Evaluation of Problems with Tuberculosis in the Czech Republic in 2002

Overview

Background.
The number of all notified TB cases decreased in the year 2002. 1200 (11.8/100 000) cases of newTB diseases and relapses were reported in the year 2002. 972 (9.6/100 000) were pulmonary TB and from them 658(6.4/100 000) were confirmed pulmonary cases.Methods and Results. The decreasing trend in TB incidence, reported since 1999, has continued. The treatment ofconfirmed pulmonary cases notified in 2001 and evaluated in 2002 was effective. Treatment success was in 71 % ofcases, but failures and interrupted were only 3.3 %. Results of treatment were affected by many patients who diedfor other reason then TB, because they were from the oldest group of population. We have no influence on thesedeaths. The resistance for AT drugs was less then 7 % and MDR cases were less the 2 %.Conclusions. The low level of resistance and the effectiveness of treatment allow presuming a further decrease ofTB cases. Next target of TB control should be active case finding in high-risk groups and monitoring latent infection.

Key words:
tuberculosis, incidence of tuberculosis, TB case, TB treatment, resistance.