Bacteriological conversion associated with co-morbidity and provision of services, in new cases of Tuberculosis pulmonary BK +. Area 7 Ecuador

Authors

  • Amable Bermeo Flores Universidad Nacional de Loja
  • Estrellita Arciniega Gutiérrez Universidad Nacional de Loja
  • Max González Merizalde Universidad Nacional de Loja
  • Fabiola Barba Tapia Dirección Provincial de Salud de Loja
  • Miriam Rivera Dirección Provincial de Salud de El Oro
  • David Zabala Ministerio de Salud Perú

Keywords:

bacteriological conversion, diabetes, tuberculosis

Abstract

Tuberculosis is a public health problem that continues to affect the world, particularly the poorest and developing countries; Ecuador has the sixth highest prevalence rate of Tb in the Americas; the province of El Oro, located in Zone 7, is one of the most affected; therein there have been reported cases of non-bacteriological conversion and the factors that are in uencing remain unknown. The study was focused on estimating the negativization time of sputum smear in new positive cases with pulmonary tuberculosis (BK +) and its probable association with comorbidity and medical services. This study, of prospective and correlational design, was developed in Zone 7 during the period 2013- 2015; the goal population consisted of 389 new cases diagnosed through bacilloscopy. Among the main results, bacteriological conversion to the second month of treatment was 91,70 %; the identi ed associated factors with non-conversion are male sex (OR = 5,58 95 % CI = 1,92-16,24 p = 0,00), bacillary load> = ++ (OR = 3,87 95 % CI = 1,55-9,63 p = 0,02) and diabetes (OR = 2,51 95 % CI = 1,15-5,51 p = 001). In conclusion, the bacteriological conversion to the second month of treatment is not achieved in 100 % of cases in Ecuador’s Zone 7 and the associated factors are male sex, bacillary load> = ++ and diabetes. 

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Author Biography

David Zabala, Ministerio de Salud Perú

Ministerio de Salud Perú 

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Published

2016-12-04

How to Cite

Bermeo Flores, A., Arciniega Gutiérrez, E., González Merizalde, M., Barba Tapia, F., Rivera, M., & Zabala, D. (2016). Bacteriological conversion associated with co-morbidity and provision of services, in new cases of Tuberculosis pulmonary BK +. Area 7 Ecuador. CEDAMAZ, 5(1). Retrieved from https://revistas.unl.edu.ec/index.php/cedamaz/article/view/44

Issue

Vol. 5 No. 1 (2015)

Section

Research Articles

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