BAL | Bronchoalveolar Lavage | |
BCG | Bacillus Calmette-Guérin (tuberculosis vaccine) | |
CPT | Committee for Practical Tuberculosis control | |
DOT | Directly Observed Treatment | |
DRS | Drug Resistance Survey | |
ECDC | European Centre for Disease Control and Prevention | |
ETB | Extrapulmonary Tuberculosis | |
H | Isoniazid | |
LTBI | Latent Tuberculosis Infection | |
MDR | Multidrug Resistant | |
MSH | Municipal Health Service | |
NIPHE | National Institute for Public Health and the Environment | |
NTR | Netherlands Tuberculosis Register | |
P+E | Pulmonary and Extrapulmonary Tuberculosis | |
PTB | Pulmonary Tuberculosis | |
R | Rifampicin | |
SN | Statistics Netherlands | |
TB | Tuberculosis |
Ethnicity | Definitions for ethnicity are according to Statistical Netherlands (SN) | |
Native: | A person born in the Netherlands of whom both persons are also born in the Netherlands. | |
First generation immigrant / foreign born: | A person born outside the Netherlands of whom at least one parent is also born outside Netherlands. | |
Second generation immigrant: | A person born in the Netherlands of whom at least one parent is born outside the Netherlands. | |
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Risk groups definitions are according to the definitions in the NTR. An ‘Asylum seeker’ is defined as a person with a legal residence status (or in the process of getting a legal status) described in the Dutch policy regarding the screening of asylum seekers and is living in the Netherlands for less than two and a half years when diagnosed with TB. An ‘Illegal’ is defined as a person without a legal residence status independent of the duration in the Netherlands when diagnosed with TB. A ‘Homeless’ is defined as a person without a permanent residence who frequently sleeps on the street or in temporary homeless residences. A ‘Drug abuser’ is defined as a person who regularly uses or used hard drugs leading to social derailment. An ‘Alcohol abuser’ is defined as a person who drinks alcohol excessively leading to social derailment. A ‘prisoner diagnosed by screening’ is defined as person who is diagnosed with TB through screening for TB in a prison. A ‘professional contact (of a risk group)’ is defined as a person with an increased risk of exposure through contact with still unidentified TB patients. A ‘Traveler (in endemic countries)‘ is defined as a person who travelled for more than 3 months in the past 2 years in countries with an estimated TB prevalence of > 100/100,000 population. A ‘TB contact’ is defined as a person who is documented by a MSH as a contact of an infectious TB patient (e.g. person has been part of contact investigation). A ‘previous TB patient’ is defined as a person who has received TB treatment in the past during a minimum period of one month.
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Resistance |
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Mono drug resistance | Resistance to one antibiotic. |
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Poly drug resistance | A combination of resistance to antibiotics, except a combination of Isoniazid and Rifampicine. |
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Multi drug resistance | A combined resistance to at least Isoniazid and Rifampicine. | |
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Patient delay | The time period between the onset of cough and the first contact with health care services for this complaint. |
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Doctor delay | The time period between the first contact with health care services and the date of TB diagnosis. |
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Diagnostic delay | The sum of the patient- and doctor delay. |
Regions – Region is based on the zip code of the patient at the time of diagnosis. | |
North | Provinces Groningen, Friesland and Drenthe. |
East | provinces Overijssel and Gelderland |
Utrecht | province Utrecht |
Noord- Holland and Flevoland | provinces Noord-Holland and Flevoland |
Zuid-Holland | province Zuid-Holland |
Zeeland and Noord-Brabant | provinces Zeeland and Brabant |
Limburg | province Limburg |