Factores asociados a la mortalidad por tuberculosis en Paraguay, 2015-2016

Angélica Medina, Lucelly López, Celia Martínez, Sarita Aguirre, Edith Alarcón

Resultado de la investigación: Contribución a una revistaArtículo de revisiónrevisión exhaustiva

1 Cita (Scopus)

Resumen

Objective. To describe the socio-demographic and clinical-epidemiological characteristics and to determine the factors associated with the mortality of people diagnosed with tuberculosis (TB) in Paraguay. Methods. Operational research with a retrospective cohort design of cases diagnosed with TB in Paraguay between 2015-2016. The database of the National Tuberculosis Control Program was used. Chi-square and relative risk (RR) tests with a 95% confidence interval (95% CI) were used to determine the factors associated with mortality; in addition, a robust Poisson multiple regression model was adjusted. A significance level of 5% was used. Results. Five hundred and forty-one cases of TB were studied, of which 11.5% died. The factors increasing the risk of death were male sex (RR 1.26; 95% CI 1.1-1.50), infection with human immunodeficiency virus (RR 4.78; 95% CI 4.04-5.65) and chronic obstructive pulmonary disease (RR 1.70; 95% CI 1.19-2.42). Being deprived of one's liberty was a protective factor (RR 0.37; 95% CI 0.24-0.61). Conclusions. The highest risk of death is presented by men and people with TB/HIV coinfection and the lowest risk is presented by people deprived of liberty. There is a need to improve diagnosis and follow-up of TB cases, with effective implementation of directly observed treatment (DOTS) and timely management of associated diseases such as HIV and chronic obstructive pulmonary disease.

Título traducido de la contribuciónFactors associated with tuberculosis mortality in Paraguay, 2015-2016
Idioma originalEspañol
Número de artículoe102
PublicaciónRevista Panamericana de Salud Publica/Pan American Journal of Public Health
Volumen43
DOI
EstadoPublicada - 2019

Nota bibliográfica

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

Palabras clave

  • Mortality
  • Operations research
  • Paraguay
  • Tuberculosis

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