Factores asociados al abandono del tratamiento de la tuberculosis en la provincia de Granada

Rueda, María José Molina; Ajuria, Alberto Fernández; Águila, M.M. Rodríguez del; Hernández, Begoña López

doi:10.1016/j.rce.2012.03.013

Cited by 7 publications

(2 citation statements)

References 15 publications

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“…Moreover, this study showed that lost to follow-up patients were more frequently infected with a resistant M. tuberculosis strain compared to patients who completed or were still on treatment (11% vs. 7.4%), highlighting the vicious circle among poor compliance to treatment and resistance to antitubercular drugs 77. Higher therapeutic abandonment has been recently found also in foreign born patients if compared to natives in Granada (Spain)79 and in Chinese internal migrants if compared to permanent residents 78…”

Section: Tb Diagnosis and Management In Immigrantsmentioning

confidence: 65%

“…TB treatment in migrant populations can be challenging due to lower adherence to treatment 77–79. According to a recent study, loss to follow-up in TB cases in UK appears to occur primarily in young male adults and in subjects born outside the UK, particularly those who migrated within the 2 years prior to diagnosis 77.…”

Section: Tb Diagnosis and Management In Immigrantsmentioning

confidence: 99%

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Tuberculosis in Tropical Areas and Immigrants

Zammarchi

Bartalesi²,

Bartoloni³

2014

Mediterr J Hematol Infect Dis

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About 95% of cases and 98% of deaths due to tuberculosis (TB) occur in tropical countries while, in temperate low incidence countries, a disproportionate portion of TB cases is diagnosed in immigrants.Urbanization, poverty, poor housing conditions and ventilation, poor nutritional status, low education level, the HIV co-epidemic, the growing impact of chronic conditions such as diabetes are the main determinants of the current TB epidemiology in tropical areas. TB care in these contests is complicated by several barriers such as geographical accessibility, educational, cultural, sociopsychological and gender issues. High quality microbiological and radiological facilities are not widely available, and erratic supply of anti-TB drugs may affect tropical areas from time to time. Nevertheless in recent years, TB control programs reached major achievements in tropical countries as demonstrated by several indicators.Migrants have a high risk of acquire TB before migration. Moreover, after migration, they are exposed to additional risk factors for acquiring or reactivating TB infection, such as poverty, stressful living conditions, social inequalities, overcrowded housing, malnutrition, substance abuse, and limited access to health care. TB mass screening programs for migrants have been implemented in low endemic countries but present several limitations. Screening programs should not represent a stand-alone intervention, but a component of a wider approach integrated with other healthcare activities to ensure the health of migrants.

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Section: Tb Diagnosis and Management In Immigrantsmentioning

confidence: 65%

Section: Tb Diagnosis and Management In Immigrantsmentioning

confidence: 99%

Tuberculosis in Tropical Areas and Immigrants

Zammarchi

Bartalesi²,

Bartoloni³

2014

Mediterr J Hematol Infect Dis

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Factores asociados a la adherencia en el tratamiento de la infección tuberculosa

et al. 2014

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The treatment compliance rate of Tuberculosis infection was high among people who started therapy. Almost a half of the contacts with TI did not start treatment, and associated factors were: age, social relationship, and the TST reaction. The treatment regimen was associated with greater compliance. It is important to know the factors associated with adherence to treatment of TI in each health area, and focus efforts on risk groups; thereby approaching the global control of tuberculosis.

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