TY - JOUR AU - Pang, Yu AU - An, Jun AU - Shu, Wei AU - Huo, Fengmin AU - Chu, Naihui AU - Gao, Mengqiu AU - Qin, Shibing AU - Huang, Hairong AU - Chen, Xiaoyou AU - Xu, Shaofa T1 - Epidemiology of Extrapulmonary Tuberculosis among Inpatients, China, 2008–2017 T2 - Emerging Infectious Disease journal PY - 2019 VL - 25 IS - 3 SP - 457 SN - 1080-6059 AB - We investigated the epidemiology of extrapulmonary tuberculosis (TB) among patients admitted to Beijing Chest Hospital, Beijing, China, during January 2008–December 2017. Of 19,279 hospitalized TB patients, 33.4% (6,433) had extrapulmonary TB and 66.6% (12,846) had pulmonary TB. The most frequent forms of extrapulmonary TB observed were skeletal TB (41.1%) and pleural TB (26.0%). Younger, female patients from rural areas were more likely to have extrapulmonary TB. However, patients with diabetes mellitus were less likely to have extrapulmonary TB compared with patients without diabetes. A higher proportion of multidrug-resistant (MDR) TB was observed among patients with extrapulmonary TB than among patients with pulmonary TB. We observed a large increase in MDR TB, from 17.3% to 35.7%, for pleural TB cases. The increasing rate of drug resistance among extrapulmonary TB cases highlights the need for drug susceptibility testing and the formulation of more effective regimens for extrapulmonary TB treatment. KW - tuberculosis KW - extrapulmonary KW - drug resistance KW - risk factor KW - China KW - TB KW - MDR KW - XDR KW - tuberculosis and other mycobacteria KW - bacteria KW - inpatients KW - epidemiology DO - 10.3201/eid2503.180572 UR - https://wwwnc.cdc.gov/eid/article/25/3/18-0572_article ER - End of Reference