Mycobacterium tuberculosis genotype and case notification rates, rural Vietnam, 2003-2006.
Tuberculosis case notification rates (CNRs) for young adults in Vietnam are increasing. To determine whether this finding could reflect emergence of Mycobacterium tuberculosis Beijing genotype, we studied all new sputum smear-positive pulmonary tuberculosis patients registered for treatment in 3 rural districts in Vietnam during 2003-2006. Beijing strain infections were more frequent in younger patients (15-24 years of age, 53%) than in older patients (31%; p<0.001). The increase in CNRs for youngest patients was larger for disease caused by the Beijing genotype than by other genotypes, but the difference was not significant. For patients 15-24 years of age, 85% of fluctuations in CNRs between years was caused by fluctuations in Beijing genotype infections compared with 53% and 23% in the groups 25-64 and >or=65 years of age, respectively (p<0.001). These findings suggest that young adults may be responsible for introducing Beijing strains into rural Vietnam.
Pham Ngoc Thach Tuberculosis and Lung Disease Hospital, Ho Chi Minh City, Vietnam.
Tran N
TN
Buu
Mai N T
MN
Huyen
Nguyen N T
NN
Lan
Hoang T
HT
Quy
Nguyen V
NV
Hen
Matteo
M
Zignol
Martien W
MW
Borgdorff
Dick
D
van Soolingen
Frank G J
FG
Cobelens
D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009169:Mycobacterium tuberculosis / Q000235:genetics*; D012424:Rural Population; D014397:Tuberculosis, Pulmonary / Q000453:epidemiology* / Q000382:microbiology*; D014744:Vietnam / Q000453:epidemiology; D055815:Young Adult