Global burden of MDR-TB and XDR-TB attributable to high fasting plasma glucose from 1990 to 2019: a retrospective analysis based on the global burden of disease study 2019

Purpose High fasting plasma glucose (HFPG) has been identified as a risk factor for drug-resistant tuberculosis incidence and mortality. However, the epidemic characteristics of HFPG-attributable multidrug-resistant tuberculosis (MDR-TB) and extensively drug-resistant tuberculosis (XDR-TB) remain unclear. We aimed to analyze the global spatial patterns and temporal trends of HFPG-attributable MDR-TB and XDR-TB from 1990 to 2019. Methods Utilizing data from the Global Burden of Disease 2019 project, annual deaths and disability-adjusted life years (DALYs) of HFPG-attributable MDR-TB and XDR-TB were conducted from 1990 to 2019. Joinpoint regression was employed to quantify trends over time. Results From 1990 to 2019, the deaths and DALYs due to HFPG-attributable MDR-TB and XDR-TB globally showed an overall increasing trend, with a significant increase until 2003 to 2004, followed by a gradual decline or stability thereafter. The low sociodemographic index (SDI) region experienced the most significant increase over the past 30 years. Regionally, Sub-Saharan Africa, Central Asia and Oceania remained the highest burden. Furthermore, there was a sex and age disparity in the burden of HFPG-attributable MDR-TB and XDR-TB, with young males in the 25–34 age group experiencing higher mortality, DALYs burden and a faster increasing trend than females. Interestingly, an increasing trend followed by a stable or decreasing pattern was observed in the ASMR and ASDR of HFPG-attributable MDR-TB and XDR-TB with SDI increasing. Conclusion The burden of HFPG-attributable MDR-TB and XDR-TB rose worldwide from 1990 to 2019. These findings emphasize the importance of routine bi-directional screening and integrated management for drug-resistant TB and diabetes..

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:43

Enthalten in:

European journal of clinical microbiology & infectious diseases - 43(2024), 4 vom: 17. Feb., Seite 747-765

Sprache:

Englisch

Beteiligte Personen:

Chen, Yuqian [VerfasserIn]
Liu, Jin [VerfasserIn]
Zhang, Qianqian [VerfasserIn]
Chen, Huan [VerfasserIn]
Chai, Limin [VerfasserIn]
Wang, Yan [VerfasserIn]
Zhang, Jia [VerfasserIn]
Qiu, Yuanjie [VerfasserIn]
Shen, Nirui [VerfasserIn]
Shi, Xiangyu [VerfasserIn]
Wang, Qingting [VerfasserIn]
Wang, Jian [VerfasserIn]
Li, Shaojun [VerfasserIn]
Li, Manxiang [VerfasserIn]

Links:

Volltext [lizenzpflichtig]

BKL:

44.43

44.75

Themen:

Disability-adjusted life years (DALYs)
Extensively drug-resistant tuberculosis (XDR-TB)
High fasting plasma glucose (HFPG)
Mortality
Multidrug-resistant tuberculosis (MDR-TB)

Anmerkungen:

© The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

doi:

10.1007/s10096-024-04779-x

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

SPR055302246