Diabetes-related tuberculosis in the Middle East: an urgent need for regional research
Objectives: Diabetes mellitus (DM) triples the risk of tuberculosis (TB) disease, complicates TB treatment, and increases the risk of a poor TB outcome. As DM prevalence is increasing across the Middle East, this review was performed to identify regional gaps in knowledge and research priorities for...
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doaj-51627571dfcc4ebb8511af51d7bf255f2020-11-24T21:04:06ZengElsevierInternational Journal of Infectious Diseases1201-97121878-35112015-11-0140C647010.1016/j.ijid.2015.09.010Diabetes-related tuberculosis in the Middle East: an urgent need for regional researchYosra M. Alkabab0Hail M. Al-Abdely1Scott K. Heysell2Division of Infectious Diseases, King Khalid University Hospital, Riyadh, Saudi ArabiaDivision of Infectious Diseases, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi ArabiaDivision of Infectious Diseases and International Health, University of Virginia, Charlottesville, Virginia, USAObjectives: Diabetes mellitus (DM) triples the risk of tuberculosis (TB) disease, complicates TB treatment, and increases the risk of a poor TB outcome. As DM prevalence is increasing across the Middle East, this review was performed to identify regional gaps in knowledge and research priorities for DM/TB. Methods: Online databases were searched for studies published from Middle East countries on DM and TB and the studies summarized based on topic and major findings. Studies included had a principle hypothesis related to both diseases, or described TB patients with individual data on DM. Results: Fifty-nine studies from 10 countries met search criteria. No published studies were found from Lebanon, Bahrain, Syria, Jordan, Cyprus, or the United Arab Emirates. DM prevalence among TB patients was high, but varied considerably across studies. The vast majority of studies were not specifically designed to compare DM/TB and non-DM/TB patients, but many suggested worse treatment outcomes for DM/TB, in accordance with reports from other regions. Conclusions: Opportunity exists for the regional study of bidirectional screening, management strategies for both DM and TB diseases, and whether such efforts could take place through the integration of services.http://www.sciencedirect.com/science/article/pii/S1201971215002209TuberculosisDiabetes mellitusMiddle EastIranTurkeySaudi Arabia |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yosra M. Alkabab Hail M. Al-Abdely Scott K. Heysell |
spellingShingle |
Yosra M. Alkabab Hail M. Al-Abdely Scott K. Heysell Diabetes-related tuberculosis in the Middle East: an urgent need for regional research International Journal of Infectious Diseases Tuberculosis Diabetes mellitus Middle East Iran Turkey Saudi Arabia |
author_facet |
Yosra M. Alkabab Hail M. Al-Abdely Scott K. Heysell |
author_sort |
Yosra M. Alkabab |
title |
Diabetes-related tuberculosis in the Middle East: an urgent need for regional research |
title_short |
Diabetes-related tuberculosis in the Middle East: an urgent need for regional research |
title_full |
Diabetes-related tuberculosis in the Middle East: an urgent need for regional research |
title_fullStr |
Diabetes-related tuberculosis in the Middle East: an urgent need for regional research |
title_full_unstemmed |
Diabetes-related tuberculosis in the Middle East: an urgent need for regional research |
title_sort |
diabetes-related tuberculosis in the middle east: an urgent need for regional research |
publisher |
Elsevier |
series |
International Journal of Infectious Diseases |
issn |
1201-9712 1878-3511 |
publishDate |
2015-11-01 |
description |
Objectives: Diabetes mellitus (DM) triples the risk of tuberculosis (TB) disease, complicates TB treatment, and increases the risk of a poor TB outcome. As DM prevalence is increasing across the Middle East, this review was performed to identify regional gaps in knowledge and research priorities for DM/TB.
Methods: Online databases were searched for studies published from Middle East countries on DM and TB and the studies summarized based on topic and major findings. Studies included had a principle hypothesis related to both diseases, or described TB patients with individual data on DM.
Results: Fifty-nine studies from 10 countries met search criteria. No published studies were found from Lebanon, Bahrain, Syria, Jordan, Cyprus, or the United Arab Emirates. DM prevalence among TB patients was high, but varied considerably across studies. The vast majority of studies were not specifically designed to compare DM/TB and non-DM/TB patients, but many suggested worse treatment outcomes for DM/TB, in accordance with reports from other regions.
Conclusions: Opportunity exists for the regional study of bidirectional screening, management strategies for both DM and TB diseases, and whether such efforts could take place through the integration of services. |
topic |
Tuberculosis Diabetes mellitus Middle East Iran Turkey Saudi Arabia |
url |
http://www.sciencedirect.com/science/article/pii/S1201971215002209 |
work_keys_str_mv |
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1716772007373176832 |