Tuberculosis and comorbidities in urban areas in Argentina. A gender and age perspective
Introduction: Tuberculosis continues to be a major health problem in the world with an incidence of more than 10 million cases in 2015. There are factors that change the risk of developing the disease after infection, as well as the presentation of the disease. Objective: To determine the main comor...
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| Format: | Article |
| Language: | English |
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Instituto Nacional de Salud
2018-06-01
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| Series: | Biomédica: revista del Instituto Nacional de Salud |
| Subjects: | |
| Online Access: | https://www.revistabiomedica.org/index.php/biomedica/article/view/3904 |
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| author | Alberto Echazarreta Elsa Zerbini José De Sandro César Sáenz Leyla Yessi Romina Saad Gabriela Manonelles Mónica Cuello |
| author_facet | Alberto Echazarreta Elsa Zerbini José De Sandro César Sáenz Leyla Yessi Romina Saad Gabriela Manonelles Mónica Cuello |
| author_sort | Alberto Echazarreta |
| collection | DOAJ |
| description | Introduction: Tuberculosis continues to be a major health problem in the world with an incidence of more than 10 million cases in 2015. There are factors that change the risk of developing the disease after infection, as well as the presentation of the disease.
Objective: To determine the main comorbidities and demographic, clinical and microbiological characteristics of tuberculosis adult patients in Argentina from a gender and age perspective.
Materials and methods: We conducted a cross-sectional study in urban referral hospitals for patients with tuberculosis. We included tuberculosis patients of 15 years or more of age who were hospitalized or treated in outpatient clinics with bacteriologically confirmed pulmonary or extrapulmonary forms of the disease, as well as those who, although not bacteriologically confirmed, had clinical and radiological characteristics consistent with tuberculosis. The study period was from August 1st, 2015 to August 31st, 2016.
Results: We included 378 patients. The median age was 37 years. Male gender was associated with extrapulmonary tuberculosis, hospitalization, smoking, drug addiction and alcoholism. Tuberculosis and aids (22.6%) was related to drug use, admission into hospital, extrapulmonary tuberculosis, nonaddiction to tobacco, non-pathological radiology, absence of cavitation, and negative sputum smear microscopy. Patients less than 40 years of age had a higher rate of drug addiction and low weight, while those aged 40 or over had a higher proportion of diabetes, alcoholism and chronic obstructive pulmonary disease (COPD).
Conclusions: This study will help recognize tuberculosis patients’ characteristics and comorbidities influencing the development and evolution of the disease from an age and gender perspective to enable the development of social and community-based strategies. |
| first_indexed | 2024-12-10T22:04:29Z |
| format | Article |
| id | doaj.art-edd70f6abe1546f2b81ade549cbdf272 |
| institution | Directory Open Access Journal |
| issn | 0120-4157 0120-4157 |
| language | English |
| last_indexed | 2024-12-10T22:04:29Z |
| publishDate | 2018-06-01 |
| publisher | Instituto Nacional de Salud |
| record_format | Article |
| series | Biomédica: revista del Instituto Nacional de Salud |
| spelling | doaj.art-edd70f6abe1546f2b81ade549cbdf2722022-12-22T01:31:47ZengInstituto Nacional de SaludBiomédica: revista del Instituto Nacional de Salud0120-41570120-41572018-06-0138218018810.7705/biomedica.v38i0.39042101Tuberculosis and comorbidities in urban areas in Argentina. A gender and age perspectiveAlberto Echazarreta0Elsa Zerbini1José De Sandro2César Sáenz3Leyla Yessi4Romina Saad5Gabriela Manonelles6Mónica Cuello7Sección de Tuberculosis, Asociación Argentina de Medicina Respiratoria, Ciudad de Buenos Aires, Argentina DeceasedInstituto Nacional de Enfermedades Respiratorias “Dr. Emilio Coni”, Administración Nacional de Laboratorios e Institutos de Salud - ANLIS, Santa Fe, ArgentinaHospital San Martín, La Plata, ArgentinaHospital Ramos Mejía, Ciudad de Buenos Aires, ArgentinaHospital San Juan de Dios, La Plata, ArgentinaHospital Presidente Perón, Avellaneda, ArgentinaPrograma de Control y Tratamiento de la Tuberculosis, Río Gallegos, ArgentinaHospital Carrasco, Rosario, ArgentinaIntroduction: Tuberculosis continues to be a major health problem in the world with an incidence of more than 10 million cases in 2015. There are factors that change the risk of developing the disease after infection, as well as the presentation of the disease. Objective: To determine the main comorbidities and demographic, clinical and microbiological characteristics of tuberculosis adult patients in Argentina from a gender and age perspective. Materials and methods: We conducted a cross-sectional study in urban referral hospitals for patients with tuberculosis. We included tuberculosis patients of 15 years or more of age who were hospitalized or treated in outpatient clinics with bacteriologically confirmed pulmonary or extrapulmonary forms of the disease, as well as those who, although not bacteriologically confirmed, had clinical and radiological characteristics consistent with tuberculosis. The study period was from August 1st, 2015 to August 31st, 2016. Results: We included 378 patients. The median age was 37 years. Male gender was associated with extrapulmonary tuberculosis, hospitalization, smoking, drug addiction and alcoholism. Tuberculosis and aids (22.6%) was related to drug use, admission into hospital, extrapulmonary tuberculosis, nonaddiction to tobacco, non-pathological radiology, absence of cavitation, and negative sputum smear microscopy. Patients less than 40 years of age had a higher rate of drug addiction and low weight, while those aged 40 or over had a higher proportion of diabetes, alcoholism and chronic obstructive pulmonary disease (COPD). Conclusions: This study will help recognize tuberculosis patients’ characteristics and comorbidities influencing the development and evolution of the disease from an age and gender perspective to enable the development of social and community-based strategies.https://www.revistabiomedica.org/index.php/biomedica/article/view/3904Tuberculosiscomorbiditygender identityage groupsacquired immunodeficiency syndromerisk factorsArgentina. |
| spellingShingle | Alberto Echazarreta Elsa Zerbini José De Sandro César Sáenz Leyla Yessi Romina Saad Gabriela Manonelles Mónica Cuello Tuberculosis and comorbidities in urban areas in Argentina. A gender and age perspective Biomédica: revista del Instituto Nacional de Salud Tuberculosis comorbidity gender identity age groups acquired immunodeficiency syndrome risk factors Argentina. |
| title | Tuberculosis and comorbidities in urban areas in Argentina. A gender and age perspective |
| title_full | Tuberculosis and comorbidities in urban areas in Argentina. A gender and age perspective |
| title_fullStr | Tuberculosis and comorbidities in urban areas in Argentina. A gender and age perspective |
| title_full_unstemmed | Tuberculosis and comorbidities in urban areas in Argentina. A gender and age perspective |
| title_short | Tuberculosis and comorbidities in urban areas in Argentina. A gender and age perspective |
| title_sort | tuberculosis and comorbidities in urban areas in argentina a gender and age perspective |
| topic | Tuberculosis comorbidity gender identity age groups acquired immunodeficiency syndrome risk factors Argentina. |
| url | https://www.revistabiomedica.org/index.php/biomedica/article/view/3904 |
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