2018, Number 4
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Rev Invest Clin 2018; 70 (4)
Association of Notified Cases and Treatment Success Rates in Pulmonary Tuberculosis
Vallejos-Parás A, Cabrera-Gaytán DA, Padilla-Velázquez R, Arriaga-Nieto L, Valle-Alvarado G, Grajales-Muñiz C, Rojas-Mendoza T, Niebla-Fuentes MR
Language: English
References: 23
Page: 198-202
PDF size: 177.22 Kb.
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.
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