Factores de riesgo para el abandono del tratamiento de tuberculosis pulmonar sensible en un establecimiento de salud de atención primaria, Lima, Perú / Risk factors for drug-sensitive tuberculosis therapy failure in a primary care health center in Lima, Peru
Acta méd. peru
; 33(1): 21-28, ene.-mar.2016. tab
Article
in Spanish
| LILACS, LIPECS
| ID: lil-790667
Responsible library:
PE18.1
RESUMEN
Identificar los factores asociados al abandono del tratamiento antituberculoso en un centro de salud de atención primaria del distrito de Chorrillos, Lima, Perú. Materiales y métodos:
Estudio de casos y controles retrospectivo no pareado. Se definió como caso a los pacientes que abandonaron el tratamiento por un periodo de 30 días consecutivos o más y como controles a los pacientes que terminaron el tratamiento antituberculoso. Se evaluó el puntaje de riesgo de abandono que se realiza en el centro de salud (>22), así como variables demográficas. Se calculó el odds ratio (OR) e intervalos de confianza al 95% (IC95%) usando regresión logística.Resultados:
Se incluyó 34 controles y 102 casos. En el análisis multivariado se encontró que quienes cursaron menos de seis años de educación (OR 22,2; IC95% 1,9-256,1) así como quienes tenían un puntaje > a 22 puntos en la prueba de riesgo de abandono (OR= 21,4; IC95% 6,3-72,4) tenían mayor probabilidad de abandonar el tratamiento antituberculoso.Conclusión:
El abandono del tratamiento antituberculoso está asociado con tener menos de seis años de educación y un score mayor a 22 puntos en la prueba de abandono de tratamiento antituberculoso...ABSTRACT
Objective:
To identify associated factors with failure of antituberculous therapy in a primary health center in Chorrillos, Lima, Peru. Material andmethods:
Retrospective case control study with a 13 case-control ratio. A case was defined as a patient who discontinued the treatment for a period of 30 consecutive days or more, and a control as a patient successfully completing antituberculous therapy. The score for risk of failure measured in the health center (>22) and demographic variables were assessed. Odds ratios (OR) and 95% confidence intervals (CI) were calculated using logistic regression.Results:
Thirty-four cases and 102 controls were included. In the multivariate analysis, factors associated to a greater likelihood for a failure in antituberculous therapy were to have less than six years of education (OR 22,2; 95% IC 1,9-256,1) and to obtain a score greater or equal than 22 points in the test for risk of failure (OR= 21,4; 95% IC 6,3-72,4).Conclusions:
Failure of antituberculous therapy was associated with having less than six years of educationand a score greater than or equal to 22 points in the test for risk of failure...
Full text:
Available
Collection:
International databases
Health context:
SDG3 - Target 3.8 Achieve universal access to health
/
SDG3 - Health and Well-Being
/
Neglected Diseases
Health problem:
Delivery Arrangements
/
Target 3.3: End transmission of communicable diseases
/
Neglected Diseases
/
Tuberculosis
Database:
LILACS
/
LIPECS
Main subject:
Primary Health Care
/
Tuberculosis, Pulmonary
/
Risk Factors
/
Medication Adherence
Type of study:
Diagnostic study
/
Etiology study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Humans
Country/Region as subject:
South America
/
Peru
Language:
Spanish
Journal:
Acta méd. peru
Journal subject:
Medicine
Year:
2016
Document type:
Article
Affiliation country:
Peru
Institution/Affiliation country:
Universidad Peruana de Ciencias Aplicadas/PE