Tuberculosis and chronic respiratory disease: a systematic review

•We performed a systematic literature review to assess the association between a history of tuberculosis and chronic respiratory disease.•Overall there was a significant association between the presence of chronic obstructive pulmonary disease or bronchiectasis and a history of tuberculosis from a t...

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Bibliographic Details
Published in:International journal of infectious diseases Vol. 32; no. C; pp. 138 - 146
Main Authors: Byrne, Anthony L., Marais, Ben J., Mitnick, Carole D., Lecca, Leonid, Marks, Guy B.
Format: Journal Article
Language:English
Published: Canada Elsevier Ltd 01.03.2015
Elsevier
Subjects:
Adult
Bronchiectasis
Bronchiectasis - complications
Bronchiectasis - epidemiology
Chronic Disease
Chronic Obstructive Pulmonary Disease
Chronic Respiratory Disease
Female
Humans
Infectious Disease
Male
Middle Aged
Pulmonary Disease, Chronic Obstructive - complications
Pulmonary Disease, Chronic Obstructive - epidemiology
Pulmonary/Respiratory
Systematic Review
Tuberculosis
Tuberculosis, Pulmonary - complications
Tuberculosis, Pulmonary - epidemiology
Young Adult
Chronic Obstructive Pulmonary Disease
Bronchiectasis
Tuberculosis
Chronic Respiratory Disease
Systematic Review
ISSN:1201-9712, 1878-3511
Online Access:Get full text
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Summary:•We performed a systematic literature review to assess the association between a history of tuberculosis and chronic respiratory disease.•Overall there was a significant association between the presence of chronic obstructive pulmonary disease or bronchiectasis and a history of tuberculosis from a total of 11 studies.•The pooled odds ratio was 3.05 (95% confidence interval 2.42, 3.85) using the DerSimonian and Laird random effects model of meta-analysis.•The strongest associations were found in countries with a high incidence of tuberculosis, as well as among “never smokers” and younger people.•In tuberculosis endemic areas, tuberculosis is strongly associated with the presence of chronic respiratory disease in adults. Chronic respiratory disease causes substantial global morbidity and mortality. The contribution of pulmonary tuberculosis to the aetiology of chronic respiratory disease is rarely considered, but may be important in tuberculosis-endemic areas. We performed a systematic literature review to assess the association between a history of tuberculosis and the presence of chronic obstructive pulmonary disease (COPD) or chronic suppurative lung disease (bronchiectasis). Study quality was evaluated using the National Heart Lung and Blood Institute quality assessment tool. Meta-analysis was performed using the DerSimonian and Laird random effects model. We identified 9 eligible studies for COPD and 2 for bronchiectasis. Overall, there was a significant association between a history of tuberculosis and the presence of COPD in adults aged over 40 years (pooled odds ratio 3.05 (95% confidence interval 2.42, 3.85). Among individual COPD studies the strongest associations were found in countries with a high incidence of tuberculosis, as well as among never smokers and younger people. In tuberculosis endemic areas, tuberculosis is strongly associated with the presence of chronic respiratory disease in adults. Efforts to improve long-term lung health should be part of tuberculosis care.
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ISSN:1201-9712
1878-3511
DOI:10.1016/j.ijid.2014.12.016