Your browser doesn't support javascript.
Show: 20 | 50 | 100
Results 1 - 20 de 1.124
Filter
1.
Washington; Organización Panamericana de la Salud; abr. 13, 2020.
Non-conventional in Spanish | LILACS (Americas) | ID: biblio-1096694

ABSTRACT

Ante la situación actual de la pandemia del COVID-19 se aconseja a los países que continúen con la adopción de los algoritmos de diagnóstico de TB recomendados por OPS/OMS. A pesar de las diferencias en los modos de transmisión de TB y COVID-19, ciertas medidas de protección personal son relevantes para ambas enfermedades. Las medidas habituales para protegerse de la TB deben continuar junto con las precauciones adicionales para proteger a los trabajadores de COVID-19.


Subject(s)
Pneumonia, Viral/prevention & control , Tuberculosis/diagnosis , Tuberculosis/prevention & control , DNA, Viral/analysis , Coronavirus Infections/prevention & control , Pandemics/prevention & control , Betacoronavirus
2.
Article in English, Portuguese | LILACS (Americas), BDENF | ID: biblio-1102731

ABSTRACT

Objetivou-se analisar o discurso de sujeitos gestores relacionado ao retardo do diagnóstico da Tuberculose em pessoas idosas em municípios da região do Curimataú-Paraíba. Trata-se de um estudo qualitativo, cuja amostra contou com nove gestores de saúde de municípios pertencentes a 4ª Região de Saúde da Paraíba. Os dados foram coletados pela técnica da entrevista e analisados com base na Análise de Discurso de matriz francesa. Para os gestores, os fatores que levam ao retardo do diagnóstico da Tuberculose relacionam-se a demora em procurar os serviços de saúde e perceber o adoecimento, à falta de conhecimento sobre a doença, o preconceito, dificuldades no acesso aos serviços de saúde e a falta de percepção dos profissionais em identificar os casos suspeitos. Faz-se necessário que gestores e profissionais de saúde criem ações direcionadas tanto para família quanto para o idoso, o qual necessita ser visto como grupo de risco ao adoecimento de Tuberculose


Objective: To analyze the discourse of management subjects related to the delay of the diagnosis of Tuberculosis in elderly people in municipalities of the Curimataú-Paraíba region. Method: This is a qualitative study whose sample had nine health managers from municipalities belonging to the 4th Health Region of Paraíba. The data were collected by the interview technique and analyzed based on French Discourse Analysis. Results: For managers, the factors leading to the delay in the diagnosis of Tuberculosis are related to the delay in seeking health services and to perceive illness, lack of knowledge about the disease, prejudice, difficulties in accessing health services and lack of perception of professionals in identifying suspected cases. Conclusion: It is necessary that managers and health professionals create actions aimed at both the family and the elderly, which needs to be seen as a group at risk of tuberculosis


Objetivo: Analizar el discurso de sujetos gestores relacionado al retraso del diagnóstico de la Tuberculosis en personas ancianas en municipios de la región del Curimataú-Paraíba. Método: Se trata de un estudio cualitativo, cuya muestra contó con nueve gestores de salud de municipios pertenecientes a la 4ª Región de Salud de Paraíba. Los datos fueron recolectados por la técnica de la entrevista y analizados con base en el Análisis de Discurso de matriz francesa. Resultados: Para los gestores, los factores que llevan al retraso del diagnóstico de la Tuberculosis se relacionan con la demora en buscar los servicios de salud y percibir el enfermo, la falta de conocimiento sobre la enfermedad, el prejuicio, dificultades en el acceso a los servicios de salud y la la falta de percepción de los profesionales en identificar los casos sospechosos. Conclusión: Se hace necesario que gestores y profesionales de salud creen acciones dirigidas tanto para la familia y para el anciano, el cual necesita ser visto como grupo de riesgo al enfermarse de Tuberculosis


Subject(s)
Humans , Tuberculosis/diagnosis , Health Manager , Delayed Diagnosis , Aged , Address
3.
Article in French | AIM (Africa) | ID: afr-201797

ABSTRACT

Introduction: Nigeria is among the countries with high Tuberculosis (TB) burden by global rating signifying the relevance of TB surveillance system evaluation in improving performance and capacity of the existing system. Hence, this evaluation was conducted in order to determine the gaps and proffer solution to enhance the TB surveillance system performance. Methods: eight questionnaires were administered to key informants using face-to-face interview method; data obtained was analyzed. Total number of TB cases and estimated number of cases for year 2018 was obtained. Percentage of positive cases using the GeneXpert test for 6 months (January to June 2019) was obtained. Available documents and publications on the National Tuberculosis, Leprosy and Buruli Ulcer Control Programme (NTBLCP) were also sought for information. Results: the NTBLCP has over 5,300 TB service points and 1,602 microscopy Centre's distributed across the country. Acceptance for the standard TB case definition was 100%, forms used are easy to fill and diagnosis is laboratory-based requiring specialized trainings for laboratory personnel. The system had 25% sensitivity, high data quality with 100% timeliness. The TB surveillance system is representative of all ages. The system was first designed as TB and leprosy control programme but later Buruli Ulcer was incorporated into the programme. First quarter supervisory visits are skipped due to late funding and delayed budget approval. Major share of the funding comes from donor partners.Conclusion: the system is useful, representative, acceptable, has good data quality, timely, and sensitive. The system is stable but needs to be funded more by the government. There is need for early funding and budget approval to avoid skipping the first quarter supervisory visits. The system is not simple due the various test that need to be conducted before, during and after treatment to detect and verify that the patient is cured. We recommend continuous training of health workers, routine monitoring and evaluation, integration of TB care and prevention into other health services programmes like HIV/AIDS and active case search at all levels to increase the sensitivity of the system. Speed up the process of integration of NTBLCP surveillance system with IDSR for data harmonization in the country.


