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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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