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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 4

Characteristics associated with the detection of NTM isolates in specimens of 1,179 presumptive pulmonary TB patients in a study of NTM infections at Kampong Cham Provincial Reference Hospital, Cambodia, October 1, 2012–April 21, 2014*

 
Characteristic NTM isolate detected, no. (%) Univariate analysis
 Multivariate analysis
OR 95% CI aOR 95% CI
Age group, y          
<40 24/295 (8.1) 1   1  
40–65 67/575 (11.6) 1.49 0.91–2.43 1.40 0.985–2.31
>65
 33/309 (10.7)
 1.35
 0.78–2.34
1.33
 0.76–2.35
Sex          
M 52/571 (9.1) 1   1  
F
 72/608 (11.8)
 1.34
 0.92–1.95
1.36
 0.93–2.00
Occupation          
Farmer 52/564 (9.2) 1      
Student, administration 17/138 (12.3) 1.38 0.77–2.48    
Factory, construction 3/63 (4.8) 0.49 0.15–1.62    
Fisherman 4/19 (21.0) 2.62 0.84–8.20    
Pensioner, unemployed
 48/395 (12.1)
 1.36
 0.90–2.06
 
  
Pneumoconiosis risk          
No 123/1,151 (10.7) 1      
Yes
 1/27 (3.7)
 0.31
 0.04–2.39
 
  
Drinking water          
Water well 70/704 (9.9) 1      
Running water 29/209 (13.9) 1.46 0.92–2.32    
Rain 7/63 (11.1) 1.13 0.50–2.58    
River/lake/pond 11/131 (9.2) 0.91 0.48–1.74    
Mineral water
 6/72 (8.3)
 0.82
 0.34–1.97
 
  
Water disinfection          
Boiled 73/696 (10.5) 1      
Filtered 15/121 (12.4) 1.21 0.67–2.18    
None
 36/361 (10.0)
 0.94
 0.62–1.44
 
  
Use of hot tub 38/331 (11.5) 1      
No 1/13 (7.7) 1      
Yes 85/835 (10.2) 0.64 0.08–5.01    
Unknown
  
 0.87
 0.58–1.31
 
  
Smoke          
No 86/741 (11.6) 1      
Current smoker 12/173 (6.9) 0.57 0.30–1.06    
Former smoker
 26/265 (9.8)
 0.83
 0.52–1.31
 
  
TB history          
No 80/870 (9.2) 1   1  
Yes
 44/307 (10.3)
 1.65
 1.11–2.45
1.56
 1.04–2.33
HIV          
Negative 89/894 (10.0) 1   1  
Positive 6/19 (31.6) 4.17 1.55–11.25 4.63 1.68–12.77
Unknown
 29/266 (10.9)
 1.11
 0.71–1.72
 
  
Hospitalization for respiratory disease        
No 103/1,033 (10.0) 1      
Yes
 21/144 (14.6)
 1.54
 0.93–2.55
 
  
Health seeking behaviors        
No consultation 36/335 (10.7) 1      
Health center 21/234 (9.0) 0.81 0.46–1.44    
Private clinic 19/170 (11.2) 1.04 0.58–1.88    
Self-medication 5/36 (13.9) 1.34 0.49–3.66    
Unknown 43/404 (10.5) 0.99 0.62–1.58    

*aOR, adjusted OR; NTM, nontuberculous mycobacteria; OR, odds ratio; TB, tuberculosis.

Main Article

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