Vulnerabilidad social, un blanco fatal de la coinfección tuberculosis-VIH en Cali
Objective: To describe the proportion, clinical, demographic and programmatic characteristics of fatal cases of TB/HIV coinfection from Cali-Colombia, in 2017.Material and Method: Cross-sectional study, with information from the TB program databases, clinical records and mortality analysis units ava...
| Main Author: | |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Asociación Colombiana de Infectología
2021-04-01
|
| Series: | Infectio |
| Subjects: |
| _version_ | 1811210789364695040 |
|---|---|
| author | José David Gómez-Vasco |
| author_facet | José David Gómez-Vasco |
| author_sort | José David Gómez-Vasco |
| collection | DOAJ |
| description | Objective: To describe the proportion, clinical, demographic and programmatic characteristics of fatal cases of TB/HIV coinfection from Cali-Colombia, in 2017.Material and Method: Cross-sectional study, with information from the TB program databases, clinical records and mortality analysis units available.Results: 257 TB fatal cases were cleared in Cali in 2017, 24.5% (63/257) of these died with TB/HIV coinfection. The median age was 43 years (Interquartile Range: 30-52), 73% (46/63) were men, 76.2% (48/63) did not belong to the contributory health regimen, 28.6% were homeless. 81.2% (39/48) were new TB cases, 76.6% (37/47) started treatment; 74.6% (47/63) had mortality analysis register. Pulmonary presentation was frequent (75.9% -44 / 58), in 60% of the registries malnutrition was observed (Body Mass Index <20), in 39.7% (25/63), dependence on alcohol, tobacco or drug dependence was registered.Conclusions: Mortality associated with TB/HIV is preventable, but in 2017 it represented a quarter of the TB mortality in Cali. Adult men with conditions of social vulnerability, diagnosed in advanced stages of disease, were fatally targeted. Improving information systems and integrating TB/HIV programs should be priority strategies for public health in Colombia. |
| first_indexed | 2024-04-12T05:00:21Z |
| format | Article |
| id | doaj.art-9081f14095a0447e8fe82566eed6f4c7 |
| institution | Directory Open Access Journal |
| issn | 0123-9392 |
| language | English |
| last_indexed | 2024-04-12T05:00:21Z |
| publishDate | 2021-04-01 |
| publisher | Asociación Colombiana de Infectología |
| record_format | Article |
| series | Infectio |
| spelling | doaj.art-9081f14095a0447e8fe82566eed6f4c72022-12-22T03:47:00ZengAsociación Colombiana de InfectologíaInfectio0123-93922021-04-01254207211https://doi.org/10.22354/in.v25i4.953Vulnerabilidad social, un blanco fatal de la coinfección tuberculosis-VIH en CaliJosé David Gómez-Vasco0https://orcid.org/0000-0003-3460-6564Universidad Icesi, Facultad de Ciencias de la Salud, Cali, ColombiaObjective: To describe the proportion, clinical, demographic and programmatic characteristics of fatal cases of TB/HIV coinfection from Cali-Colombia, in 2017.Material and Method: Cross-sectional study, with information from the TB program databases, clinical records and mortality analysis units available.Results: 257 TB fatal cases were cleared in Cali in 2017, 24.5% (63/257) of these died with TB/HIV coinfection. The median age was 43 years (Interquartile Range: 30-52), 73% (46/63) were men, 76.2% (48/63) did not belong to the contributory health regimen, 28.6% were homeless. 81.2% (39/48) were new TB cases, 76.6% (37/47) started treatment; 74.6% (47/63) had mortality analysis register. Pulmonary presentation was frequent (75.9% -44 / 58), in 60% of the registries malnutrition was observed (Body Mass Index <20), in 39.7% (25/63), dependence on alcohol, tobacco or drug dependence was registered.Conclusions: Mortality associated with TB/HIV is preventable, but in 2017 it represented a quarter of the TB mortality in Cali. Adult men with conditions of social vulnerability, diagnosed in advanced stages of disease, were fatally targeted. Improving information systems and integrating TB/HIV programs should be priority strategies for public health in Colombia.tuberculosishivcoinfectionmortality |
| spellingShingle | José David Gómez-Vasco Vulnerabilidad social, un blanco fatal de la coinfección tuberculosis-VIH en Cali Infectio tuberculosis hiv coinfection mortality |
| title | Vulnerabilidad social, un blanco fatal de la coinfección tuberculosis-VIH en Cali |
| title_full | Vulnerabilidad social, un blanco fatal de la coinfección tuberculosis-VIH en Cali |
| title_fullStr | Vulnerabilidad social, un blanco fatal de la coinfección tuberculosis-VIH en Cali |
| title_full_unstemmed | Vulnerabilidad social, un blanco fatal de la coinfección tuberculosis-VIH en Cali |
| title_short | Vulnerabilidad social, un blanco fatal de la coinfección tuberculosis-VIH en Cali |
| title_sort | vulnerabilidad social un blanco fatal de la coinfeccion tuberculosis vih en cali |
| topic | tuberculosis hiv coinfection mortality |
| work_keys_str_mv | AT josedavidgomezvasco vulnerabilidadsocialunblancofataldelacoinfecciontuberculosisvihencali |