五年平均 出版当年[2021版] 出版当年五年平均 出版前一年[2020版] 出版后一年[2022版]

第一作者：
第一作者机构： [1]Beijing Chest Hospital, Capital Medical University, Beijing Tuberculosis and Thoracic Tumour Research Institute, Beijing, China
共同第一作者：
通讯作者：
通讯机构： [1]Beijing Chest Hospital, Capital Medical University, Beijing Tuberculosis and Thoracic Tumour Research Institute, Beijing, China [3]The Fifth People’s Hospital of Suzhou, Suzhou, Jiangsu, China [*1]Beijing Chest Hospital, Capital Medical University, Beijing Tuberculosis and Thoracic Tumor Research Institute, Beijing, China [*2]The Fifth People’s Hospital of Suzhou, Jiangsu, China
推荐引用方式(GB/T 7714)：
Kang Wanli,Liu Shengsheng,Du Jian,et al.The epidemiology of concurrent extrapulmonary tuberculosis in inpatients with extrapulmonary tuberculosis lesions in China: a large-scale observational multi-center investigation.[J].INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES.2022,115:79-85.doi:10.1016/j.ijid.2021.11.019.
APA：
Kang Wanli,Liu Shengsheng,Du Jian,Tang Peijun,Chen Hongyan...&Tang Shenjie.(2022).The epidemiology of concurrent extrapulmonary tuberculosis in inpatients with extrapulmonary tuberculosis lesions in China: a large-scale observational multi-center investigation..INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES,115,
MLA：
Kang Wanli,et al."The epidemiology of concurrent extrapulmonary tuberculosis in inpatients with extrapulmonary tuberculosis lesions in China: a large-scale observational multi-center investigation.".INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES 115.(2022):79-85

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