title: [The evolution and structure of morbidity from extrarespiratory tuberculosis in the last 15 years in Romania].
abstract: Though in comparison with the overall lethality of tuberculosis the extra-respiratory localizations of the disease showed a markedly less weight than the respiratory ones during the past 15 years (12.8% in 1975 and 6.7% in 1989), this pathology chapter is still essential due to the diversity of Tb forms and localizations. The annual average rate of the decrease in extra-respiratory tuberculosis incidence was of 4.8% between 1975-1989, so the incidence value reached 4.2%000 at the end of the last year of study. Just like 15 years ago, in 1989 the extra-respiratory tuberculosis incidence was dominated by the localizations on the peripheral lymph nodes (1.2%000), on bones and joints (1.0%000), urogenital apparatus (0.7%000), meninges and central nervous system (0.5%000). The prevalence of patients with extra-respiratory Tb localizations was gradually diminished so that only 3415 cases were registered in the IIIrd group of the active case-index in 1989 (13,524 in 1975). More than half of the number of deaths through extra-respiratory tuberculosis were still due to tuberculous meningitis, particularly in children aged 0-4 years (82% of deaths in 1989). A further diminution up to a total elimination of extra-respiratory Tb localizations (still about 1,000 new cases a year) can be reached only by a restriction and liquidation at the same time of both primary and secondary pulmonary tuberculoses.
authors.affiliation: Institutul de pneumoftiziologie Marius Nasta, Bucureşti.
authors.forename: C
authors.initials: C
authors.lastname: Didilescu
authors.forename: E
authors.initials: E
authors.lastname: Ibraim
authors.forename: D
authors.initials: D
authors.lastname: Lugoji
authors.forename: D
authors.initials: D
authors.lastname: Chiotan
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D015994:Incidence; D007223:Infant; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012008:Recurrence; D012383:Romania / Q000453:epidemiology; D012424:Rural Population / Q000706:statistics & numerical data; D012737:Sex Factors; D014376:Tuberculosis / Q000453:epidemiology* / Q000401:mortality; D014505:Urban Population / Q000706:statistics & numerical data
vernacular_title: Consideraţii privind evoluţia şi structura morbidităţii prin tuberculoza extrarespiratorie în ultimii 15 ani in România.