Epidemiology of Tuberculosis in a Cohort of Children in the Colombian Pacific Coast 2009- 2013
DOI:
https://doi.org/10.18041/2665-427X/ijeph.1.3871Keywords:
Tuberculosis, Pulmonary tuberculosis, child, cohort, ColombiaAbstract
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 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, timely notification.
Downloads
References
Dheda K, Barry CE, Maartens G. Tuberculosis. Lancet. 2016; 387(10024): 1211-26.
Lee SH. Tuberculosis infection and latent tuberculosis. Tuberc Respir Dis (Seoul). 2016;79(4):201. Doi: 10.4046/trd.2016.79.4.201.
Zumla A, Raviglione M, Hafner R, Fordham von Reyn C. Tuberculosis. N Engl J Med. 2013; 368(8): 745-55. doi:
1056/NEJMra1200894.
Perez-Velez CM, Marais BJ. Tuberculosis in children. N Engl J Med. 2012; 367(4): 348–61.
WHO. Guidance for national tuberculosis programmes on the management of tuberculosis in children – 2nd ed. Geneva, Switzerland: WHO; 2014.
Instituto Nacional de Salud. Protocolo de vigilancia en salud publicaTuberculosis. Bogotá: INS; 2014. http://www.ins.gov.co:81/lineas-deaccion/Subdireccion-Vigilancia/sivigila/Protocolos SIVIGILA/PRO
Tuberculosis.pdf
Suarez RF. Buenaventura: una ciudad-puerto, globalizante, diversa y multicultural. Rey TE; Calvo GP. XIV Encuentro de Latinoamericanistas Españoles: congreso internacional, Sep 2010, Santiago de Compostela, España. Universidade de Santiago de Compostela, Centro Interdisciplinario de Estudios Americanistas Gumersindo Busto; Consejo Español de Estudios Iberoamericanos; 2010. pp.2488-2507.
Instituto Nacional de Salud. Informe Epidemiológico Nacional 2012. Bogotá (Colombia); 2015. http://doi.org/10.1017/CBO9781107415324.004
Panqueva COP, Morales dLJE. Tuberculosis en niños. Precop SCP. 2011; 10(2) :62-69.
OPS. Detección oportuna de tuberculosis permitirá reducir la mortalidad en niños y niñas. Bogotá; 2013. Available from: https://www.paho.org/col/index.php?option=com_docman&view=download&category_slug=publicaciones-opsoms-colombia&alias=1403-tb-24-marzo-2013&Itemid=688.
Prada S, Sarria M, González J. ¿Y usted, como lo haría?: El programa de tuberculosis de Medicos sin Fronteras en Buenaventura. Available at SSRN: https://ssrn.com/abstract=2931161.
DANE: Mercado laboral de la ciudad de Buenaventura 2016. https://www.dane.gov.co/files/investigaciones/boletines/ech/ech_buenav entura/boletin_buenaventura_16.pdf.
DANE. Censo General de Colombia: 2005. 2005; http://www.dane.gov.co/index.php/estadisticas-por-tema/demografia-ypoblacion/censo-general-2005-1.
Fundación Panamerica para el Desarrollo. Buenaventura, ciudad puerto de clase mundial. Plan local de empleo 2011-2015. 2012. http://www.mintrabajo.gov.co/documents/20147/18956918/
Plan+ Local+de+Empleo+de+Buenaventura+2012.pdf/7c1a4b61-4952-aeaf- f014-9f03bbd3c754?download=true.
Perez PT, Perez GL, Ghaddar FN. Caracterización clínico epidemiológica de la tuberculosis en la edad pediátrica. Santa Clara. 2009-2011 (Cuba). Universidad de Ciencias Médicas “Dr. Serafín Ruíz de Zárate Ruíz” de Villa Clara; 2013. http://files.sld.cu/enfermeria-pediatria/files/2013/03/mencion-3-caracterizacion-clinico-epidemiologica-de-la-tuberculosis-en-laedad-pediatrica-santa-clara-2009-2011.pdf.
Ministerio de Protección Social, OMS. Capitulo 7: Tuberculosis Infantil. Aten Integr a las Enfermedades Prevalentes la Infanc. 2009; http://www.saludinfantilvalledelcauca.com/uploads/1/3/7/8/13787752/ca pitulo_7_tuberculosis_infantil.pdf
Mecanismo coordinador de País. Fortalecer la estrategia Alto a la Tuberculosis en 46 municipios prioritarios del Litoral Pacífico colombiano. 2013. http://www.mcpcolombia.co/tuberculosis/alto-a-la-tb
Gladys DC, Suárez A, Lázara IL, Cabrera C, Elizabeth L, Rodríguez R, et al. Tuberculosis en menores de 15 años. Rev Cubana Pediatr. 2014;86(1):59–67. http://pesquisa.bvsalud.org/portal/resource/es/lil- 709193
Villegas SL, Ferro BE, Rojas CM, Perez-Velez CM. Assessment of children exposed to adult pulmonary tuberculosis in Cali, Colombia. Paediatr Int Child Health. 2014; 34(3): 170–7. http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=24939365
Zorzenon dSRM, Amador A, de Souza WV, de Albuquerque MFPM, Ponce DS, Ruffino-Netto A, et al. A dynamic analysis of tuberculosis dissemination to improve control and surveillance. PLoS ONE. 2010; 5(11): e14140. Doi: 10.1371/journal.pone.0014140
Cegielski JP, Griffith DE, McGaha PK, Wolfgang M, Robinson CB, Clark PA, et al. Eliminating Tuberculosis One Neighborhood at a Time. Am J Public Health. 2013; 103(7):1292–1300. doi:10.2105/AJPH.2012.300781
Graham SM, Ahmed T, Amanullah F, Browning R, Cardenas V, Casenghi M, et al. Evaluation of tuberculosis diagnostics in children: 1. Proposed clinical case definitions for classification of intrathoracic tuberculosis disease. Consensus from an expert panel. J Infect Dis. 2012; 205(suppl 2):199–208. Doi: 10.1093/infdis/jis008
Ministerio de Protección Social. Guía II: guía de la atención de tuberculosis pulmonar y extrapulmonar. Bogotá. (Colombia); 2007. https://www.minsalud.gov.co/Documentos y Publicaciones/GUIAS DE ATENCION-TOMO DOS.pdf
Erkens CGM, de Vries G, Keizer ST, Slump E, van den Hof S. The epidemiology of childhood tuberculosis in the Netherlands: still room for prevention. BMC Infect Dis. 2014; 14(1): 295.
Published
Versions
- 2023-06-14 (5)
- 2023-06-14 (4)
- 2023-06-14 (3)
- 2021-06-21 (2)
- 2018-11-07 (1)
Issue
Section
License
Copyright (c) 2018 Interdisciplinary Journal of Epidemiology and Public Health
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
-
Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
-
NonCommercial — You may not use the material for commercial purposes.
-
NoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