Subject(s)
Tuberculosis/epidemiology , Tuberculosis/diagnosis , Leprosy , Ulcer , Nigeria
4.
Acta Paul. Enferm. (Online) ; 32(5): 554-563, Set.-Out. 2019. tab
Article in Portuguese | LILACS (Americas) | ID: biblio-1038052

ABSTRACT

Resumo Objetivo Analisar os aspectos associados ao desfecho dos casos de tuberculose nas pessoas que vivem com HIV. Métodos Estudo transversal, realizado entre 2010 a 2014 em um município de grande porte localizado no interior do estado de São Paulo, o qual é considerado prioritário para o controle da tuberculose. Utilizou-se dados secundários coletados nos sistemas de informação TBWEB, SINAN, SISCEL e SICLOM. Foram utilizadas técnicas de estatística descritiva e Regressão Logística Multinomial, considerando o desfecho (cura, abandono e óbito) como variável dependente e as informações sociodemográficas, clínicas e de acompanhamento clínico/terapêutico como independentes. Resultados Observou-se uma maior chance de ocorrência de desfecho desfavorável do tratamento da tuberculose entre as pessoas que viviam com HIV com menor escolaridade, com histórico de internação e sem o registro do tipo de tratamento realizado. Conclusão Reforça-se a necessidade de integração entre os programas de controle da tuberculose e de HIV/aids, bem como entre esses e os demais serviços das redes de atenção à saúde e rede de apoio social para a oferta de ações e serviços que contemplem as necessidades sociais, econômicas e de saúde, visando o adequado seguimento dos casos de coinfecção TB-HIV e a obtenção de desfechos favoráveis da tuberculose nas pessoas vivendo com HIV.


Resumen Objetivo analizar los aspectos asociados al desenlace de los casos de tuberculosis en personas que viven con el VIH. Métodos estudio transversal, realizado entre 2010 y 2014 en un municipio de gran tamaño localizado en el interior del estado de São Paulo, considerado prioritario para el control de la tuberculosis. Se utilizaron datos secundarios recolectados en los sistemas de información TBWEB, SINAN, SISCEL y SICLOM. Se utilizaron técnicas de estadística descriptiva y regresión logística multinomial, considerando el desenlace (cura, abandono y óbito) como variable dependiente y la información sociodemográfica, clínica y de seguimiento clínico/terapéutico como independiente. Resultados se observó una mayor posibilidad de desenlace desfavorable del tratamiento de la tuberculosis entre las personas que vivían con el VIH con menos escolaridad, con antecedentes de internación y sin registro del tipo de tratamiento realizado. Conclusión se refuerza la necesidad de integración entre los programas de control de la tuberculosis y de VIH/sida, así como también entre estos y los demás servicios de las redes de atención en salud y red de apoyo social para la oferta de acciones y servicios que contemplen las necesidades sociales, económicas y de salud, a fin de proporcionar un seguimiento adecuado de los casos de coinfección TB-HIV y obtener desenlaces favorables de la tuberculosis en las personas que viven con el VIH.


Abstract Objective To analyze the aspects associated with tuberculosis cases outcome among people living with HIV. Methods A cross-sectional study conducted between 2010 and 2014 in a large municipality located in the countryside of São Paulo State, which was considered a priority city for tuberculosis control. Secondary data collected in the TBWEB, SINAN, SISCEL and SICLOM information systems were used. Descriptive statistics and Multinomial Logistic Regression techniques were used, considering outcome (cure, default and death) as a dependent variable, and sociodemographic, clinical and clinical/therapeutic follow-up information as independent. Results A higher chance of occurrence of unfavorable TB treatment outcome in people living with HIV was observed among those with lower education degree, hospitalization history and without record of the treatment type received. Conclusion There should be integration between tuberculosis and HIV/AIDS control programs, as well as other services of health care networks and social support network for the provision of actions and services that address social, economic and health needs, aiming at the adequate follow-up of TB-HIV co-infection cases and the achievement of favorable tuberculosis outcomes in people living with HIV.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Aged , Aged, 80 and over , Tuberculosis/diagnosis , HIV , Treatment Outcome , Cross-Sectional Studies , Acquired Immunodeficiency Syndrome/diagnosis
5.
Rev. pesqui. cuid. fundam. (Online) ; 11(4): 1088-1095, jul.-set. 2019. tab
Article in English, Portuguese | LILACS (Americas), BDENF | ID: biblio-1005471

