Izvorni znanstveni članak
Epidemiological Patterns of Tuberculosis in Croatia in the Period 1996–2005
Anamarija Jurčev-Savičević
Vera Katalinić-Janković
Ira Gjenero-Margan
Aleksandar Šimunović
Đorđija Vidić
Jerko Gunjača
Mihaela Obrovac
Sažetak
The last comprehensive publication on tuberculosis in Croatia and the earliest impact of war, besides the yearly routine
reports, was done in 1996 in Croatian. We were, therefore, interested to explore incidence trends and to highlight the
early post-war tuberculosis epidemiological patterns in the next ten years period (1996–2005). A retrospective analysis of
epidemiological data on all registered tuberculosis cases in Croatia searching the databases of 21 Croatian Public Health
Institutes and the National Tuberculosis Registry was made. During the study period, the total tuberculosis incidence
rates in Croatia dropped from 45 to 25.8/100 000 inhabitants. The average highest age-specific rates were recorded in the
age group 65 years being in decrease in all age groups. Paediatric cases (0–14 years) represented 4.5% of all cases. Tuberculosis
cases among males were recorded in 64% cases, and 83.6% were indigenous population. Tuberculosis was bacteriologically
confirmed in 67.7% cases. A low proportion of drug resistance (3.3%) was recorded. During 1985–2005, 56
tuberculosis cases among 242 AIDS cases were reported. Tuberculosis mortality showed a decreasing trend (p<0.001).
However, tuberculosis has still had the highest mortality rates among infectious diseases in Croatia. Despite the War
chain of events and tuberculosis programmatic changes, tuberculosis incidence rates in Croatia have been decreasing but
they are still far away from national target, incidence rate of 10/100 000 declared in 1998 and much higher than in European
Union and Western Europe. Tuberculosis among children, resistance to tuberculosis drugs and HIV prevalence,
significant problems in many European countries, have not caused problems in tuberculosis control in Croatia. This favourable
epidemiological situation must be kept and improved through strengthened tuberculosis control measures.
Ključne riječi
Croatia; tuberculosis; epidemiology; incidence
Hrčak ID:
69141
URI
Datum izdavanja:
24.6.2011.
Posjeta: 1.533 *