title: [Epidemiological aspects of tuberculosis in middle west of Madagascar].
abstract: We conducted a 5-year (1989-1993) retrospective analysis on a series of patients screened and treated for tuberculosis in order to determine the epidemiological aspects of the disease in mid-western Madagascar. Pulmonary forms affected 97% of patients, and predominantly men (sex ratio: 1.4); 83% of patients with pulmonary tuberculosis were coughing up acido-alcoholo-resitant bacilli. Haemoptysis and general deterioration, the most frequently met pathological signs, were observed respectively in 62% and 24% of cases. This explains the high rate of hospitalisation (42%), especially for patients with difficult access to services. Significantly, in terms of socio-professional category, live-stock breeders and farmers represented 32% of notified cases, and cattle-traders 18%. We draw attention to the possible role played by Mycobacterium bovis in human case-findings in a region characterised by cattle-breeding.
authors.affiliation: Centre hospitalier du district (CHD) de Tsiroanomandidy, Madagascar.
authors.forename: D
authors.initials: D
authors.lastname: Rakotondramarina
authors.forename: F
authors.initials: F
authors.lastname: Razafimalala
authors.forename: P
authors.initials: P
authors.lastname: Andrianaivo
authors.forename: D
authors.initials: D
authors.lastname: Rabeson
authors.forename: R
authors.initials: R
authors.lastname: Andriatsiva
authors.forename: W
authors.initials: W
authors.lastname: Andrianavalomahefa
mesh_terms: D005260:Female; D006760:Hospitalization; D006801:Humans; D008270:Madagascar / Q000453:epidemiology; D008297:Male; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D012189:Retrospective Studies; D013183:Sputum / Q000382:microbiology; D014376:Tuberculosis / Q000453:epidemiology* / Q000382:microbiology
vernacular_title: Aspects épidémiologiques de la tuberculose dans le Moyen-ouest malgache.