ABSTRACT

Objetivo: Analisar o perfil e identificar os fatores associados à tuberculose em idosos no Maranhão no período de 2010 a 2015. Métodos: Estudo transversal analítico com os casos de tuberculose em idosos no estado do Maranhão. Foram utilizados dados secundários do SINAN, disponíveis no Datasus. Para identificar as associações entre o desfecho (tuberculose em idosos) e as variáveis independentes, utilizou-se a regressão de Poisson. Resultados: Após o ajuste do modelo, a escolaridade < 8 anos de estudo, ter encerramento por não cura, exame anti HIV não realizado e ter diabetes apresentaram­se como fatores que aumenta a chance da ocorrência de tuberculose em idosos. As demais variáveis apresentaram-se como fator protetor. Conclusão: Foi observada alta prevalência de tuberculose em idosos no estado (16,6%). Há necessidade de se adotarem estratégias de acompanhamento dessa clientela


Objective: To analyze the profile and identify the factors associated with tuberculosis in the elderly in Maranhão from 2010 to 2015. Methods: An analytical cross-sectional study with cases of tuberculosis in the elderly in the State of Maranhão. Secondary data from SINAN, available on Datasus, were used. To identify the associations between the outcome (tuberculosis in the elderly) and the independent variables, Poisson regression was used. Results: After adjustment of the model, schooling < 8 years of study, closure due to non-cure, unrecovered HIV test and diabetes had a factor that increases the chance of tuberculosis occurring in the elderly. The other variables were presented as protective factor. Conclusion: A high prevalence of tuberculosis in the elderly was observed in the State (16.6%). There is a need to adopt strategies to follow up this clientele


Objetivo: Analizar el perfil e identificar los factores asociados a la tuberculosis em ancianos en Maranhão en el período de 2010 a 2015. Métodos: Estudio transversal analítico con los casos de tuberculosis en ancianos en el Estado de Maranhão. Se utilizaron datos secundarios del SINAN, disponibles en Datasus. Para identificar las asociaciones entre el desenlace (tuberculosis en ancianos) y las variables independientes se utilizó la regresión de Poisson. Resultados: Después del ajuste del modelo la escolaridad < 8 años de estudio, tener cierre por no cura, examen anti VIH no realizado y tener diabetes se presentaron como factor que aumenta la probabilidad de la ocurrencia de tuberculosis en ancianos. Las demás variables se presentaron como factor protector. Conlusión: Se observó una alta prevalencia de tuberculosis en ancianos en el Estado (16,6%). Hay necesidad de adoptar estrategias de acompañamiento de esa clientela


Subject(s)
Humans , Male , Female , Adult , Aged , Aged, 80 and over , Tuberculosis/diagnosis , Tuberculosis/epidemiology , Aged/statistics & numerical data , Health of the Elderly , Health Services for the Aged
6.
Rev. latinoam. enferm. (Online) ; 27: e3086, 2019. tab, graf
Article in English | LILACS (Americas), BDENF | ID: biblio-978637

ABSTRACT

ABSTRACT Objective: to build an instrument to attain reliable and valid measurements of the knowledge, attitudes and practices of patients with pulmonary tuberculosis. Methods: methodological study that measured the sensitivity, reliability and validity of the instrument content. Studies of reliability and content validity comprehensibility involved 234 patients with pulmonary tuberculosis. Results: an integrative review was conducted for theoretical foundation. The sensitivity study comprised 30 patients with pulmonary tuberculosis, who had greater knowledge on tuberculosis (12.03) than the control group (9.93). Factor analysis showed that 7 factors explained 67.8% of the variance. Content validity identified a 98.3 % comprehensibility, and the expert trial assessed the sufficiency, clarity, relevance and coherence criteria, showing agreement between judges. Conclusions: the instrument has studies of sensitivity, reliability and content validity that showed it can be applied to patients with pulmonary tuberculosis; nevertheless, cultural and semantic adaptations must be developed for other scenarios.


RESUMO Objetivo: elaborar um instrumento que permita obter medidas confiáveis e válidas sobre os conhecimentos, atitudes e práticas de pacientes com tuberculose pulmonar. Métodos: estudo metodológico que avalia a sensibilidade, a confiabilidade e a validade do conteúdo do instrumento. Para avaliar a confiabilidade e a compreensibilidade da validade de conteúdo, participaram deste estudo 234 pacientes com tuberculose pulmonar. Resultados: realizou-se uma revisão integrativa como fundamentação teórica. No estudo da sensibilidade, participaram 30 pacientes com tuberculose pulmonar que tinham mais conhecimentos sobre a tuberculose (12,03) do que o grupo controle (9,93). Na análise fatorial verificou-se 7 fatores que explicavam 67,8% da variância. Na validade de conteúdo identificou-se uma compreensibilidade de 98,3%, e, na avaliação dos especialistas, analisou-se os critérios de suficiência, clareza, pertinência e coerência, que mostraram concordância entre os especialistas. Conclusões: o instrumento conta com estudos de sensibilidade, confiabilidade e validade de conteúdo que mostraram ser possíveis de aplicar em pacientes com tuberculose pulmonar; no entanto, é necessário desenvolver adaptações culturais e semânticas em outros contextos.


