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Volume 23, Number 7—July 2017
Research

Nontuberculous Mycobacteria Infections at a Provincial Reference Hospital, Cambodia

Maryline BonnetComments to Author , Kim Chamroeun San, Yati Pho, Chandara Sok, Jean-Philippe Dousset, William Brant, Northan Hurtado, Khun Kim Eam, Elisa Ardizzoni, Seiha Heng, Sylvain Godreuil, Wing-Wai Yew, and Cathy Hewison
Author affiliations: TRANSVIHMI IRD, INSERM, University of Montpellier, Montpellier, France (M. Bonnet); Epicentre, Paris, France (M. Bonnet, Y. Pho); Médecins Sans Frontières, Paris (K. Chamroeun San, C. Sok, J.-P. Dousset, N. Hurtado, E. Ardizzoni, C. Hewison); University of Virginia, Charlottesville, Virginia, USA (W. Brant); National Center for Tuberculosis and Leprosy Control, Phnom Penh, Cambodia (K.-K. Eam); Institute of Tropical Medicine, Antwerp, Belgium (E. Ardizzoni); Institut Pasteur, Phnom Penh (S. Heng); INSERM, University of Montpellier, Montpellier (S. Godreuil); Chinese University of Hong Kong, Hong Kong, China (W.-W. Yew)

Main Article

Table 1

Demographic and epidemiologic characteristics of patients in a study of NTM infections at Kampong Cham Provincial Reference Hospital, Cambodia, October 1, 2012–April 21, 2014*

Characteristic Total, N = 1,187 TB, n = 217 NTM disease, n = 11 NTM colonization, n = 113 Culture-negative, n = 842
Median age, y (IQR)
54 (40–65)
49 (35–62)
54 (46–63)
57 (44–65)
54 (40–65)
Sex
F 611 (51.5) 87 (40.1) 6 (54.5) 66 (59.5) 451 (53.6)
M
567 (48.5)
130 (60.0)
5 (45.5)
47 (41.6)
391 (46.4)
Occupation
Unemployed 339 (28.6) 61 (28.1) 4 (36.4) 35 (31.0) 238 (28.3)
Student 35 (2.9) 7 (3.2) 0 5 (4.4) 23 (2.7)
Pensioner 25 (2.1) 1 (0.5) 0 4 (3.5) 20 (2.4)
Farmer 568 (47.9) 109 (50.2) 7 (63.6) 45 (39.8) 406 (48.2)
Trader/seller 57 (4.8) 7 (3.2) 0 8 (7.1) 42 (5.0)
Building worker 18 (1.5) 5 (2.3) 0 1 (0.9) 12 (1.4)
Police/army 14 (1.2) 5 (2.3) 0 0 8 (0.9)
Fisherman 19 (1.6) 2 (0.9) 0 4 (3.5) 13 (1.5)
Administration 33 (2.8) 3 (1.4) 0 4 (3.5) 26 (3.1)
Factory worker 45 (3.8) 13 (6.0) 0 2 (1.8) 30 (3.6)
Other
34 (2.9)
4 (1.8)
0
5 (4.4)
24 (2.8)
Drinking water
Water well 709 (59.7) 127 (58.5) 7 (63,6) 63 (55.7) 510 (60.6)
Running water 210 (17.7) 36 (16.6) 2 (18.2) 27 (23.9) 144 (17.1)
Rain 64 (5.4) 15 (6.9) 0 7 (6.2) 42 (5.0)
River/lake/pond 131 (11.0) 24 (11.1) 1 (9.1) 11 (9.7) 95 (11.3)
Mineral water
74 (6.1)
15 (6.9)
1 (9.1)
5 (4.4)
51 (6.1)
Water disinfection
Boiled 701 (59.1) 119 (54.8) 5 (45.5) 68 (60.2) 506 (60.2)
Filtered 121 (10.2) 15 (6.9) 2 (18.2) 13 (11.5) 91 (10.8)
None
364 (30.7)
83 (38.2)
4 (36.4)
32 (28.3)
244 (29.0)
Use of hot tub
13/345 (3.8)
1/63 (1.6)
0
1/37 (2.7)
11/242 (4.5)
Pneumoconiosis risk
27 (2.3)
11 (5.1)
0
1 (0.9)
15 (1.8)
Surgery of the lung
2 (0.2)
0
0
0
2 (0.2)
Past TB
309 (26.0)
12 (5.5)
7 (63.4)
37 (32.7)
252 (30.0)
Chronic bronchitis
447/1,168 (38.3)
99/213 (46.5)
4 (36.4)
34/110 (30.6)
310/830 (33.0)
Hospitalization†
144 (12.1)
14 (6.4)
6 (54.5)
15 (13.3)
109 (13.0)
Smoking
Current smoker 175 (14.7) 39 (17.9) 2 (18.2) 10 (8.8) 123 (14.6)
Former smoker
266 (22.4)
57 (26.3)
3 (27.3)
23 (20.3)
58 (6.9)
Esophageal motility disorders
1/1,178 (<0.1)
0
0
0
1/836 (<0.1)
HIV positive 19/917 (2.1) 2/179 (1.1) 4 (36.4) 2/84 (2.4) 11/639 (1.7)

*Values are no. patients/no. with available data (%) except as indicated. IQR, interquartile range; NTM, nontuberculous mycobacteria; TB, tuberculosis.
†For respiratory disease.

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Page created: June 19, 2017
Page updated: June 19, 2017
Page reviewed: June 19, 2017
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