El deterioro de la tuberculosis en Chile

Background: Recent data suggest an increase in tuberculosis (TB) incidence in Chile. Aim: To evaluate recent epidemiological trends, geographic extension and potential factors associated with TB reemergence in Chile. Material and Methods: Data analysis from official sources and trend analysis. R...

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Autores principales:	Fica,Alberto, Herrera,Tania, Aguilera,Ximena
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2019
Materias:	Emigrants and Immigrants Financial Support HIV Tuberculosis
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019000801042
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spelling	oai:scielo:S0034-988720190008010422019-10-24El deterioro de la tuberculosis en ChileFica,AlbertoHerrera,TaniaAguilera,Ximena Emigrants and Immigrants Financial Support HIV Tuberculosis Background: Recent data suggest an increase in tuberculosis (TB) incidence in Chile. Aim: To evaluate recent epidemiological trends, geographic extension and potential factors associated with TB reemergence in Chile. Material and Methods: Data analysis from official sources and trend analysis. Results: TB incidence rate increased from 12.3 (2014) to 14.7 (2017) per 100,000 inhabitants. Morbidity rates also increased in nine out of 15 regions. The proportion of TB cases in specific groups has also increased in the last six years: HIV/AIDS (68%), immigrants (118%), drug users/alcoholics (267%) and homeless people (370%). Several indicators of the national TB program performance have deteriorated including TB case detection, HIV co-infection study and contact tracing activities. Overall results indicate a higher than expected case-fatality ratio (> 3%), high rates of loss from follow-up (> 5%), and low percentage of cohort healing rate (< 90%). This decline is associated with a Control Program with scarce human resources whose central budget decreased by 90% from 2008 to 2014. New molecular diagnostic tools and liquid media culture were only recently implemented. Conclusions: TB trends and overall program performance indicators have deteriorated in recent years in Chile and several factors appear to be involved. Multiple strategies will be required to rectify this situation.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.147 n.8 20192019-08-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019000801042es10.4067/S0034-98872019000801042
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Emigrants and Immigrants Financial Support HIV Tuberculosis
spellingShingle	Emigrants and Immigrants Financial Support HIV Tuberculosis Fica,Alberto Herrera,Tania Aguilera,Ximena El deterioro de la tuberculosis en Chile
description	Background: Recent data suggest an increase in tuberculosis (TB) incidence in Chile. Aim: To evaluate recent epidemiological trends, geographic extension and potential factors associated with TB reemergence in Chile. Material and Methods: Data analysis from official sources and trend analysis. Results: TB incidence rate increased from 12.3 (2014) to 14.7 (2017) per 100,000 inhabitants. Morbidity rates also increased in nine out of 15 regions. The proportion of TB cases in specific groups has also increased in the last six years: HIV/AIDS (68%), immigrants (118%), drug users/alcoholics (267%) and homeless people (370%). Several indicators of the national TB program performance have deteriorated including TB case detection, HIV co-infection study and contact tracing activities. Overall results indicate a higher than expected case-fatality ratio (> 3%), high rates of loss from follow-up (> 5%), and low percentage of cohort healing rate (< 90%). This decline is associated with a Control Program with scarce human resources whose central budget decreased by 90% from 2008 to 2014. New molecular diagnostic tools and liquid media culture were only recently implemented. Conclusions: TB trends and overall program performance indicators have deteriorated in recent years in Chile and several factors appear to be involved. Multiple strategies will be required to rectify this situation.
author	Fica,Alberto Herrera,Tania Aguilera,Ximena
author_facet	Fica,Alberto Herrera,Tania Aguilera,Ximena
author_sort	Fica,Alberto
title	El deterioro de la tuberculosis en Chile
title_short	El deterioro de la tuberculosis en Chile
title_full	El deterioro de la tuberculosis en Chile
title_fullStr	El deterioro de la tuberculosis en Chile
title_full_unstemmed	El deterioro de la tuberculosis en Chile
title_sort	el deterioro de la tuberculosis en chile
publisher	Sociedad Médica de Santiago
publishDate	2019
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019000801042
work_keys_str_mv	AT ficaalberto eldeteriorodelatuberculosisenchile AT herreratania eldeteriorodelatuberculosisenchile AT aguileraximena eldeteriorodelatuberculosisenchile
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El deterioro de la tuberculosis en Chile

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