Seguimiento del procedimiento diagnóstico de tuberculosis pulmonar en tosedores crónicos indígenas de la Sierra Santa Marta, Veracruz, México
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Fecha
2007
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Población y Salud en Mesoamérica, Revista Electrónica, Volumen 4, número 2, artículo 4, enero-junio
Páginas
1-17
Resumen
La tuberculosis pulmonar como causa de enfermedad y muerte es un importante problema de salud pública, debido a que un gran número de personas que desarrollan tuberculosis no tienen oportunidad del diagnóstico y tratamiento oportunos. El objetivo de este estudio fueexplorar la colaboración de la población tosedora para seguir el procedimiento diagnóstico establecido por la Norma Oficial Mexicana para la Prevención y Control de la Tuberculosis en la atención primaria a la salud (NOM) en poblaciones indígenas, en un contexto de elevada prevalencia de tuberculosis pulmonar, pobreza y ausencia de servicios locales de salud. Se estimó la prevalencia de tos crónica y se realizó análisis multivariado usando un modelo de regresión logística lineal para identificar algunos factores explicativos del número de muestras de expectoración entregadas. Se discuten las dificultades para establecer el diagnóstico de tuberculosis pulmonar en población indígena y se propone la necesidad de replantear las estrategias de búsqueda y diagnóstico en poblaciones de alto riesgo como la considerada en este estudio.
Pulmonary tuberculosis as a cause of illness and death is a significant public health problem, because of a large proportion of people who develop the disease does not have the opportunity to be diagnosed and treated. The objective of this study was to explore an indigenous population with chronic coughs in order to follow the diagnostic procedure established as part of the Official Mexican Regulations for the Prevention and Control of Tuberculosis in Primary Care Attention (NOM). This population was studied in a context of high prevalence of tuberculosis pulmonary, poverty and the absence of local health services. We estimated the prevalence of chronic coughs. Multivariate analysis was performed using linear logistic regression in order to identify some explicatory variables of the number of sputum samples delivered. We discuss the difficulties in establishing a diagnosis of pulmonary tuberculosis for members of the indigenous population and suggest that it is necessary to redesign strategies of investigation and diagnosis for high risk populations, like those considered in this study.
Pulmonary tuberculosis as a cause of illness and death is a significant public health problem, because of a large proportion of people who develop the disease does not have the opportunity to be diagnosed and treated. The objective of this study was to explore an indigenous population with chronic coughs in order to follow the diagnostic procedure established as part of the Official Mexican Regulations for the Prevention and Control of Tuberculosis in Primary Care Attention (NOM). This population was studied in a context of high prevalence of tuberculosis pulmonary, poverty and the absence of local health services. We estimated the prevalence of chronic coughs. Multivariate analysis was performed using linear logistic regression in order to identify some explicatory variables of the number of sputum samples delivered. We discuss the difficulties in establishing a diagnosis of pulmonary tuberculosis for members of the indigenous population and suggest that it is necessary to redesign strategies of investigation and diagnosis for high risk populations, like those considered in this study.
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Palabras clave
TUBERCULOSIS, ENFERMEDADES INFECCIOSAS, POBLACION INDIGENA, MEXICO