RESUMEN Objetivo: construir un instrumento que permita obtener medidas confiables y válidas sobre los conocimientos, actitudes y prácticas de los pacientes con tuberculosis pulmonar. Métodos: estudio metodológico que midió la sensibilidad, confiabilidad y validez de contenido del instrumento. En los estudios de confiabilidad y comprensibilidad de validez de contenido participaron 234 pacientes con tuberculosis pulmonar. Resultados: se realizó una revisión integrativa para la fundamentación teórica. En el estudio de sensibilidad participaron 30 pacientes con tuberculosis pulmonar que tenían mejores conocimientos sobre la tuberculosis (12,03) que el grupo control (9,93). En el análisis factorial se evidenciaron 7 factores que explicaban el 67,8 % de la varianza. En la validez de contenido se identificó una comprensibilidad del 98,3 % y en el juicio de expertos se evaluaron los criterios de suficiencia, claridad, relevancia y coherencia, los cuales mostraron concordancia entre los jueces. Conclusiones: el instrumento cuenta con estudios de sensibilidad, confiabilidad y validez de contenido que evidenciaron que puede ser aplicado a los pacientes con tuberculosis pulmonar; no obstante, es necesario desarrollar adaptaciones culturales y semánticas para otros escenarios.


Subject(s)
Psychometrics/statistics & numerical data , Tuberculosis/diagnosis , Health Knowledge, Attitudes, Practice , Nursing Assessment/organization & administration
8.
Article in French | AIM (Africa) | ID: afr-200876

ABSTRACT

Les tuberculoses extra-pulmonaires (TEP) représentent une proportion élevée de toutes les formes de tuberculose et leurs manifestations cliniques polymorphes rendent le diagnostic souvent difficile. L’objectif de notre étude était de décrire les caractéristiques épidémiologiques et histologiques des TEP diagnostiquées dans deux laboratoires d’anatomie pathologique de Cotonou. Nous avons mené une étude transversale descriptive portant sur 53 dossiers de patients atteints de tuberculose extra-pulmonaire dans les laboratoires d'anatomie pathologique de la Faculté des Sciences de la Santé et de la Cité Houéyiho à Cotonou sur une période de 10 ans (juin 2007 - juin 2018). L’âge moyen était de 46,5 ans avec une prédominance féminine (54,7 %). Les principales localisations étaient : la tuberculose ganglionnaire à 71,7 %, suivie par la tuberculose digestive (17 %) et de la tuberculose urogénitale (9,4%). Dans les différentes formes, le type histologique le plus fréquent était le type caséo-folliculaire. Notre travail a montré une fréquence élevée de l’atteinte ganglionnaire avec le type caséo-folliculaire comme le type histologique dominant


Subject(s)
Tuberculosis/diagnosis
9.
Article in English | AIM (Africa) | ID: afr-200904

ABSTRACT

Introduction: Human immunodeficiency virus (HIV) and tuberculosis (TB) are the leading causes of death from infectious disease worldwide. The prevalence of HIV among children with TB in moderate to high prevalence countries ranges between 10% and 60%. This study aimed to determine the prevalence of HIV infection among children treated for TB in Directly Observed Treatment Short-Course (DOTS) clinics in Lubumbashi and to identify risk of death during this co-infection.Methods: this is a cross-sectional study of children under-15, treated for tuberculosis from January 1, 2013 to December 31, 2015. Clinical, paraclinical and outcome data were collected in 22 DOTS of Lubumbashi. A statistical comparison was made between dead and survived HIV-infected TB children. We performed the multivariate analyzes and the significance level set at p-value <0.05.Results: a total of 840 children with TB were included. The prevalence of HIV infection was 20.95% (95% CI: 18.34-23.83%). The mortality rate was higher for HIV-infected children (47.73%) compared to HIV-uninfected children (17.02%) (p<0.00001). Age <5 years (aOR=6.50 [1.96-21.50]), a poor nutritional status (aOR=23.55 [8.20-67.64]), and a negative acid-fast bacilli testing (aOR=4.51 [1.08-18.70]) were associated with death during anti-TB treatment. Conclusion: TB and HIV co-infection is a reality in pediatric settings in Lubumbashi. High mortality highlights the importance of early management.


