Association of Notified Cases and Treatment Success Rates in Pulmonary Tuberculosis
Background: Tuberculosis has long been recognized as a public health problem in large cities. The goals of the “Stop TB” strategy of the WHO specifically promote its study at the subnational level. Therefore, we aimed to describe the state of pulmonary tuberculosis (PTB) at the municipality level in...
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| Published in | Revista de investigacion clinica Vol. 70; no. 4; pp. 198 - 202 |
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| Main Authors | , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Mexico
Elsevier España S.L.U
01.07.2018
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| Online Access | Get full text |
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| Abstract | Background: Tuberculosis has long been recognized as a public health problem in large cities. The goals of the “Stop TB” strategy of the WHO specifically promote its study at the subnational level. Therefore, we aimed to describe the state of pulmonary tuberculosis (PTB) at the municipality level in Mexico. Methods: We obtained data on new cases of PTB and treatment success rates (TSRs) per municipality from each state in Mexico, reported by the Mexican Social Security Institute to the National Epidemiological Surveillance System during 2013. Regression model was used to quantify associations between PTB and TSR by the municipality. Results: We included 4090 cases of PTB distributed in 432 municipalities. There were 121 municipalities with TSRs < 85%. Lower TSRs were associated with older age, male sex, and comorbidities. Conclusions: Results suggest a negative outcome of PTB treatment in patients with HIV and in those with malnutrition. The number of reported cases by the municipality was not associated with a negative treatment outcome. (REV INVES CLIN. 2018;70:198-202) |
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| AbstractList | Tuberculosis has long been recognized as a public health problem in large cities. The goals of the "Stop TB" strategy of the WHO specifically promote its study at the subnational level. Therefore, we aimed to describe the state of pulmonary tuberculosis (PTB) at the municipality level in Mexico.BackgroundTuberculosis has long been recognized as a public health problem in large cities. The goals of the "Stop TB" strategy of the WHO specifically promote its study at the subnational level. Therefore, we aimed to describe the state of pulmonary tuberculosis (PTB) at the municipality level in Mexico.We obtained data on new cases of PTB and treatment success rates (TSRs) per municipality from each state in Mexico, reported by the Mexican Social Security Institute to the National Epidemiological Surveillance System during 2013. Regression model was used to quantify associations between PTB and TSR by the municipality.MethodsWe obtained data on new cases of PTB and treatment success rates (TSRs) per municipality from each state in Mexico, reported by the Mexican Social Security Institute to the National Epidemiological Surveillance System during 2013. Regression model was used to quantify associations between PTB and TSR by the municipality.We included 4090 cases of PTB distributed in 432 municipalities. There were 121 municipalities with TSRs < 85%. Lower TSRs were associated with older age, male sex, and comorbidities.ResultsWe included 4090 cases of PTB distributed in 432 municipalities. There were 121 municipalities with TSRs < 85%. Lower TSRs were associated with older age, male sex, and comorbidities.Results suggest a negative outcome of PTB treatment in patients with HIV and in those with malnutrition. The number of reported cases by the municipality was not associated with a negative treatment outcome.ConclusionsResults suggest a negative outcome of PTB treatment in patients with HIV and in those with malnutrition. The number of reported cases by the municipality was not associated with a negative treatment outcome. Background: Tuberculosis has long been recognized as a public health problem in large cities. The goals of the “Stop TB” strategy of the WHO specifically promote its study at the subnational level. Therefore, we aimed to describe the state of pulmonary tuberculosis (PTB) at the municipality level in Mexico. Methods: We obtained data on new cases of PTB and treatment success rates (TSRs) per municipality from each state in Mexico, reported by the Mexican Social Security Institute to the National Epidemiological Surveillance System during 2013. Regression model was used to quantify associations between PTB and TSR by the municipality. Results: We included 4090 cases of PTB distributed in 432 municipalities. There were 121 municipalities with TSRs < 85%. Lower TSRs were associated with older age, male sex, and comorbidities. Conclusions: Results suggest a negative outcome of PTB treatment in patients with HIV and in those with malnutrition. The number of reported cases by the municipality was not associated with a negative treatment outcome. (REV INVES CLIN. 2018;70:198-202) Tuberculosis has long been recognized as a public health problem in large cities. The goals of the "Stop TB" strategy of the WHO specifically promote its study at the subnational level. Therefore, we aimed to describe the state of pulmonary tuberculosis (PTB) at the municipality level in Mexico. We obtained data on new cases of PTB and treatment success rates (TSRs) per municipality from each state in Mexico, reported by the Mexican Social Security Institute to the National Epidemiological Surveillance System during 2013. Regression model was used to quantify associations between PTB and TSR by the municipality. We included 4090 cases of PTB distributed in 432 municipalities. There were 121 municipalities with TSRs < 85%. Lower TSRs were associated with older age, male sex, and comorbidities. Results suggest a negative outcome of PTB treatment in patients with HIV and in those with malnutrition. The number of reported cases by the municipality was not associated with a negative treatment outcome. |
| Author | Rojas-Mendoza, Teresita Vallejos-Parás, Alfonso Grajales-Muñiz, Concepción Cabrera-Gaytán, David Alejandro Arriaga-Nieto, Lumumba Niebla-Fuentes, Maria del Rosario Padilla-Velázquez, Rosario Valle-Alvarado, Gabriel |
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| Keywords | Success rates Comorbidities Counties Pulmonary tuberculosis |
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| Snippet | Background: Tuberculosis has long been recognized as a public health problem in large cities. The goals of the “Stop TB” strategy of the WHO specifically... Tuberculosis has long been recognized as a public health problem in large cities. The goals of the "Stop TB" strategy of the WHO specifically promote its study... |
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| SubjectTerms | Adult Age Factors Cohort Studies Comorbidities Counties Disease Notification Female HIV Infections - epidemiology Humans Male Malnutrition - epidemiology Mexico Middle Aged Pulmonary tuberculosis Regression Analysis Retrospective Studies Risk Factors Sex Factors Success rates Treatment Outcome Tuberculosis, Pulmonary - therapy |
| Title | Association of Notified Cases and Treatment Success Rates in Pulmonary Tuberculosis |
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