Baja captación y éxito en el tratamiento para la tuberculosis en una cárcel de Ecuador

Translated title of the contribution: Low detection rate and therapeutic success of tuberculosis in a prison in Ecuador

Félix Chong, Diana Marín, Freddy Pérez

    Research output: Contribution to journalArticle in an indexed scientific journalpeer-review

    2 Scopus citations

    Abstract

    Objective. Evaluate the control of pulmonary tuberculosis in a detention center and identify the risk factors associated with unsuccessful treatment in the largest prison in Ecuador. Methods. Surveillance data from the prison and a cohort of inmates diagnosed with tuberculosis (TB) between 2015 and 2016 were analyzed. Records without treatment outcome information were excluded. The percentage of patients with respiratory symptoms and TB incidence rate were estimated. Factors associated with unsuccessful treatment were estimated with binomial logistic regression. Results. Of 59 846 medical consultations, 3% of respiratory symptoms were identified and, of these, 326 inmates had TB; 184 of them were analyzed. The incidence rate of TB in the prison was 3 947/100 000 inhabitants. Treatment was successful in 70.4% (65.6% cured; 4.8% treatment completed) and unsuccessful in 29.4% (12.5% lost during follow-up, 5% deceased, 1.1% treatment failure, 10.8% not evaluated). Seropositivity for human immunodeficiency virus (HIV) was associated with an increased risk of unsuccessful treatment (relative risk: 1.66, 95% confidence interval: 1.33-2.07). Conclusion. The incidence of TB in the prison was 123 times higher than in the general population of Ecuador. Prisoners co-infected with HIV-TB are at greater risk of not having a successful treatment, and articulation is required between the ministries of health and justice that allows the proper implementation of health protocols and the End TB Strategy.

    Translated title of the contributionLow detection rate and therapeutic success of tuberculosis in a prison in Ecuador
    Original languageSpanish
    Article numbere106
    JournalRevista Panamericana de Salud Publica/Pan American Journal of Public Health
    Volume43
    DOIs
    StatePublished - 2019

    Bibliographical note

    Publisher Copyright:
    © 2019 Pan American Health Organization. All rights reserved.

    Types Minciencias

    • Artículos de investigación con calidad Q3

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