Subject(s)
Tuberculosis/diagnosis , HIV , Infections , Coinfection , Risk , Death , Congo
10.
Southern African Journal of Infectious Diseases ; 34(1), p.1-8, fig., tab., 2019
Article in English | AIM (Africa) | ID: afr-201125

ABSTRACT

Setting: Klerksdorp-Tshepong Hospital Complex MDR-TB Unit, North-West Province, South Africa.Background: To determine the time to sputum culture conversion (TTSCC) and factors predictive of TTSCC in patients with multi-drug-resistant tuberculosis (MDR-TB) and extensively drug-resistant tuberculosis (XDR-TB) in the North-West Province.Methods: A retrospective cohort study, abstracting patient demographic and clinical data, laboratory results, dates of sputum testing and sputum culture conversion results, from medical records of 526 MDR-TB and 47 XDR-TB patients started on TB treatment between 01 January 2012 and 31 December 2014. Predictors of TTSCC were determined by Cox proportional hazards regression.Results: The median age was 38 years (interquartile range 31–47) with 64% being male. Overall, 79% (449) were Human Immunodeficiency Virus (HIV)-infected. The median TTSCC was 56.5 days and 162.5 days for MDR-TB and XDR-TB patients, respectively. In the multivariate analysis, age [hazard ratio (HR): 0.89, 95% confidence interval (CI): 0.96–0.99], being underweight (HR: 0.631.61, 95% CI: 0.451.03–0.882.51), Acid Fast Bacilli (AFB) positivity (HR: 0.72, 95% CI: 0.51–1.01) and having XDR-TB (HR: 0.36. 95% CI: 0.19–0.69) were predictive of longer TTSCC.Conclusion: Predictors of TTSC allow for MDR-TB- and XDR-TB-diagnosed patients to be identified early for effective management. Those with risk factors for delayed sputum culture conversion which are being underweight and having XDR-TB should be monitored carefully during treatment so that they can achieve sputum culture conversion early.


Subject(s)
Tuberculosis , Tuberculosis/diagnosis , Sputum , Diagnosis , Nutritional Sciences , Africa
11.
South African Medical Journal ; 109(8), p.570-576, fig., tab., 2019
Article in English | AIM (Africa) | ID: afr-201390

ABSTRACT

Background. In 2015, 1.2 million new cases of tuberculosis (TB) were diagnosed in patients with HIV. Diagnostic limitations and resource shortages in endemic areas can delay diagnosis and treatment, particularly with extrapulmonary TB (EPTB). Research suggests that ultrasound can identify splenic microabscesses caused by EPTB, but data are limited on the frequency of this finding in patients with culture-proven EPTB. Objectives. To estimate the frequency of splenic EPTB microabscesses detected with ultrasound in patients with HIV and TB co-infection. Methods. Studies published in six major databases as of November 2017 were systematically reviewed based on the PRISMA guidelines. Cohen’s kappa test was used to determine inter-rater agreement. Articles included for data abstraction passed the Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) evaluation. Freeman-Tukey transformation was used to calculate weighted proportions. Heterogeneity was evaluated by Forest plot and I2 calculation. Results. After abstract screening, article review and QUADAS-2 evaluation, five studies were selected for data extraction. A total of 774 patients in these studies were infected with HIV. Splenic lesions were seen with ultrasound in 21.0% of patients with HIV (95% confidence interval (CI) 10.6 - 33.8). TB diagnosed by culture, biopsy, smear, or molecular methods was found to be the cause of 88.3% (95% CI 72.3 - 97.9) of splenic microabscesses seen on ultrasound in patients with HIV. Conclusions. Ultrasound evaluation of the spleen in patients with HIV and symptoms suggestive of TB in endemic regions is a viable diagnostic adjunct. Ultrasound detection of splenic microabscesses in HIV patients is probably sufficient indication to initiate TB treatment prior to obtaining culture data. Strong conclusions cannot be drawn owing to the high heterogeneity of this small number of studies.


Subject(s)
HIV , Tuberculosis , Tuberculosis/diagnosis , Ultrasonography , Patients , Africa
12.
Rev. cuba. pediatr ; 90(4): e630, set.-dic. 2018. graf
Article in Spanish | LILACS (Americas) | ID: biblio-978473

ABSTRACT

Introducción: Colagenosis y tuberculosis comparten síntomas y signos, pero además, el trastorno autoinmune y los tratamientos inmunosupresores que reciben los pacientes con colagenosis, los hacen más vulnerables a esta infección, lo que puede constituir un dilema diagnóstico. Objetivo: Contribuir al conocimiento de la relación entre tuberculosis y colagenosis. Presentación de casos: Se presentan tres adolescentes con tuberculosis, atendidos en el Centro de Referencia Nacional para la Tuberculosis Infantil. Dos enfermos tenían diagnóstico previo de colagenosis (artritis idiopática juvenil y polimiositis) con tratamiento esteroideo en exacerbaciones o continuo desde hacía un año, respectivamente. El tercero presentó un síndrome febril prolongado con pleuresía y pericarditis, con sospecha de lupus eritematoso diseminado. Se diagnosticó tuberculosis por test de mantoux hiperérgico. El tratamiento fue prolongado con esteroides, drogas antituberculosas y pericardiotomía al inicio del proceso, con evolución tórpida y fallo de tratamiento. Todo el tiempo se trató de descartar una enfermedad del colágeno. Se confirmó por cultivo la tuberculosis en los tres pacientes y la evolución final fue satisfactoria. Se exponen las características de cada enfermo y se analiza la relación entre ambas entidades. Conclusiones: Se presentan tres casos que ejemplifican la relación entre tuberculosis y colagenosis(AU)


