Correspondencia: L. Anibarro. Unidade de Tuberculose. Hospital Provincial. Loureiro Crespo, 2. 36001 Pontevedra. España.
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class="elsevierStyleSup">e</span>" "identificador" => "aff0025" ] ] ] 6 => array:3 [ "nombre" => "Rafael" "apellidos" => "Ojea" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:5 [ 0 => array:3 [ "entidad" => "Unidade de Tuberculose y Enfermedades Infecciosas. Servicio de Medicina Interna. Complexo Hospitalario de Pontevedra. España" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Urxencias. Complexo Hospitalario de Pontevedra. España" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Servicio de Neumoloxía. Hospital Povisa. Vigo. Pontevedra. España" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Servicio de Neumoloxía. Complexo Hospitalario de Pontevedra. España" "etiqueta" => "d" "identificador" => "aff0020" ] 4 => array:3 [ "entidad" => "Servicio de Medicina Interna. Complexo Hospitalario de Pontevedra. España" "etiqueta" => "e" "identificador" => "aff0025" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: L. Anibarro. Unidade de Tuberculose. Hospital Provincial. Loureiro Crespo, 2. 36001 Pontevedra. España." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Social risk factors for noncompliance with tuberculosis treatment in Pontevedra [Spain]" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2003-05-07" "fechaAceptado" => "2003-10-08" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec268669" "palabras" => array:7 [ 0 => "Tuberculosis" 1 => "Trabajo social" 2 => "Aislamiento social" 3 => "Factores socioeconómicos" 4 => "Cumplimiento terapéutico" 5 => "Alcoholismo" 6 => "Terapia directamente observada" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec268670" "palabras" => array:7 [ 0 => "Tuberculosis" 1 => "Social work" 2 => "Social isolation" 3 => "Socioeconomic factors" 4 => "Patient compliance" 5 => "Alcoholism" 6 => "Directly observed therapy" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Conocer la prevalencia y caracteristicas de los factores sociales de riesgo (FSR) para la falta de cumplimiento terapeutico entre los enfermos de tuberculosis de Pontevedra.</p> <span class="elsevierStyleSectionTitle">Metodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Analisis descriptivo de los enfermos de tuberculosis con FSR diagnosticados entre 1996 y 2002. Se considero FSR la presencia de aislamiento social (alcoholismo, uso de drogas por via parenteral, presidiario, sin domicilio fijo-sin techo, inadaptacion social) o la inmigracion. Se calculo la prevalencia y la tendencia anual de los FSR, la situacion final de los pacientes y la influencia de la administracion directamente observada del tratamiento en la situacion final.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">De los 775 casos de TB, 156 pacientes (20,1%) tenian algun FSR, 86 pacientes presentaban alcoholismo, 41 eran usuarios de drogas por via parenteral, 24 eran inmigrantes, 14 no tenian domicilio fijo, 11 se consideraron con inadaptacion social y 10 eran presidiarios. La presencia de FSR entre los enfermos de tuberculosis no mostro una tendencia a aumentar o disminuir durante el periodo de estudio, excepto por el incremento de inmigrantes (χ<span class="elsevierStyleSup">2</span> para la tendencia lineal = 12,24; p = 0,005). La proporcion de pacientes con situacion final satisfactoria (curacion bacteriologica o tratamiento finalizado) fue significativamente mayor en el grupo de pacientes sin FSR (el 90,4 frente al 70,8%; p < 0,001). La administracion directamente observada del tratamiento a los pacientes con FSR no mejoro de manera significativa el porcentaje de enfermos con situacion final satisfactoria.