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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Conocer la prevalencia y caracteristicas de los factores sociales de riesgo &#40;FSR&#41; para la falta de cumplimiento terapeutico entre los enfermos de tuberculosis de Pontevedra&#46;</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&#46; Se considero FSR la presencia de aislamiento social &#40;alcoholismo&#44; uso de drogas por via parenteral&#44; presidiario&#44; sin domicilio fijo-sin techo&#44; inadaptacion social&#41; o la inmigracion&#46; Se calculo la prevalencia y la tendencia anual de los FSR&#44; la situacion final de los pacientes y la influencia de la administracion directamente observada del tratamiento en la situacion final&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">De los 775 casos de TB&#44; 156 pacientes &#40;20&#44;1&#37;&#41; tenian algun FSR&#44; 86 pacientes presentaban alcoholismo&#44; 41 eran usuarios de drogas por via parenteral&#44; 24 eran inmigrantes&#44; 14 no tenian domicilio fijo&#44; 11 se consideraron con inadaptacion social y 10 eran presidiarios&#46; La presencia de FSR entre los enfermos de tuberculosis no mostro una tendencia a aumentar o disminuir durante el periodo de estudio&#44; excepto por el incremento de inmigrantes &#40;&#967;<span class="elsevierStyleSup">2</span> para la tendencia lineal &#61; 12&#44;24&#59; p &#61; 0&#44;005&#41;&#46; La proporcion de pacientes con situacion final satisfactoria &#40;curacion bacteriologica o tratamiento finalizado&#41; fue significativamente mayor en el grupo de pacientes sin FSR &#40;el 90&#44;4 frente al 70&#44;8&#37;&#59; p &#60; 0&#44;001&#41;&#46; La administracion directamente observada del tratamiento a los pacientes con FSR no mejoro de manera significativa el porcentaje de enfermos con situacion final satisfactoria&#46;</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&#46; La presencia de FSR entre los enfermos con tuberculosis es baja en nuestro medio&#46; Existe una incipiente tendencia al aumento de enfermos inmigrantes procedentes de paises con mayor prevalencia de tuberculosis&#44; hecho que debe considerarse de cara a un mejor control de la enfermedad&#46;</p>"
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        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To determine the prevalence and characteristics of social risk factors &#40;SRF&#41; for noncompliance with treatment in patients with tuberculosis &#40;TB&#41; in Pontevedra&#46;</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&#46; A patient was considered as having SRF if he or she was socially isolated &#40;alcoholism&#44; intravenous drug use&#44; prison inmate&#44; homelessness or social maladjustment&#41; or was an immigrant&#46; The prevalence&#44; annual trend of SRF and patient outcomes were calculated&#46; The influence of direct observation of treatment administration on the outcome of patients with SRF was also analyzed&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Of 775 patients with TB&#44; 156 &#40;20&#46;1&#37;&#41; had at least one SRF&#46; Eighty-six patients were alcoholic&#44; 41 were intravenous drug users&#44; 24 were immigrants&#44; 11 were homeless&#44; 11 showed social maladjustment and 10 were prison inmates&#46; The presence of SRF among TB patients showed no tendency to increase or decrease during the study period&#44; except for the increasing number of immigrants &#40;&#967;<span class="elsevierStyleSup">2</span> for lineal tendency &#61; 12&#46;24&#59; p &#61; 0&#46;005&#41;&#46; Final outcomes were significantly better in patients without SRF &#40;90&#46;4 vs 70&#46;8&#37; of satisfactory final outcomes&#59; p &#60; 0&#46;001&#41;&#46; Direct observation of treatment did not increase satisfactory outcomes in patients with SRF&#46;</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&#46; The presence of SRF is relatively low in our environment&#46; The number of immigrants from countries with a high prevalence of TB shows an incipient tendency to increase&#46; This finding should be taken into account to achieve better control of the disease&#46;</p>"
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