766. Migration Flows and Increase of Extrapulmonary Tuberculosis in a Low Prevalence Setting: A Retrospective Analysis in Two Italian Centers

Mirko Compagno, Laura Campogiani, Luigi Coppola, Loredana Sarmati, Massimo Andreoni, Daniela Francisci, Lavinia Saraca, Franco Baldelli
2018 Open Forum Infectious Diseases  
Poster Abstracts • OFID 2018:5 (Suppl 1) • S275 and medical information via standardized interview. Medical conditions were defined by self-report. We used multivariate logistic models for adjusted analyses of the relationship between TB and DM. Results. Of 75,971 inmates, 3,104 (4.3%) reported a history of TB diagnosis. Table 1 shows the characteristics of the TB and non-TB groups. The prevalence of DM was higher in the TB group compared with the non-TB group (4.2% vs. 2.4%; P < 0.001). In
more » ... P < 0.001). In multivariate analysis, DM was associated with twice the odds of having had a diagnosis of TB (adjusted OR = 2.2; 95% CI: 1.8-2.7). Male sex, Spanish language, no college/university education, reimprisonment, hypertension, and HIV infection were also associated with increased odds of prevalent TB (Figure 1 ). Conclusion. There was a high prevalence of TB among prison inmates in Peru. DM was associated with an increased likelihood of prevalent TB. Our results are consistent with findings in noninstitutionalized populations and underscore the need to implement aggressive screening and treatment interventions for both TB and DM in prison settings. Table 1: Characteristics of TB and Non-TB Groups in Peruvian Prisons Variables TB group N = 3,104 Non-TB group N = 72,331 P-value Age in years, mean ± SD 35.1 ± 10.4 36.1 ± 11.5 <0.001 Male sex, n (%) 3,053 (98.3) 68,516 (93.8) <0.001 College/University education, n (%) 8,996 (6.6) 201 (12.7) <0.001 Spanish language, n (%) 2,893 (93.2) 64,295 (88.2) <0.001 Reimprisonment, n (%) 723 (27.0) 9,110 (16.2) <0.001 Hypertension, n (%) 175 (4.7) 3,399 (5.6) 0.011 Diabetes mellitus, n (%) 131 (4.2) 1,766 (2.4) <0.001 HIV infection, n (%) 65 (2.1) 251 (0.3) <0.001
doi:10.1093/ofid/ofy210.773 fatcat:pza4m25ev5fnhob74vzrcbegtm