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Los pacientes con FSR tienen una mayor probabilidad de presentar una situacion final no satisfactoria. La presencia de FSR entre los enfermos con tuberculosis es baja en nuestro medio. Existe una incipiente tendencia al aumento de enfermos inmigrantes procedentes de paises con mayor prevalencia de tuberculosis, hecho que debe considerarse de cara a un mejor control de la enfermedad.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To determine the prevalence and characteristics of social risk factors (SRF) for noncompliance with treatment in patients with tuberculosis (TB) in Pontevedra.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We performed a descriptive analysis of patients with TB and SRF diagnosed between 1996 and 2002. A patient was considered as having SRF if he or she was socially isolated (alcoholism, intravenous drug use, prison inmate, homelessness or social maladjustment) or was an immigrant. The prevalence, annual trend of SRF and patient outcomes were calculated. The influence of direct observation of treatment administration on the outcome of patients with SRF was also analyzed.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Of 775 patients with TB, 156 (20.1%) had at least one SRF. Eighty-six patients were alcoholic, 41 were intravenous drug users, 24 were immigrants, 11 were homeless, 11 showed social maladjustment and 10 were prison inmates. The presence of SRF among TB patients showed no tendency to increase or decrease during the study period, except for the increasing number of immigrants (χ<span class="elsevierStyleSup">2</span> for lineal tendency = 12.24; p = 0.005). Final outcomes were significantly better in patients without SRF (90.4 vs 70.8% of satisfactory final outcomes; p < 0.001). Direct observation of treatment did not increase satisfactory outcomes in patients with SRF.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Patients with TB and SRF have a significantly higher proportion of unsatisfactory final outcomes. The presence of SRF is relatively low in our environment. The number of immigrants from countries with a high prevalence of TB shows an incipient tendency to increase. This finding should be taken into account to achieve better control of the disease.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:42 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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Zwarenstein" 1 => "J.H. Schoeman" 2 => "C. Vundule" 3 => "C.J. Lombard" 4 => "M. Tatley" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/S0140-6736(98)04022-7" "Revista" => array:6 [ "tituloSerie" => "Lancet" "fecha" => "1998" "volumen" => "352" "paginaInicial" => "1340" "paginaFinal" => "1343" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9802271" "web" => "Medline" ] ] ] ] ] ] ] ] 41 => array:3 [ "identificador" => "bib42" "etiqueta" => "42." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Walley JD, Amir Khan M, Newell JN, Hussain Khan M. Effectiveness of the direct observation component of DOTS for tuberculosis: a randomised controlled trial in Pakistan." ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/02139111/0000001800000001/v1_201310251603/S0213911104719974/v1_201310251603/es/main.assets" "Apartado" => array:4 [ "identificador" => "18705" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Originales" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/02139111/0000001800000001/v1_201310251603/S0213911104719974/v1_201310251603/es/main.pdf?idApp=WGSE&text.app=https://gacetasanitaria.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911104719974?idApp=WGSE" ]
año/Mes | Html | Total | |
---|---|---|---|
2024 Noviembre | 5 | 4 | 9 |
