RT Journal Article
SR Electronic
T1 Tuberculosis in chronic kidney disease and dialysis patients in Birmingham
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP P1441
VO 44
IS Suppl 58
A1 Jumaa Bwika
A1 Lauren Bass
A1 Alex Lewis
A1 Martin Dedicoat
A1 Jyoti Baharani
A1 Heinke Kunst
YR 2014
UL http://erj.ersjournals.com/content/44/Suppl_58/P1441.abstract
AB IntroductionBirmingham has one of the highest tuberculosis (TB) rates, up to 90:100,000 {Pedrazzoli D, Health Protection Agency 2012} in UK. TB in chronic kidney disease (CKD) has an incidence between 6.9-52.5 times compared to the general population {Hussein, M.M Semin Dial, 2003}. There is insufficient data on TB in CKD in the U.K.MethodsA retrospective study looking at the epidemiology and natural history of active TB in CKD between 2000 and 2010 in Birmingham, UK. We used Stata I/C©.Results54 patients were identified as summarised.View this table:Characteristics of patients with tuberculosis in Chronic Kidney Disease in Birmingham, UKExtrathoracic TB is difficult to diagnose in CKD.Overall, diagnosis was via microbiology in 24(44%) and histology in 8(15%). Treatment was well tolerated but we had 5(9%) deaths.ConclusionExtra-pulmonary TB is more common in CKD and diagnosis is difficult. We had a lower mortality compared to the literature.