Hernández SJM, Andrade H, Murillo LE, Velásquez L, Gómez RAJ, Robledo J

Language: Spanish
References: 23
Page: 38-43
PDF size: 187.02 Kb.

ABSTRACT

Tuberculosis (TB) mortality is an indicator of results in the control programs. Although worldwide cases have been declining for the past 10 years, the global burden of the disease remains high. TB mortality rate in 2012 in Colombia was reported in 2.07 per 100 000 inhabitants.
Objective. To identify probable cases whose death was basically for tuberculosis and which were not reported by the information systems during 2012.
Methods. A retrospective, and analytical study was carried out. The study population was all cases whose direct or associated mortality was tuberculosis, during the year 2012 in the 30 municipalities of the Department of Chocó. The information was collected through verbal interviews with family members, community authorities and health personnel in each municipality.
Results. We identified 31 cases of related tuberculosis deaths in 12 of the visited municipalities. The distribution by gender was slightly higher in women (52%). The highest mortality was seen in the indigenous population (67%), who live in a dispersed rural area (92%) and who had a diagnosis of pulmonary tb (92%). When the concordance in the registry of the mortality data was analyzed, we found that the Departamento Administrativo Nacional de Estadísticas (DANE) reported in 2012 six deaths due to tuberculosis in the Department, while the Departmental program of tuberculosis and sivigila had in its registries 21 cases of deceased.
Discussion. The present study found that in the Department of Chocó for the year 2012 there was an underreporting of cases of mortality due to tuberculosis. If the data of the departmental program is taken into account, the under-registration was 31%; if we compare it with the dane data, it was 80%.

REFERENCES

1. World Health Organization (who), Global Tuberculosis Report 2013: who/htm/tb/2013, Ginebra, who, 2013.

2. Glaziou, P., Falzon, D., Floyd, K. y Raviglione, M., “Global epidemiology of tuberculosis”, Semin Respir Crit Care Med, 2013, 34 (1): 3-16.

3. Ministerio de Salud y Protección Social, Indicadores Básicos 2013, Serie Registros, Observatorios, Sistemas de Seguimiento y Salas Situacionales Nacionales en Salud, 2013.

4. World Health Organization (who), Country profile: Colombia, Ginebra, who, 2012.

5. Crofts, J.P., Pebody, R., Grant, A., Watson, J.M. y Abubakar, I., “Estimating tuberculosis case mortality in England and Wales 2001-2002”, Int J Tuberc Lung Dis, 2008, 12: 308-313.

6. Antoine, D., French, C.E., Jones, J. y Watson J.M., “Tuberculosis treatment outcome monitoring in England, Wales and Northern Ireland for cases reported in 2001”, J Epidemiol Community Health, 2007, 61: 302-307.

7. Sonnenberg, P., Lim, M.S.C., Dowdeswell, R.J., Field, N., Glynn, J.R. y Murray, J., “Quantifying errors in the estimation of tuberculosis mortality in a population of South African miners”, Int J Tuberc Lung Dis, 2012: 16 (11): 1449-1454.

8. Mathers, C.D., Ma Fat, D., Inoue, M., Rao, C. y López, A.D., “Counting the dead and what they died from: an assessment of the global status of cause of death”, Bull World Health Organ, 2005, 83: 171-177.

9. Departamento Administrativo Nacional de Estadísticas (dane), Dirección de Censos y Demografía, Estadísticas vitales. Defunciones no fetales. Disponible en: www. dane.gov.co.

10. Pinheiro, R.S., Coeli, C.M., Barreira, D. y Codenotti, S.B. “Mortality information system for identifying underreported cases of tuberculosis in Brazil”, Rev Bras Epidemiol, 2012, 15 (3): 468-477.

11. Segura, A.M., Rey, J.J. y Arbeláez M.P., “Trends of tuberculosis related mortality and hospital discharges before and after the implementation of the health sector reform, Colombia 1985-1999”, Biomédica, 2004, 1: 115-123.

12. Organización Panamericana de la Salud (ops), Informe Regional 2011, Epidemiología, control y financiamiento, Washington, ops, 2012.

13. Getahun, B., Ameni, G., Biadgilign, S. y Medhin, G., “Mortality and associated risk factors in a cohort of tuberculosis patients treated under dots programme in Addis Abeba, Ethiopia”, bmc Infectious Diseases, 2011, 11: 127.

14. Peck, R.N., Luhanga, A., Kalluvya, M.D., Todd, J., Lugoba, S., Fitzgerald, D. y Downs, J., “Predictors of tuberculosis in the first six months after initiation of antiretroviral therapy: a case-control study”, Int J Tuberc Lung Dis, 2011, 16: 1047-1051.

15. Uwizeye, C.B., De Serres, G., Gilca, R., Schwartzman, K. y Gasana, M. “Tuberculosis may be underestimated in Rwandan women”, Int J Tuberc Lung Dis, 2011, 15 (6): 776-781.

16. Cayla, J.A., Rodrigo, T., Ruiz-Manzano, J., Caminero, J.A., Vidal, R., García, J.M., Blanquer, R. y Casals, M., “Tuberculosis treatment adherence and fatality in Spain”, Respiratory Research, 2009, 10: 121

17. Lefebvre, N. y Falzon, D., “Risk factors for death among tuberculosis cases: analysis of European surveillance data”, Eur Respir J, 2008, 31: 1256-1260.

18. Henegar, C., Behets, F., Driessche, K.V., Tabala, M., Bahati, E., Bola, V. y Van Rie A., “Mortality among tuberculosis patients in the Democratic Republic of Congo”, Int J Tuberc Lung Dis, 2012, 16: 1199-1204.

19. Rodríguez-Morales, A. y Castañeda-Hernández, D.M., “Relationships between morbidity and mortality from tuberculosis and the human development index (hki) in Venezuela, 1998-2008”, Intern J Inf Dis, 2012, 16: 704- 705.

20. Romero Sandoval, N.C., Flores-Carrera, O.F., Sánchez- Pérez, H.J., Sánchez Pérez I., Mateo, M.M., “Pulmonary tuberculosis in an indigenous community in the mountains of Ecuador”, Int J Tuberc Lung Dis, 2007, 11: 550-555.

21. Rios, D.P., Malacarne, J., Correa Alves, L.C., Sant’Anna, C.C., Bastos Camacho, L.A., Basta, P.C., “Tuberculose em indígenas de Amazonia brasileira: estudo epidemiológico na regiao do Alto Rio Negro”, Rev Panam Salud Pública, 2013, 33: 22-29.

22. Tollefson, D., Bloss, E., Fanning, A., Redd, J.T., Barker, K. y McCray, E., “Burden of tuberculosis in indigenous peoples globally: a systematic review”, Int J Tuberc Lung Dis, 2013.

23. Hernández Sarmiento, J.M., Dávila Osorio, V.L., Martínez Sánchez, L.M., Restrepo Serna, L., Grajales Ospina, D.C., Toro Montoya, A.E. et al., “Tuberculosis in indigenous communities of Antioquia, Colombia: epidemiology and beliefs”, J Immigr Minor Health, 2013, 15: 10-16.