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Updated: Jul 22, 2026

The MODS method for diagnosis of tuberculosis and multidrug resistant tuberculosis
Published on: August 11, 2008
[Risk factors associated to tuberculosis patients with positive sputum microscopy].
1Sección de Epidemiología, Delegación Territorial del Departamento de Sanidad y Seguridad Social de Lleida, Facultad de Medicina, Universidad de Lleida, Spain. godoy@slle.scs.es
Tuberculosis transmission risk is higher in males with alcohol consumption and caverns. HIV coinfection and younger age significantly reduce this risk, indicating targeted interventions are crucial for high-risk groups.
Area of Science:
- Epidemiology
- Infectious Diseases
- Public Health
Background:
- Tuberculosis (TB) transmission is primarily driven by Mycobacterium tuberculosis in patient sputum.
- Understanding risk factors for infectious TB cases is vital for controlling disease spread.
Purpose of the Study:
- To identify risk factors associated with positive sputum smear results in new tuberculosis cases in Lleida, Spain.
Main Methods:
- A retrospective study of new TB cases from 1992-1998.
- Analysis of variables including age, gender, HIV coinfection, injection drug use (IDU), alcohol consumption, chest X-ray findings (caverns), and direct smear results.
- Logistic regression was used to calculate adjusted odds ratios (aOR) and 95% confidence intervals (CI).
Main Results:
- Of 905 new TB cases, 44.9% had positive direct smears.
- Positive smear results were significantly associated with caverns (aOR=6.8), male gender (aOR=1.8), and alcohol consumption (aOR=1.6).
- Risk was lower in individuals under 15 (aOR=0.2) and those with HIV coinfection (aOR=0.5).
Conclusions:
- HIV coinfection appears to reduce the impact on TB endemicity.
- Targeted interventions, including contact tracing and directly observed treatment, should focus on adult males, particularly those with alcohol consumption and caverns, as well as IDU and HIV-coinfected individuals.
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