medigraphic.com
Instituto Nacional de Salud Pública

2015, Number 6

salud publica mex 2015; 57 (6)

Conformance contrast testing between rates of pulmonary tuberculosis in Ecuadorian border areas

Ortiz-Rico C, Aldaz C, Sánchez-Pérez HJ, Mateo MM, Romero-Sandoval N

Language: English
References: 22
Page: 496-503
PDF size: 225.42 Kb.


ABSTRACT

Objective. To estimate rates of cases of respiratory symptomatic subjects and the incidence rate of pulmonary tuberculosis in two border areas of Ecuador, and contrast them with official figures. Materials and methods. Cross-sectional survey in the southeastern (SEBA), and the Andean southern Ecuadorian border areas (ASBA), which were conducted, respectively, in 1 598 and 2 419 persons aged over 15 years recruited over periods of three weeks. In identified respiratory symptomatic cases, a sputum sample was taken for smear testing. The results (odds ratios and their respective 95% confidence intervals), were compared with local and national official figures using maximum likelihood contrasts. Results. The rates of respiratory symptomatic subjects (7.7% and 5.9% in the SEBA, and ASBA, respectively) and of pulmonary tuberculosis (cumulative incidence rates of 125 and 140 per 100 000 inhabitants, in the same order) were significantly greater than the official figures (of 0.98 and 0.99% for respiratory symptomatic subjects in the SEBA and ASBA, respectively; and of 38.23 per 100 000 inhabitants for pulmonary tuberculosis in Ecuador as a whole) (p‹0.001). Conclusion. It is necessary to reinforce both active case finding for respiratory symptomatic subject cases, and epidemiological surveillance of pulmonary tuberculosis in Ecuadorian border regions.


REFERENCES

  1. Sánchez-Pérez HJ, Horna-Campos O, Romero-Sandoval N, Consiglio E, Martín Mateo M. Pulmonary tuberculosis in Latin America: Patchwork studies reveal inequalities in its control-The cases of Chiapas (Mexico), Chine (Ecuador) and Lima (Peru). In: Mahboub BH, Mayank GV, eds. Tuberculosis - Current issues in diagnosis and management [Internet document]. InTech 2013;443-467. [accessed 2015 Jul 17]. Available in: http:// www.intechopen.com/books/tuberculosis-current-issues-in-diagnosis-andmanagement/ pulmonary-tuberculosis-in-latin-america-patchwork-studiesreveal- inequalities-in-its-control-the-cas

  2. Nájera-Ortiz JC, Sánchez-Pérez HJ, Ochoa-Díaz H, Arana-Cedeno M, Lezama MS, Mateo MM. Demographic, health services and socio-economic factors associated with pulmonary tuberculosis mortality in Los Altos Region of Chiapas, Mexico. Int J Epidemiol [Internet series] 2008;37(4):786- 95. [accessed 2015 July 17]. Available in: http://ije.oxfordjournals.org/ content/37/4/786.full

  3. Romero-Sandoval NC, Flores-Carrera OF, Sánchez-Pérez HJ, Sánchez- Pérez I, Mateo MM. Pulmonary tuberculosis in an indigenous community in the mountains of Ecuador. Int J Tuberc Lung Dis [Internet series] 2007;11(5):550-555. [accessed 2015 July 17]. Available in: http://www.ncbi. nlm.nih.gov/pubmed/17439680

  4. Harling G, Castro MC. A spatial analysis of social and economic determinants of tuberculosis in Brazil. Health Place [Internet series] 2014;25:56-67. [accessed 2015 July 17]. Available in: http://www.ncbi.nlm. nih.gov/pubmed/24269879

  5. Alvarez-Hernández G, Lara-Valencia F, Reyes-Castro PA, Rascón- Pacheco RA. An analysis of spatial and socio-economic determinants of tuberculosis in Hermosillo, Mexico, 2000-2006. Int J Tuberc Lung Dis [Internet series] 2010;14(6):708-713. [accessed 2015 July 17]. Available in: http://www.ncbi.nlm.nih.gov/pubmed/20487608

  6. Li X-X, Wang L-X, Zhang H, Jiang S-W, Fang Q, Chen J-X, et al. Spatial variations of pulmonary tuberculosis prevalence co-impacted by socioeconomic and geographic factors in People’s Republic of China, 2010. BMC Public Health [Internet series] 2014;14(1):257. [accessed 2015 July 17]. Available in: http://www.biomedcentral.com/1471-2458/14/257

  7. Maciel ELN, Pan W, Dietze R, Peres RL, Vinhas SA, Ribeiro FK, et al. Spatial patterns of pulmonary tuberculosis incidence and their relationship to socio-economic status in Vitoria, Brazil. Int J Tuberc Lung Dis [Internet series] 2010;14(11):1395-1402. [accessed 2015 July 17]. Available in: http:// www.ncbi.nlm.nih.gov/pubmed/20937178

  8. Monge NM. Espacios Regionales Fronterizos. Integración, más allá del discurso político. Bloomington: Ediciones Palibrio, 2011:216

