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Epidemiology of Tuberculosis in a Cohort of Children in the Colombian Pacific Coast 2009- 2013

Epidemiología de la Tuberculosis en una Cohorte de Niños en la Costa Pacífica Colombiana entre 2009 y 2013

dc.creatorCándelo Montenegro, Johanna
dc.creatorRojas Forero, Jennifer
dc.creatorForero, Liliana
dc.creatorPacheco López, Robinson
dc.date2021-06-21
dc.date.accessioned2022-05-25T14:49:24Z
dc.date.available2022-05-25T14:49:24Z
dc.identifierhttps://revistas.unilibre.edu.co/index.php/iJEPH/article/view/3871
dc.identifier10.18041/2665-427X/ijeph.1.3871
dc.identifier.urihttp://test.repositoriodigital.com:8080/handle/123456789/38976
dc.descriptionIntroduction: The diagnosis of pulmonary tuberculosis in children is a challenge in all tuberculosis programs. The adverse social and economic conditions of the Colombian Pacific Coast make it a complex area for the management of the disease, especially in children. Objective: To describe the demographic and clinical characteristics, and the outcomes in the pediatric population with pulmonary tuberculosis in Buenaventura, Colombia. Methods: We conducted a descriptive observational study of a historical cohort (2009-2013) of children enrolled in the tuberculosis control program of Buenaventura. Results: A total of 163 cases were found and analyzed. There was no significant difference in sex distribution. The most frequent age group was 1-5 years (51%) and 55% belonged to the subsidized health system. The clinical TB diagnosis prevailed (55%), while the laboratory diagnosis was significant in patients older than 7 years. 92% entered the program as new cases, and 40% had their treatment finished at discharge. Adherence to treatment compliance was less than 50% in both phases of treatment. The incidence of childhood pulmonary tuberculosis during the study period ranged between 2 and 4 x 100,000 inhabitants. There were inconsistences in the information between the Tuberculosis program of the Municipality and the National Surveillance System of Colombia. Conclusion: The social and political difficulties in depressed areas of Buenaventura, a remote town in the Pacific Coast of Colombia, have a negative impact on the control of TB, despite strategies of childhood pulmonary tuberculosis based on timely diagnosis and treatment; effective follow-up of cases; study of contacts; and efficient, timely notification.en-US
dc.descriptionIntroducción: The diagnosis of pulmonary tuberculosis in children is a challenge in all tuberculosis programs. The adverse social and economic conditions of the Colombian Pacific Coast make it a complex area for the management of the disease, especially in children. Objectivo: To describe the demographic and clinical characteristics, and the outcomes in the pediatric population with pulmonary tuberculosis in Buenaventura, Colombia. Methods: We conducted a descriptive observational study of a historical cohort (2009-2013) of children enrolled in the tuberculosis control program of Buenaventura. Resultados: A total of 163 cases were found and analyzed. There was no significant difference in sex distribution. The most frequent age group was 1-5 years (51%) and 55% belonged to the subsidized health system. The clinical TB diagnosis prevailed (55%), while the laboratory diagnosis was significant in patients older than 7 years. 92% entered the program as new cases, and 40% had their treatment finished at discharge. Adherence to treatment compliance was less than 50% in both phases of treatment. The incidence of childhood pulmonary tuberculosis during the study period ranged between 2 and 4 x 100,000 inhabitants. There were inconsistences in the information between the Tuberculosis program of the Municipality and the National Surveillance System of Colombia. Conclusiones: The social and political difficulties in depressed areas of Buenaventura, a remote town in the Pacific Coast of Colombia, have a negative impact on the control of TB, despite strategies of childhood pulmonary tuberculosis based on timely diagnosis and treatment; effective follow-up of cases; study of contacts; and efficient, timely notification.es-ES
dc.formatapplication/pdf
dc.formatapplication/xml
dc.languageeng
dc.publisherUniversidad Libre, Cali, Colombiaen-US
dc.relationhttps://revistas.unilibre.edu.co/index.php/iJEPH/article/view/3871/6614
dc.relationhttps://revistas.unilibre.edu.co/index.php/iJEPH/article/view/3871/6615
dc.rightsCopyright (c) 2018 Interdisciplinary Journal of Epidemiology and Public Healthen-US
dc.rightshttp://creativecommons.org/licenses/by-nc-nd/4.0en-US
dc.sourceInterdisciplinary Journal of Epidemiology and Public Health; Vol. 1 No. 1 (2018); e-003en-US
dc.sourceInterdisciplinary Journal of Epidemiology and Public Health; Vol. 1 Núm. 1 (2018); e-003es-ES
dc.source2665-427X
dc.subjecttuberculosis, Tuberculosis pulmonar, niños, cohorte, Colombiaes-ES
dc.subjectTuberculosis, Pulmonary tuberculosis, child, cohort, Colombiaen-US
dc.titleEpidemiology of Tuberculosis in a Cohort of Children in the Colombian Pacific Coast 2009- 2013en-US
dc.titleEpidemiología de la Tuberculosis en una Cohorte de Niños en la Costa Pacífica Colombiana entre 2009 y 2013es-ES
dc.typeinfo:eu-repo/semantics/article
dc.typeinfo:eu-repo/semantics/publishedVersion
dc.typePeer-reviewed Articleen-US
dc.typeArtículo Revisado por Pares Académicoses-ES


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