Spatiotemporal Distribution and Clinical Characteristics of Zoonotic Tuberculosis, Spain, 2018–2022

Zoonotic tuberculosis (zTB) is a communicable disease that has major effects on both human and animal health. Spain reports the highest number of zTB cases in humans annually in the European Union. We describe the epidemiology of human cases of zTB caused by Mycobacterium bovis and M. caprae in Spai...

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Detalles Bibliográficos
Autores: Roy, Álvaro, Gómez-Barroso, Diana, Cruz-Ferro, Elena, Fernández, Ana, Martínez-Pino, Isabel, del Henar Marcos, María, Ursúa-Díaz, Isabel, Miras, Susana, Echave, Nuria, Ounarou, Evi, Romero Martínez, Beatriz, Herrera-León, Laura, Herrador, Zaida
Tipo de recurso: artículo
Fecha de publicación:2025
País:España
Institución:Universidad Complutense de Madrid (UCM)
Repositorio:Docta Complutense
Idioma:inglés
OAI Identifier:oai:docta.ucm.es:20.500.14352/122769
Acceso en línea:https://hdl.handle.net/20.500.14352/122769
Access Level:acceso abierto
Palabra clave:636.39.09:616.24-002.5
616.24-002.5
Enfermedades infecciosas
Veterinaria
3205.08 Enfermedades Pulmonares
Descripción
Sumario:Zoonotic tuberculosis (zTB) is a communicable disease that has major effects on both human and animal health. Spain reports the highest number of zTB cases in humans annually in the European Union. We describe the epidemiology of human cases of zTB caused by Mycobacterium bovis and M. caprae in Spain during 2018–2022. The incidence of M. bovis infection compared with M. tuberculosis infection was higher in patients who were native-born (adjusted odds ratio [aOR) 2.32, 95% CI 1.44–3.82), HIV-negative (aOR 3.39, 95% CI 1.24–14.0), or had extrapulmonary forms of TB (aOR 2.20, 95% CI 1.46–3.28). The spatial pattern differed by M. tuberculosis complex species; we identified 3 significant clusters of M. bovis and 1 of M. caprae in bovine TB–free regions. Our results show the importance of including animal and human data on circulating zoonotic pathogens under the One Health umbrella.