Montenegro CT, Bermúdez NA, Águila RN, Delgado AHM, Suárez VSS

Language: Spanish
References: 17
Page: 486-493
PDF size: 480.24 Kb.

ABSTRACT

Foundation: Tuberculosis is a priority research topic in Cuba, given the need to strengthen the response capacity for its elimination as a health problem.
Objective: to stratify the risk of pulmonary tuberculosis in communities of the Abreus municipality.
Methods: a descriptive study was carried out in the seven communities of the Abreus municipality, Cienfuegos province, during 2015. The information was obtained from the statistical departments of the health areas and the Municipal Hygiene and Epidemiology Unit. The absolute risk distribution method was used. The criterion for the stratification taken into account to define the high, medium and low risk strata was the average prevalence of risk factors according to the identified patients in 2015. The risk analyzed factors were: population over 60 years, contact rate of patients with pulmonary tuberculosis, prevalence of acquired immunodeficiency virus/AIDS, alcoholics, social hardship cases, smokers, and diabetics. The MapInfo 7.5 program was used.
Results: the prevalence of smoking was high, with 5 communities located in the medium riskstratum, one in the low risk stratum, and another (Cieneguitas) in the high risk stratum. Communities of Abreus, Charca, Cieneguita and Yaguaramas presented the highest percentage of factors located in the high risk stratum.
Conclusion: Clinical epidemiological characteristics of the cases reported with pulmonary tuberculosis in the decade 2006-2015, in Abreus, show evidence of the potential risk of tuberculosis infection in the community.

REFERENCES

1. Sánchez J, Verga B, Sánchez L. Tuberculosis Pulmonar: reto actual para la Salud Pública cubana. Rev Ciencias Médicas [revista en Internet]. 2012 [ cited 20 Ene 2016 ] ; 16 (3): [aprox. 13p]. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext& pid=S1561-31942012000300009&lng=es.

2. Varela C. Plan estratégico nacional para el control de la tuberculosis. PENTB 2009-2015. Resumen. Rev Med Hondur [revista en Internet]. 2010 [ cited 25 Feb 2016 ] ; 78 (1): [aprox. 20p]. Available from: http://cidbimena.desastres.hn/RMH/pdf/2010/pdf/ Vol78-1-2010.pdf#page=41.

3. Vargas R, Bayona M, Ante LA. Tuberculosis, una Enfermedad de Ayer, de Hoy y del Futuro. Medicina (Bogotá) [revista en Internet]. 2013 [ cited 24 Feb 2018 ] ; 35 (3): [aprox. 20p]. Available from: https://revistamedicina.net/ojsanm/index.php/Me dicina/article/download/102-5/97.

4. World Health Organization. Global strategy and targets for tuberculosis prevention, care and control after 2015 [Internet]. Geneva: WHO; 2015. [ cited 9 May 2018 ] Available from: https://www.who.int/tb/post2015_TBstrategy.pdf.

5. World Health Organization. Global tuberculosis report 2014 [Internet]. Geneva: WHO; 2014. [ cited 8 May 2018 ] Available from: https://apps.who.int/iris/handle/10665/137094.

6. Ministerio de Salud Pública. Anuario estadístico de salud 2015 [Internet]. La Habana: MINSAP; 2016.

7. Delgado H, González L, Valdés M, Hernández S, Montenegro T, Rodríguez D. Estratificación de riesgo de tuberculosis pulmonar en consejos populares del municipio Cienfuegos. Medisur [revista en Internet]. 2015 [ cited 16 Nov 2015 ] ; 13 (2): [aprox. 16p]. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext& pid=S1727-897X2015000200005.

8. Quesada JA, Quesada E, Rodríguez N. Diferentes enfoques para la estratificación epidemiológica del dengue. AMC [revista en Internet]. 2012 [ cited 9 May 2018 ] ; 16 (1): [aprox. 17p]. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext& pid=S1025-02552012000100014&lng=es.

9. García C, Alfonso P. Estratificación epidemiológica de riesgo. AMC [revista en Internet]. 2013 [ cited 25 Feb 2016 ] ; 17 (6): [aprox. 22p]. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext& pid=S1025-02552013000600012&lng=es.

10. Gil A, Mateos I, Zurita A, Ramos JM. Tuberculosis diseminada en anciano de edad avanzada. Semergen. 2016 ; 42 (6): e76-8.

11. Llauca PC. Factores de riesgo asociados a la carga bacilar del esputo en pacientes con tuberculosis en un establecimiento penitenciario. Rev Soc Perú Med Interna [revista en Internet]. 2013 [ cited 9 Feb 2017 ] ; 20 (2): [aprox. 8p]. Available from: http://sisbib.unmsm.edu.pe/bvrevistas/spmi/v20n 2/pdf/a02v20n2.pdf.

12. Hernández IA, Vázquez VH, Guzmán F, Ochoa LG, Cervantes DA. Perfil clínico y social de pacientes con tuberculosis en una unidad de medicina familiar de Reynosa, Tamaulipas, México. Aten Fam [revista en Internet]. 2016 [ cited 10 Mar 2018 ] ; 23 (1): [aprox. 18p]. Available from: http://www.sciencedirect.com/science/article/pii/S 1405887116300700.

13. Morales N, Beldarraín Chaple E. Aspectos económicos y sociales relacionados con el comportamiento de la tuberculosis en Cuba. Década de los 90. Medisur [revista en Internet]. 2015 [ cited 25 Feb 2018 ] ; 13 (2): [aprox. 14p]. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext& pid=S1727-897X2015000200004&lng=es.

14. González R. El alcoholismo y su atención específica: una proposición para el Tercer Mundo. La Habana: Editorial Ciencias Médicas; 2005.

15. Afecciones relacionadas con el VIH/SIDA [Internet]. Rockville, MD: Departamento de Salud y Servicios Humanos de EE. UU; 2019. [ cited 12 Ene 2018 ] Available from: https://infosida.nih.gov/education-materials/fact-s heets/26/90/el-vih-y-la-tuberculosis--tb-.

16. Delgado G, García L, Castellanos M, Cruz P, Ferreyra L, Ferreira E, et al. Association of Pulmonary Tuberculosis and Diabetes in Mexico: Analysis of the National Tuberculosis Registry 2000–2012. PLoS One [Internet]. 2015 [ cited 12 Ene 2017 ] ; 10 (6): e0129312.

17. Ugarte C, Moore AJ. Comorbilidad de tuberculosis y diabetes: Problema aún sin resolver. Rev Peru Med Exp Salud Pública [revista en Internet]. 2014 [ cited 10 Feb 2017 ] ; 31 (1): [aprox. 12p]. Available from: https://www.scielosp.org/pdf/rpmesp/2014.v31n1 /137-142/es.