ABSTRACT
Objetivos. Estudiar las características de la enfermedad tuberculosa desde 1986 hasta 1999.Diseño. Estudio descriptivo. Emplazamiento. Provincia de Palencia. Pacientes. Un total de 1.158 casos de tuberculosis pulmonar y 177 casos de tuberculosis extrapulmonar. Mediciones y resultados principales. Las fuentes de datos rastreadas fueron los partes de declaración numérica y nominal notificados al Sistema de Enfermedades de Declaración Obligatoria. El análisis estadístico se realizó con los diferentes parámetros de la estadística descriptiva, los tests estadísticos de 2 y t de Student, tests de sensibilidad y valor predictivo positivo y coeficiente kappa. Se notificaron 1.158 casos de tuberculosis pulmonar y 177 de tuberculosis extrapulmonar desde 1986 hasta 1999. Por sexo, la tuberculosis fue significativamente (p < 0,001) más frecuente en varones (69,2 por ciento). Por grupos de edad, la máxima incidencia se registró entre los 20 y 29 años (20,6 por ciento) y entre los 20 y 49 años (48,2 por ciento). Hubo un aumento de incidencia entre 60 y 79 años (21,8 por ciento de los casos). Treinta y tres de cada 100 casos notificados de sida presentaron tuberculosis diseminada o extrapulmonar y 18, tuberculosis pulmonar. Conclusiones. La tuberculosis es un importante problema de salud pública, más frecuente en el varón joven, circunstancias epidemiológicas coincidentes con la infección VIH en nuestro medio (AU)
Subject(s)
Middle Aged , Child , Adolescent , Adult , Aged, 80 and over , Aged , Male , Female , Humans , Spain , TuberculosisSubject(s)
Caregivers/psychology , Dementia/nursing , Multicenter Studies as Topic , Quality of Life , Randomized Controlled Trials as Topic/methods , Aged , Alzheimer Disease/nursing , Cost-Benefit Analysis , Female , Humans , Male , Outcome and Process Assessment, Health Care , Sample Size , Surveys and QuestionnairesABSTRACT
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Subject(s)
Aged , Male , Female , Humans , Multicenter Studies as Topic , Quality of Life , Caregivers , Sample Size , Outcome and Process Assessment, Health Care , Surveys and Questionnaires , Cost-Benefit Analysis , Dementia , Alzheimer Disease , Randomized Controlled Trials as TopicSubject(s)
Caregivers/organization & administration , Dementia/nursing , Caregivers/education , Caregivers/psychology , Health Resources/organization & administration , Home Care Services/organization & administration , Humans , Interviews as Topic , Primary Health Care/organization & administration , Referral and Consultation/organization & administration , Social SupportABSTRACT
BACKGROUND: Tularemia can become a health problem after its recent emergence in Spain. OBJECTIVE: To describe the clinico-epidemiologic characteristics of a tularemia outbreak occurred in Palencia (October 1997 to March 1998). DESIGN: Case-control study. MATERIAL AND METHODS: A clinico-epidemiologic survey was conducted. The Chi square test and the Student "t" test were used and a logistic regression analysis was made. The diagnosis was made by serology (microagglutination or macroagglutination) or culture. RESULTS: There were 151 cases; 74.5% of cases were confirmed or likely. The ulceroglandular was the most common clinical form of the disease (49%) and 23.2% of patients required hospital admission; 93.4% of patients had exposure to hares, and 86.7% of them handled them. Higher risk practices included skinning (adjusted OR: 3.9; 95% CI [1.03-14.7]; p = 0.04) and cutting/cooking (adjusted OR: 2.7; 95% CI [1.01-6.7]; p = 0.03). Streptomycin therapy was used for 51.6% of cases. CONCLUSIONS: The clinico-epidemiologic surveillance of this disease in Spain is necessary.