Por favor, use este identificador para citar o enlazar este ítem: http://sgc.anlis.gob.ar/handle/123456789/1405
Título : Risk factors associated with tuberculosis mortality in adults in six provinces of Argentina
Autor : Zerbini, Elsa V. 
Greco, Adriana 
Estrada, Silvia 
Cisneros, Mario 
Colombo, Carlos 
Beltrame, Soledad 
Boncompain, Carina 
Genero, Sebastián 
Palabras clave : Epidemiología;Tuberculosis;Mortalidad
Fecha de publicación : 2017
Journal: Medicina (Buenos Aires) 
Resumen : 
Tuberculosis (TB) remains a cause of illness and death across the world, especially in developing countries and vulnerable population groups. In 2013, 1.5 million died from the disease worldwide. In Argentina, the largest proportion of TB-related deaths occurred in the northern provinces. Several international studies reported that TB mortality was related to the presence of certain comorbidities and socio-demographic characteristics. Our aim was to investigate the main risk factors associated with TB mortality in adults from six provinces in Argentina, especially those with higher TB mortality rates. A retrospective case-control study was conducted. It included all patients of =18 years with clinical and/or bacteriological TB diagnosis who underwent treatment from January 1st, 2012 to June 30th, 2013. Socio-demographic, clinical and bacteriological variables were surveyed. Information on 157 cases and 281 controls was obtained. Patients reported as deceased to the TB Control Program were considered cases, and those whose treatment result was reported as successful in the same time period were considered controls. For 111 deaths, the average time elapsed between the start of treatment and death was 2.3 months; median: 1. TB-related mortality was associated with poor TB treatment adherence (OR: 3.7 [1.9-7.3], p: 0.000), AIDS (OR: 5.29 [2.6-10.7], p: 0.000), male gender (OR: 1.7 [1.1-2.5], p: 0.009), belonging to indigenous people (OR: 7.2 [2.8-18.9], p:0. 000) and age = 50 (OR: 2.2 [1.4-3.3], p: 0.000). By multivariate analysis the two first associations were confirmed. This study sets up the basis for planning inter-program and inter-sector work to accelerate the decline in the inequitable TB mortality.
Descripción : 
Fil: Zerbini, Elsa V. ANLIS Dr.C.G.Malbrán. Instituto Nacional de Enfermedades Respiratorias; Argentina.

Fil: Greco, Adriana. Programa Nacional de Control de Tuberculosis; Argentina.

Fil: Estrada, Silvia. Programa de Tuberculosis, Jujuy; Argentina.

Fil: Cisneros, Mario. Programa de Tuberculosis, Salta; Argentina.

Fil: Colombo, Carlos. Programa de Tuberculosis, Formosa; Argentina.

Fil: Beltrame, Soledad. Programa Nacional de Control de Tuberculosis; Argentina.

Fil: Boncompain, Carina. Programa de Tuberculosis, Santa Fé; Argentina.

Fil: Genero, Sebastián. Programa de Tuberculosis, Chaco; Argentina.
URI : http://sgc.anlis.gob.ar/handle/123456789/1405
http://www.medicinabuenosaires.com/PMID/28825568.pdf
ISSN : 0025-7680
Derechos: Open Access
Creative Commons Attribution 4.0 International License
Aparece en las colecciones: Publicaciones INER

Ficheros en este ítem:
Fichero Descripción Tamaño Formato
28825568.pdfArtículo en inglés248.2 kBAdobe PDFVista previa
Visualizar/Abrir
Mostrar el registro Dublin Core completo del ítem

Visualizaciones de página(s)

82
comprobado en 28-mar-2024

Descarga(s)

50
comprobado en 28-mar-2024

Google ScholarTM

Consultar


Este ítem está sujeto a una licencia Creative Commons Licencia Creative Commons Creative Commons