Tuberculous Enterocolitis: Prevalence and Factors of Hospital Lethality in Moscow

The objective: to assess the incidence of tuberculous enterocolitis (TEC) in Moscow from 2016 to 2023 and determine main factors of hospital lethality of this form of extrapulmonary tuberculosis.

Subjects and Methods. Sources of information on tuberculous enterocolitis patients were as follows: Form 003/u on Hospital Record of new patients with tuberculous enterocolitis from 2016 to 2023 who were treated at Clinic 2 of Moscow Research and Clinical Center for Tuberculosis Control; Form no. 8 on Information on Active Tuberculosis Cases in Moscow for the same period.

Results. As statistically calculated, in Moscow the estimated incidence of tuberculous enterocolitis makes 0.2 cases per 100,000 population, accounting for 1.0% of all new tuberculosis. Hospital lethality for all forms of tuberculosis was recorded at 27.65%, and the main predictors were the following: young age, positive HIV status, surgical complications, caseous pneumonia and tuberculous meningitis, as well as multidrug resistance. The resulting mathematical model for predicting a fatal outcome is a convenient tool for determining therapeutic tactics in tuberculous enterocolitis and routing patients.

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