Introduction: Collagenosis and tuberculosis share similar symptoms and manifestations; and in addition, the autoimmune disorder and inmunosuppressive treatments that patients with collagenosis receive make them more vulnerable to this infection which can constitute a diagnostic dylemma. Objective: To contribute to a better knowledge on the relation among tuberculosis and collagenosis. Cases presentation: Three adolescents suffering collagenosis are presented. They were attended in the National Reference Center for Children Tuberculosis. Two of the patients had previous diagnostic of collagenosis (juvenile idiopatic arthritis and polymyositis) with steroids treatment in exacerbations or continuous since a year ago. The third patient presented a prolonged febrile syndrome with pleurisy and pericarditis, with suspicions of disseminated lupus erythematosus. Tuberculosis was diagnosed by the test of hyperergic Mantoux. The treatment was prolonged with steroids, antiturberculosis drugs and pericardiotomy at the beginning of the process, with bad evolution and failure of the treatment. All the time it was intended to rule out collagen disease. Tuberculosis was confirmed by culturing in the three patients and final evolution was satisfactorily. Characteristics of each patient were exposed and it was analyzed the relation among both diseases. Conclusions: Three cases that exemplify the relation among tuberculosis and collagenosis(AU)


Subject(s)
Humans , Male , Female , Adolescent , Tuberculosis/complications , Tuberculosis/diagnosis , Collagen Diseases/complications , Collagen Diseases/epidemiology , Isoniazid/therapeutic use , Case Reports
13.
Rev. argent. coloproctología ; 29(1): 25-27, Sept. 2018. ilus
Article in Spanish | LILACS (Americas) | ID: biblio-1015245

ABSTRACT

La tuberculosis (TBC) es una enfermedad infecciosa crónica, granulomatosa, transmisible, producida por el microorganismo Mycobacterium tuberculosis o bacilo de Koch. Puede presentarse como enfermedad pulmonar, extrapulmonar o ambas. La presentación extrapulmonar, es rara, representando aproximadamente el 11% de todos los casos. El objetivo del presente trabajo es comunicar un caso clínico de tuberculosis de localización extrapulmonarr infrecuente: la región perianal. (AU)


Tuberculosis (TB) is a chronic infectious, granulomatous, transmissible disease produced by the Mycobacterium tuberculosis microorganism or Koch's bacillus.It can present as lung disease, extrapulmonary disease or both.Extrapulmonary presentation is rare, representing approximately 11% of all cases. The objective of the present work is to report a clinical case of tuberculosis of uncommon extrapulmonary location: the perianal region. (AU)


Subject(s)
Humans , Male , Aged , Anus Diseases/diagnosis , Tuberculosis/diagnosis , Tuberculosis/drug therapy , Diagnosis, Differential , Anal Canal/pathology , von Willebrand Diseases , Rectal Fistula/etiology , Colectomy , Treatment Adherence and Compliance , Mycobacterium tuberculosis/isolation & purification , Antitubercular Agents/therapeutic use
14.
Rev. chil. enferm. respir ; 34(2): 122-128, ago. 2018. tab, graf
Article in Spanish | LILACS (Americas) | ID: biblio-959417

ABSTRACT

Resumen Se presenta parte de la información entregada durante un curso de capacitación en tuberculosis con resistencia a fármacos para referentes clínicos del PROCET de Chile, con la colaboración del Dr. José Antonio Caminero Luna. Se enfatizó el uso de métodos de diagnóstico rápidos de resistencia a fármacos basados en la biología molecular, técnicas más sensibles y específicas, con el análisis de algunos algoritmos de diagnóstico factibles de implementar en nuestro país. Se detallaron las nuevas propuestas de terapia de tuberculosis con resistencia a fármacos, especialmente TBC-MDR (multidrogo resistente), y las ventajas de nuevos esquemas terapéuticos de mayor eficacia como los que son recomendados actualmente por la Organización Mundial de la Salud (OMS).


This publication summarizes part of the information provided during a training in multidrug resistant tuberculosis (MDR-TB) for clinical specialists in all health services of Chile with the collaboration of Dr. Jose Antonio Caminero Luna and the Chilean Program of Control and Eradication of Tuberculosis (PROCET). Emphasis was placed on early, sensitive and specific diagnostic methods of resistance to drugs based on molecular biology, showing some diagnostic algorithms feasible to implement in our country. Some proposals were made for changes in the treatment of tuberculosis with resistance to drugs, especially MDR-TB, with more effective therapeutic regimens recommended by the World Health Organization (WHO).


