2021, Number 1
Diabetes mellitus as a risk factor for the development of tuberculosis in northern Peru
Language: Spanish
References: 17
Page: 1-7
PDF size: 194.41 Kb.
ABSTRACT
Introduction: carIntroduction: chronic non-communicable diseases, diabetes mellitus among them, are the epidemics of the 21st century.Objective: to determine the association between the presence of diabetes mellitus and the development of tuberculosis.
Methods: an observational, analytical-case-control study in 236 patients older than 18 years old (118 cases and 118 controls) was conducted belonging to Trujillo Micro Network Metropolitan of the Health Network in the period 2015-2018. The chi-square independence test was applied, considering the association between variables whether p < 0,05.
Results: female sex predominated (cases: 50 %; controls: 69,5 %); finding an association between male sex and the presence of tuberculosis (p=0,002; OR=2,278 IC9 %: 1,34-3,88); 51,69 % of the cases reported ages under 45 years and controls 55,93 % were older than 45 years. Literate predominated (cases: 96,61 %; controls: 96,61 %). Patients from urban areas predominated (cases: 88,98 %; controls: 85,59 %). Predominance of patients with body mass index ≤ 30 Kg/m2 was found (cases: 93,22 %; controls: 82,2%) associated with tuberculosis onset (p=0,008; OR=2,98; IC95%: 1,26-7,03). Type-II diabetes mellitus is associated with the presence of tuberculosis (p<0,001 OR=4,53 IC95%: 2,23-9,19).
Conclusions: on the sample studied of Trujillo Micro Network Metropolitan of the Health Network, diabetes mellitus behaved as a risk factor for the development of tuberculosis.
REFERENCES
Carrillo-Larco RM, Bernabé-Ortiz A. Type 2 diabetes mellitus in Peru: A systematic review of prevalence and incidence in the general population. Rev Peru Med Exp Salud Publica [Internet]. 2019 [citado 02/01/2020];36(1):26-36. Disponible en: http://www.scielo.org.pe/scielo.php?pid=S1726-46342019000100005&script=sci_abstract&tlng=en
Alarcón Valentina, Alarcón Edith, Figueroa Cecilia, Mendoza-Ticona Alberto. Tuberculosis en el Perú: situación epidemiológica, avances y desafíos para su control. Rev. perú. med. exp. salud publica [Internet]. 2017 [citado 02/01/2020] ; 34( 2 ): 299-310. Disponible en: http://dx.doi.org/10.17843/rpmesp.2017.342.2384.
Centro Nacional de Epidemiología Prevención y Control de Enfermedades del Ministerio de Salud del Perú. Carga de Enfermedad En El Perú. Estimación de Los Años de Vida Saludables Perdidos 2016 [Internet]; 2018 [citado 02/01/2020]. Disponible en: https://www.gob.pe/institucion/minsa/informes-publicaciones/276778-carga-de-enfermedad-en-el-peru-estimacion-de-los-anos-de-vida-saludables-perdidos-2016
Carrión-Torres Omar, Cazorla-Saravia Patrick, Torres Sales José William, Yhuri Carreazo Nilton, De La Cruz Armijo Frank Enrique. Características del diagnóstico y tratamiento de la tuberculosis pulmonar en pacientes con y sin diabetes mellitus tipo 2. Rev. perú. med. exp. salud publica [Internet]. 2015 Oct [citado 2020 Jul 10] ; 32( 4 ): 680-686. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1726-46342015000400008&lng=es
Noubiap JJ, Nansseu JR, Nyaga UF, et al. Global prevalence of diabetes in active tuberculosis: a systematic review and meta-analysis of data from 2·3 million patients with tuberculosis. Lancet Glob Heal [Internet]. 2019 [citado 02/01/2020];7(4):e448-e460. Disponible en: https://doi.org/10.1016/s2214-109x(18)30487-x