2024 Octubre | 57 | 39 | 96 |
2024 Septiembre | 44 | 20 | 64 |
2024 Agosto | 54 | 32 | 86 |
2024 Julio | 39 | 16 | 55 |
2024 Junio | 41 | 19 | 60 |
2024 Mayo | 37 | 21 | 58 |
2024 Abril | 34 | 16 | 50 |
2024 Marzo | 37 | 28 | 65 |
2024 Febrero | 44 | 56 | 100 |
2024 Enero | 29 | 20 | 49 |
2023 Diciembre | 27 | 9 | 36 |
2023 Noviembre | 31 | 22 | 53 |
2023 Octubre | 28 | 16 | 44 |
2023 Septiembre | 23 | 15 | 38 |
2023 Agosto | 31 | 11 | 42 |
2023 Julio | 43 | 28 | 71 |
2023 Junio | 29 | 16 | 45 |
2023 Mayo | 35 | 16 | 51 |
2023 Abril | 27 | 17 | 44 |
2023 Marzo | 36 | 37 | 73 |
2023 Febrero | 27 | 13 | 40 |
2023 Enero | 27 | 22 | 49 |
2022 Diciembre | 36 | 34 | 70 |
2022 Noviembre | 52 | 37 | 89 |
2022 Octubre | 34 | 32 | 66 |
2022 Septiembre | 60 | 29 | 89 |
2022 Agosto | 65 | 45 | 110 |
2022 Julio | 57 | 41 | 98 |
2022 Junio | 80 | 32 | 112 |
2022 Mayo | 43 | 37 | 80 |
2022 Abril | 63 | 36 | 99 |
2022 Marzo | 41 | 33 | 74 |
2022 Febrero | 33 | 35 | 68 |
2022 Enero | 20 | 24 | 44 |
2021 Diciembre | 31 | 32 | 63 |
2021 Noviembre | 22 | 36 | 58 |
2021 Octubre | 56 | 37 | 93 |
2021 Septiembre | 48 | 49 | 97 |
2021 Agosto | 25 | 25 | 50 |
2021 Julio | 53 | 26 | 79 |
2021 Junio | 15 | 20 | 35 |
2021 Mayo | 48 | 22 | 70 |
2021 Abril | 49 | 35 | 84 |
2021 Marzo | 39 | 28 | 67 |
2021 Febrero | 44 | 13 | 57 |
2021 Enero | 31 | 19 | 50 |
2020 Diciembre | 30 | 16 | 46 |
2020 Noviembre | 19 | 11 | 30 |
2020 Octubre | 14 | 9 | 23 |
2020 Septiembre | 10 | 7 | 17 |
2020 Agosto | 10 | 13 | 23 |
2020 Julio | 18 | 14 | 32 |
2020 Junio | 17 | 2 | 19 |
2020 Mayo | 13 | 4 | 17 |
2020 Abril | 20 | 12 | 32 |
2020 Marzo | 16 | 14 | 30 |
2020 Febrero | 10 | 8 | 18 |
2020 Enero | 14 | 14 | 28 |
2019 Diciembre | 20 | 17 | 37 |
2019 Noviembre | 9 | 3 | 12 |
2019 Octubre | 15 | 8 | 23 |
2019 Septiembre | 7 | 5 | 12 |
2019 Agosto | 7 | 8 | 15 |
2019 Julio | 10 | 6 | 16 |
2019 Junio | 7 | 6 | 13 |
2019 Mayo | 12 | 6 | 18 |
2019 Abril | 10 | 5 | 15 |
2019 Marzo | 9 | 12 | 21 |
2019 Febrero | 9 | 5 | 14 |
2019 Enero | 4 | 14 | 18 |
2018 Diciembre | 9 | 11 | 20 |
2018 Noviembre | 32 | 13 | 45 |
2018 Octubre | 30 | 19 | 49 |
2018 Septiembre | 36 | 15 | 51 |
2018 Agosto | 34 | 9 | 43 |
2018 Julio | 36 | 10 | 46 |
2018 Junio | 26 | 15 | 41 |
2018 Mayo | 36 | 12 | 48 |
2018 Abril | 21 | 8 | 29 |
2018 Marzo | 11 | 5 | 16 |
2018 Febrero | 19 | 6 | 25 |
2018 Enero | 8 | 4 | 12 |
2017 Diciembre | 18 | 9 | 27 |
2017 Noviembre | 10 | 13 | 23 |
2017 Octubre | 10 | 6 | 16 |
2017 Septiembre | 15 | 8 | 23 |
2017 Agosto | 12 | 5 | 17 |
2017 Julio | 19 | 5 | 24 |
2017 Junio | 23 | 12 | 35 |
2017 Mayo | 17 | 10 | 27 |
2017 Abril | 24 | 4 | 28 |
2017 Marzo | 21 | 6 | 27 |
2017 Febrero | 11 | 6 | 17 |
2017 Enero | 8 | 7 | 15 |
2016 Diciembre | 25 | 13 | 38 |
2016 Noviembre | 24 | 12 | 36 |
2016 Octubre | 22 | 11 | 33 |
2016 Septiembre | 28 | 5 | 33 |
2016 Agosto | 47 | 17 | 64 |
2016 Julio | 16 | 6 | 22 |
2016 Febrero | 2 | 0 | 2 |
2016 Enero | 1 | 0 | 1 |
2015 Diciembre | 4 | 0 | 4 |
2015 Noviembre | 1 | 0 | 1 |
2015 Octubre | 1 | 0 | 1 |
2015 Agosto | 5 | 0 | 5 |
2015 Julio | 2 | 0 | 2 |
2015 Mayo | 4 | 0 | 4 |
2015 Abril | 1 | 0 | 1 |
2015 Marzo | 1 | 0 | 1 |
2015 Febrero | 2 | 0 | 2 |
2015 Enero | 3 | 0 | 3 |
2014 Diciembre | 3 | 0 | 3 |
2014 Noviembre | 3 | 0 | 3 |
2014 Octubre | 2 | 0 | 2 |
2014 Septiembre | 9 | 0 | 9 |
2014 Agosto | 9 | 0 | 9 |
2014 Julio | 12 | 0 | 12 |
2014 Junio | 12 | 0 | 12 |
2014 Mayo | 8 | 0 | 8 |
2014 Abril | 9 | 0 | 9 |
2014 Marzo | 9 | 4 | 13 |
2014 Febrero | 12 | 1 | 13 |
2014 Enero | 14 | 1 | 15 |
2013 Diciembre | 10 | 2 | 12 |
2013 Noviembre | 28 | 2 | 30 |
2013 Octubre | 29 | 1 | 30 |
2013 Septiembre | 13 | 5 | 18 |
2013 Agosto | 28 | 4 | 32 |
2013 Julio | 18 | 1 | 19 |
2004 Enero | 1086 | 0 | 1086 |