ABSTRACT
Objetivo: Describirlas características epidemiológicas y resultados clínicos del tratamiento con esquema uno en pacientes con tuberculosis atendidos en los establecimientos de salud del MINSA de la provincia de Ica durante los años 2009-2010. Material y métodos: Se realizó un estudio observacional de diseño descriptivo retrospectivo. Resultados: Se registraron 678 casos de tuberculosis tratados con esquema uno. 529 (78%) de los casos residía en el Cercado de Ica, Parcona y LaTinguiña, 289 (42,63%) fueron de sexo femenino,82.6% fueron de origen pulmonar, mientras que 17.4% fueron extrapulmonares, 77 (11,4%) correspondieron a tuberculosis infantil, 587 (86,6%) ingresaron como casos nuevos, 71 (10,5%)por recaída y 15 (2,2%) como abandonos recuperados. La baciloscopía de esputo al ingreso resultó positiva en 406 (59,9%)casos y al cuarto mes resultó negativa en 535 (78,9%) casos. 588 (86,7%) casos curaron, 6 (0,9%) fracasaron, 45 (6,6%)abandonaron el tratamiento, 26 (3,8%) fallecieron y 4 (0,6%) fueron transferidos sin confirmación. Asimismo, la condición de alta se asoció significativamente al tipo de ingreso del paciente (p=0,001) y al tipo de tuberculosis (p=0,03).Conclusiones: La mayoría de pacientes se concentra en el cercado de Ica y los distritos de Parcona y la Tinguiña. Existe elevado porcentaje de pacientes con resultados clínicos negativos al alta. (AU)
Objective: To describe the epidemiological characteristics and clinical results of treatment with schema one in patients with tuberculosis who were seen at the establishments of the Ministry of Health in the province of Ica during the years 20092010. Material and methods: It was realized an observational retrospective design study. Results: There were 678 cases of tuberculosis treated with one. 529 (78 %) of the cases resided in the district of Ica, Parcona and "La Tinguiña", 289 (42.63 %)were female, 82.6 % were of pulmonary origin, while 17.4 % were extrapulmonary, 77 (11.4 %) corresponded to childhood tuberculosis, 587 (86.6 %) were admitted as new cases, 71 (10.5%) by relapse and 15 (2.2 %) as abandonmentre covered. The sputum smears the income was positive in 406 (59.9 %) cases and the fourth month was negative in 535 (78.9 %) cases.588 (86.7 %) cases were cured, 6 (0.9 %) failed, 45 (6.6 %) abandoned the treatment, 26 (3.8 %) died and 4 (0.6 %) were transferred with out confirmation.Also, the condition of discharge was significantly associated with type of patient admission (p=0.001 ) and the type of tuberculosis (p=0.03 ).Conclusions: The majority of patients is concentrated in the district of Ica and the districts of Parcona and "La Tinguiña". There is a high percentage of patients with negative clinical outcomes to the discharge. (AU)