Subject(s)
Humans , Tuberculosis/diagnosis , Tuberculosis/therapy , Tuberculosis, Multidrug-Resistant/diagnosis , Tuberculosis, Multidrug-Resistant/therapy , World Health Organization , Algorithms , Chile/epidemiology , Tuberculosis, Multidrug-Resistant/drug therapy
15.
Buenos Aires; GCBA. Gerencia Operativa de Epidemiología; 20 jul. 2018. a) f: 16 l:20 p. tab.(Boletín Epidemiológico Semanal: Ciudad Autónoma de Buenos Aires, 3, 100).
Monography in Spanish | LILACS (Americas) | ID: biblio-1116468

ABSTRACT

Este informe refleja la primera etapa del análisis del evento epidemiológico en curso. Describe las acciones realizadas y los resultados preliminares obtenidos en el estudio de brote de tuberculosis ocurrido en una escuela técnica del AP Tornú en el período Febrero-Marzo de 2018: acciones desarrolladas y los resultados preliminares encontrados. Se estudiaron contactos institucionales y familiares de cada uno de los casos. Dentro de los contactos institucionales se incluyeron 5 divisiones, docentes y preceptores, de acuerdo a los listados provistos por la Dirección de la Escuela.(AU)


Subject(s)
Humans , Male , Female , Adolescent , Adult , School Health Services/statistics & numerical data , Tuberculosis/diagnosis , Tuberculosis/pathology , Tuberculosis/prevention & control , Tuberculosis/therapy , Tuberculosis/transmission , Tuberculosis/epidemiology , Catchment Area, Health/statistics & numerical data , Disease Outbreaks/statistics & numerical data , Hospitals, Municipal/statistics & numerical data
16.
Buenos Aires; GCBA. Gerencia Operativa de Epidemiología; 20 jul. 2018. a) f: 30 l:34 p. graf.(Boletín Epidemiológico Semanal: Ciudad Autónoma de Buenos Aires, 3, 100).
Monography in Spanish | LILACS (Americas) | ID: biblio-1116531

ABSTRACT

El hospital general de agudos donación Francisco Santojanni se encuentra enclavado en el oeste de la Ciudad Autónoma de Buenos Aires. Fue fundado en el año 1940 como hospital para tuberculosos en terrenos cedidos por el filántropo que le dio nombre a la institución. En 1981 se constituyó en hospital polivalente de agudos. Por año se asisten aproximadamente 480.000 personas provenientes, en especial, de su área de influencia: los barrios de Liniers, Mataderos y Lugano, además de los partidos colindantes de la provincia de Buenos Aires. Se caracterizan los casos notificados de TBC en el hospital Santojanni entre enero de 2017 y junio de 2018.


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Adolescent , Adult , Middle Aged , Tuberculosis/diagnosis , Tuberculosis/prevention & control , Tuberculosis/therapy , Tuberculosis/epidemiology , Health Surveillance/statistics & numerical data , Communicable Disease Control/instrumentation , Communicable Disease Control/statistics & numerical data , Disease Notification/methods , Disease Notification/statistics & numerical data
17.
Buenos Aires; GCBA. Gerencia Operativa de Epidemiología; 15 jun. 2018. a) f: 49 l:61 p. ilus, graf.(Boletín Epidemiológico Semanal: Ciudad Autónoma de Buenos Aires, 3, 95).
Monography in Spanish | LILACS (Americas) | ID: biblio-1103308

ABSTRACT

Desde mayo del año 2016, diferentes áreas del Ministerio de Salud se encuentran trabajando con la finalidad de colocar en la agenda sanitaria la necesidad de abordar la TBC de una manera diferente a la que actual para intentar cambiar una situación que viene empeorando, como se dijo, desde hace al menos 5 años y más. A principios de 2017 se comenzó a presentar la situación de la TBC de manera sistemática en el Boletín Epidemiológico Semanal. El 30 de Junio de 2017 se presentó una Comunicación Oficial que planteó los lineamientos generales del nuevo abordaje: Empadronamiento, asignación a Equipos de Salud y notificación al SNVS-TBC, Creación/fortalecimiento de comités interdisciplinarios para el seguimiento de los pacientes con TBC, y Descentralización de la medicación. Al mismo tiempo y en la actualidad, se trabaja con la Red de TBC para fortalecer los vínculos de trabajo entre los neumotisiólogos y los diferentes ámbitos de abordaje (atención primaria, epidemiología, entre otros). Este plan operativo propone especialmente tomar en cuenta la priorización de todas las acciones vinculadas con el abordaje de la TBC de acuerdo al Plan de Salud de la Ciudad, fortaleciendo la estrategia de Atención Primaria de la Salud y haciendo foco en los ámbitos más vulnerados y con mayor cantidad de casos, de acuerdo a la situación epidemiológica. (AU)


Subject(s)
Tuberculosis/diagnosis , Tuberculosis/prevention & control , Tuberculosis/transmission , Tuberculosis/epidemiology , Health Centers , Comprehensive Health Care/methods , Comprehensive Health Care/organization & administration , Disease Notification/methods , Patient Education Handout , Health Plan Implementation/organization & administration , Health Plan Implementation/trends
19.
Rev. medica electron ; 40(2): 335-345, mar.-abr. 2018. ilus
Article in Spanish | LILACS (Americas), CUMED | ID: biblio-902294

