Epidemiology of Tuberculosis in a Cohort of Children in the Colombian Pacific Coast 2009- 2013
Epidemiology of Tuberculosis in a Cohort of Children in the Colombian Pacific Coast 2009- 2013
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Introduction: The diagnosis of pulmonary tuberculosis in children is a challenge in all tuberculosis programs.The adverse social and economic conditions of the Colombian Pacific EVALUATION OF DISTAL UPPER EXTREMITY (DUE) MUSCULOSKELETAL DISORDERS BY STRAIN INDEX (SI) IN AN IRONWORK INDUSTRY Coast make it a complex area for the management of the disease, especially in children.Objective: To describe the demographic and clinical characteristics, and the outcomes in the pediatric population with pulmonary tuberculosis in Buenaventura, Colombia.
Methods: We conducted a descriptive observational study of a historical cohort (2009-2013) of children enrolled in the tuberculosis control program of Buenaventura.Results: A total of 163 cases were found and analyzed.There was no significant difference in sex distribution.
The most frequent age group was 1-5 years (51%) and 55% belonged to the subsidized health system.The clinical TB diagnosis prevailed (55%), while the laboratory diagnosis was significant in patients older than 7 years.92% entered the program as new cases, and 40% had their treatment finished at discharge.
Adherence to treatment compliance was less than 50% in both phases of treatment.The incidence of childhood pulmonary tuberculosis during the study period ranged between 2 and 4 x 100,000 inhabitants.There were inconsistences in the information between the Tuberculosis program of the Municipality and the National Surveillance System of Colombia.
Conclusion: The social and political difficulties in depressed areas of Buenaventura, a remote town in the Pacific Coast of Colombia, have a negative impact on the control of TB, despite strategies of childhood pulmonary tuberculosis based on timely diagnosis and treatment; effective follow-up of cases; study of contacts; and efficient, Evaluation of Air Traffic Network Resilience: A UK Case Study timely notification.