  9. Hernández-Pastor P. Enfermedades infecciosas, migración y salud global: Estudio de caso: Bolivia. Rev Integra Educ [Internet series] 2013;6(1):111- 126. [accessed 2015 July 17]. Available in: http://www.scielo.org.bo/scielo. php?pid=S1997-40432013000100006&script=sci_arttext&tlng=en

  10. Mideros A. Ecuador: definición y medición multidimensional de la pobreza, 2006 - 2010. Revista CEPAL [Internet series] 2012;108:51-70. [accessed 2015 July 17]. Available in: http://www.cepal.org/publicaciones/ xml/0/48620/RVE108Mideros.pdf

  11. Dirección Nacional de Vigilancia Epidemiológica. Ministerio de Salud Pública de Ecuador. Anuario epidemiológico 1994 - 2014 [Internet] Enfermedades respiratorias. Tasas de tuberculosis pulmonar, año 1994-2013 [accessed 2014 December 20]. Available in: https://public.tableausoftware. com/profile/manco.suxio#!/vizhome/respiratorias/ANUARIO

  12. Base de datos Censo 2010. Población y Demografía. VII Censo de Población y VI de Vivienda - 2010 [Internet] Instituto Nacional de Estadística y Censos. Ecuador; 2011 [accessed 2014 December 20]. Available in: http://www.ecuadorencifras.gob.ec/base-de-datos-censo-2010/

  13. VII Censo de Población y VI de Vivienda 2010 de Ecuador. Archivo Nacional de Datos y Metadatos Estadísticos [Internet] Instituto Nacional de Estadística y Censos - Secretaría Nacional de Planificación y Desarrollo. Ecuador; 2011 [accessed 2014 December 20]. Available in: http://anda. inec.gob.ec/anda/index.php/catalog/270/related_materials

  14. Ecuador, Estadísticas de Recursos y Actividades de Salud, 2010 [Internet]. Instituto Nacional de Estadística y Censos - Secretaría Nacional de Planificación y Desarrollo. Ecuador; 2011 [accessed 2014 December 20]. Available in: http://anda.inec.gob.ec/anda/index.php/catalog/10515

  15. VII Censo de Población y VI de Vivienda 2010 de Ecuador. Población y Demografía [Internet]. Instituto Nacional de Estadística y Censos. Ecuador; 2011 [accessed 2014 December 20]. Available in: http://www. ecuadorencifras.gob.ec/censo-de-poblacion-y-vivienda.

  16. Sánchez-Pérez HJ, Flores-Hernández JA, Jansá JM, Caylá JA, Martín- Mateo M. Pulmonary tuberculosis and associated factors in areas of high levels of poverty in Chiapas, Mexico. Int J Epidemiol [Internet series] 2001;30(2):386-393. [cited 2015 Jul 17]. Available in: http://ije.oxfordjournals. org/content/30/2/386.short

  17. Sánchez-Pérez HJ, Gómez-Velasco A, Leal G, Bencomo-Alerm A, Romero-Sandoval N, Martín-Mateo M. Tuberculosis (TB) and Human Rights in Chiapas, Mexico, 2015 in Wellman R, editor. Tuberculosis - Expanding knowledge [Internet]. InTech 2015;1-42. [cited 2015 Jul 17]. Available in: http://www.intechopen.com/books/tuberculosis-expandingknowledge/ tuberculosis-tb-and-human-rights-in-chiapas-mexico

  18. Bhutta ZA, Sommerfeld J, Lassi ZS, Salam RA, Das JK. Global burden, distribution, and interventions for infectious diseases of poverty. Infect Dis Poverty [Internet series] 2014;3:21. [accessed 2015 July 17]. Available in: http://www.idpjournal.com/content/3/1/21

  19. Last JM, Adelaide DPH. The Iceberg: “Completing the clinical picture” in general practice. Int J Epidemiol [Internet series] 2013;42(6):1608- 1613. [accessed 2015 July 17]. Available in: http://ije.oxfordjournals.org/ content/42/6/1608.full

  20. Sripad A, Castedo J, Danford N, Zaha R, Freile C. Effects of Ecuador’s national monetary incentive program on adherence to treatment for drug-resistant tuberculosis. Int J Tuberc Lung Dis [Internet series] 2014;18(1):44-48. [accessed 2015 July 17]. Available in: http://www.ingentaconnect. com/content/iuatld/ijtld/2014/00000018/00000001/art00010

  21. Organización Panamericana de la Salud. Informe de la reunión regional de jefes de programas nacional de control de la Tuberculosis [Internet]. San Paulo, Brasil: Programa Regional de Tuberculosis; 2012:p. 88. [accessed 2014 December 20]. Available in: http://www.bvsde.paho.org/documentosdigitales/ bvsde/texcom/sct/051330.pdf

  22. Pai M. Diagnosis of pulmonary tuberculosis: recent advances. J Indian Med Assoc [Internet series] 2013;111(5):332-336. [accessed 2015 July 17]. Available in: http://www.ncbi.nlm.nih.gov/pubmed/24765694




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