ABSTRACT

Introducción: la tuberculosis es la más antigua de las pandemias y causa alrededor de 1,7 millones de muertes y 9 millones de casos nuevos cada año. Objetivo: determinar el comportamiento epidemiológico de la tuberculosis en el municipio Matanzas. Materiales y métodos: se realizó un estudio observacional descriptivo retrospectivo en el período comprendido entre enero 2010 a diciembre del 2014. Se tomó como universo el total de 42 pacientes con diagnóstico de tuberculosis en todas sus formas. Se trabajó con el total del universo. Resultados: en cuanto a incidencia existió una tendencia a su disminución en el municipio de Matanzas, siendo el área de salud más afectada el área de Contreras con 11 casos para un 53,8 %. El mayor número de sintomáticos respiratorios de más de 14 días se encontró en el año 2011 con 2739 pacientes, el mayor número de ellos del área de salud de Policlínico Docente "José Jacinto Milanés" con 814. Conclusiones: predominó del número de casos de tuberculosis con baciloscopía positiva con un 61 %, de ellos más de la mitad fue diagnosticado en la atención secundaria, traduciendo una falla del programa. El 89,8 % de los pacientes presentó localización pulmonar con amplio predominio de la misma (AU).


Introduction: tuberculosis is the eldest of the pandemic diseases and causes almost 1.7 million deaths and nine millions of new cases every year. Objective: to determine the epidemiologic behavior of tuberculosis in the municipality of Matanzas. Materials and methods: a retrospective, descriptive, observational study was carried out in the period from January 2010 to December 2014. The universe were the total of 42 patients with diagnosis of tuberculosis in all its forms. All of them were included in the study. Results: It was found a tendency to a decrease of tuberculosis in the municipality of Matanzas, being the most affected health area the Contreras one, with 11 cases, for 52.8 %. The highest number of symptomatic patients of more than 14 days was found in 2011, with 2 739, most of them from the health area of the Teaching Policlinic "José Jacinto Milanés", with 814 patients. Conclusions: the number of tuberculosis cases with positive sputum smears predominated for 61 %. More than half of them were diagnosed in the secondary health care, showing a program failure. 89.8 % of the patients had pulmonary location with a wide predominance of it (AU).


Subject(s)
Humans , Signs and Symptoms, Respiratory , Tuberculosis/diagnosis , Tuberculosis/mortality , Tuberculosis/epidemiology , Tuberculosis, Pulmonary/diagnosis , Tuberculosis, Pulmonary/epidemiology , Risk Factors , Primary Health Care , Sputum/microbiology , World Health Organization , Secondary Care , Developed Countries/statistics & numerical data , HIV Infections/complications , Epidemiology, Descriptive , Retrospective Studies , Morbidity , Clinical Laboratory Techniques , Cuba/epidemiology , Developing Countries/statistics & numerical data , Health Care (Public Health) , Observational Studies as Topic , Microscopy/instrumentation , Microscopy/methods
20.
Buenos Aires; GCBA. Gerencia Operativa de Epidemiología; 27 abr. 2018. a) f: 48 l:66 p. graf, tab.(Boletín Epidemiológico Semanal: Ciudad Autónoma de Buenos Aires, 3, 88).
Monography in Spanish | LILACS (Americas) | ID: biblio-1103348

ABSTRACT

La tuberculosis es una de las 10 principales causas de mortalidad en el mundo. En 2016, 10,4 millones de personas enfermaron de tuberculosis y 1,7 millones murieron por esta enfermedad. Más del 95% de las muertes por tuberculosis se producen en países de ingresos bajos y medianos. La incidencia mundial de la TB está disminuyendo en aproximadamente un 2% al año, ritmo que habría que acelerar al 4­5% anual si se quieren alcanzar las metas fijadas para 2020 en la Estrategia Fin a la Tuberculosis. La Estrategia Fin a la Tuberculosis de la OMS y los Objetivos de Desarrollo Sostenible (ODS) de las Naciones Unidas, comparten el objetivo común de poner fin a la epidemia mundial de TB para el periodo 2016-2035. Las metas de dicha estrategia consisten en reducir su mortalidad en un 90%, y su incidencia en un 80% de aquí a 2030. En este informe, junto con la presentación y actualización mensual y sistemática de los datos, se realiza un breve análisis de la situación de los menores de 20 años. Dada la importancia del evento en este grupo de edad, se considera significativo que, dentro de la prioridad que tiene el abordaje de la TBC en general, se le dé mayor visibilidad a la situación de los niños y adolescentes. (AU)


Subject(s)
Humans , Male , Female , Child , Adolescent , Tuberculosis/diagnosis , Tuberculosis/prevention & control , Tuberculosis/epidemiology , Statistical Distributions , Child Health/statistics & numerical data , Adolescent Health Services/statistics & numerical data , Disease Notification/methods , Disease Notification/statistics & numerical data , Patient Care
SELECTION OF CITATIONS
SEARCH DETAIL