El deterioro de la tuberculosis en Chile / Worsening situation of tuberculosis in Chile
Rev. méd. Chile
;
147(8): 1042-1052, ago. 2019. tab, graf
Article
Dans Espagnol
| LILACS
| ID: biblio-1058641
ABSTRACT
Background:
Recent data suggest an increase in tuberculosis (TB) incidence in Chile.Aim:
To evaluate recent epidemiological trends, geographic extension and potential factors associated with TB reemergence in Chile. Material andMethods:
Data analysis from official sources and trend analysis.Results:
TB incidence rate increased from 12.3 (2014) to 14.7 (2017) per 100,000 inhabitants. Morbidity rates also increased in nine out of 15 regions. The proportion of TB cases in specific groups has also increased in the last six years HIV/AIDS (68%), immigrants (118%), drug users/alcoholics (267%) and homeless people (370%). Several indicators of the national TB program performance have deteriorated including TB case detection, HIV co-infection study and contact tracing activities. Overall results indicate a higher than expected case-fatality ratio (> 3%), high rates of loss from follow-up (> 5%), and low percentage of cohort healing rate (< 90%). This decline is associated with a Control Program with scarce human resources whose central budget decreased by 90% from 2008 to 2014. New molecular diagnostic tools and liquid media culture were only recently implemented.Conclusions:
TB trends and overall program performance indicators have deteriorated in recent years in Chile and several factors appear to be involved. Multiple strategies will be required to rectify this situation.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Tuberculose
Type d'étude:
Etude diagnostique
/
Etude d'étiologie
/
Etude d'incidence
/
Étude pronostique
Limites du sujet:
Humains
Pays comme sujet:
Amérique du Sud
/
Chili
langue:
Espagnol
Texte intégral:
Rev. méd. Chile
Thème du journal:
Médicament
Année:
2019
Type:
Article
Pays d'affiliation:
Chili
Institution/Pays d'affiliation:
Ministerio de Salud/CL
/
Universidad Austral de Chile/CL
/
Universidad del Desarrollo/CL
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