Interdisciplinary Journal of Epidemiology and Public Health https://revistas.unilibre.edu.co/index.php/iJEPH <p>The Interdisciplinary&nbsp;Journal of Epidemiology and Public Health (IJEPH) is an open access, peer-reviewed, online journal committed to advance knowledge in the fields of epidemiology, public health and preventive medicine, by publishing original contributions coming from any related discipline with direct impact to the health of the international community.&nbsp;The iJEPH aims to publish innovative articles on all aspect of epidemiology and public health including preventive medicine, social determinants of health, and the impact of population interventions, practices and policies on health worldwide.</p> <p>The iJEPH also aims to significantly contribute to improve health globally by becoming an essential novel teaching resource for the academic community and a source of new and rigorous scientific evidence for health care providers and policy makers.</p> Universidad Libre en-US Interdisciplinary Journal of Epidemiology and Public Health 2665-427X Hospital epidemiology: from Semmelweis to the post-antibiotic era https://revistas.unilibre.edu.co/index.php/iJEPH/article/view/5675 <p>A mediados de 1948, en el hospital general Allgemeines KrankenHaus de Viena, Ignaz Philipp Semmelweis propuso el uso de soluciones con cloro para el lavado de las manos de los médicos. Esta medida se debía realizar antes y después de atender y examinar a mujeres que se encontraban en trabajo de parto. ESta fue la medida más efectivas para reducir las altas tasas de mortalidad a causa de la fiebre puerperal. En ese momneto, Semmelweis sembró la semilla la cual germinaría una de las más importantes ramas de la salud pública, La Epidemiologia Hospitalaria (1).</p> Robinson Pacheco ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2019-01-30 2019-01-30 2 1 013 10.18041/2665-427X/ijeph.1.5675 Alterations of the oral language in institutionalized children in community homes: Prevalence and determinants https://revistas.unilibre.edu.co/index.php/iJEPH/article/view/5348 <p><strong>Introduction:</strong> Alteration of the language can cause low academic performance and possible school dropout, especially in children from socially and educationally disadvantaged families.<br><strong>Objective:</strong> To determine the prevalence and describe the determinants associated with alterations of oral language in children from community homes (HC) that are attended by the Instituto Colombiano de Bienestar Familiar (ICBF).<br><strong>Methods:</strong> Descriptive cross-sectional observational study. Were included 261 children aged 3-5 years. The TECAL and TEPROSIF-R test were used to evaluate the language and a survey of sociodemographic characteristics. The odds ratio was determined to quantify the degree of association. The multivariate model and stepwise backward method were used to selected the variables.<br><strong>Results:</strong> The 54.7% of the children were male, 55.2% entered the garden in the range of 24 to 35 months and 20.3% of the children were part of a family victim of armed conflict. The frequency of oral language alterations was 46.7%, the most common language was mix alteration with 18.4%, followed by alteration of the expressive level (15.3%). The variables occupation of the father (ORa: 2.35) and being a victim of the armed conflict with (ORa: 1.86) possibly explain independently the alterations of language in children attending the HC of the ICBF.<br><strong>Conclusions:</strong> The prevalence of oral language disorders in children attending HC is high; two social variables with an association are detected: the occupation of the father and the victim of the armed conflict, studies with an analytical approach are considered to find factors of protection and risk.</p> Lina Marcela Rojas Diego Muñoz Sotelo Eimy Johana Burbano Lasso Robinson Pacheco ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2019-06-28 2019-06-28 2 1 015 10.18041/2665-427X/ijeph.1.5348 Frequency and determinants of the re-entry in patients with serious mental disorder https://revistas.unilibre.edu.co/index.php/iJEPH/article/view/5499 <p><strong>Introduction:</strong> It is estimated that at least 50% of patients who are regular users of psychiatric hospitalization services have been re-hospitalized during the first year of hospital discharge. To reduce the impact derived from the attention in health events, the SGGC of Colombia recommends that health institutions optimize care resources, evaluate and improve the quality of care in the population that requires hospitalization.<br><strong>Objective:</strong> To identify the determinants related to hospital readmission in patients with a diagnosis compatible with Serious Mental Disorder in a specialized IPS of Cali - Colombia 2017.<br><strong>Methods:</strong> A case-control study was conducted in an IPS specialized in Mental health in the city of Cali, 105 cases and 315 controls were included. For a sample of 420 patients. A bivariate analysis and multivariate analysis were performed. All calculations and statistical tests were performed at a 95% confidence level in the Stata 12 statistical program.<br><strong>Results:</strong> 14.2% of the patients presented at least one reentry. Bipolar affective disorder occurred more frequently in readmissions with 41%, but did not present a statistically significant association with an adjusted OR of 0.94 (CI 95%: 0.53-1.67. The final model showed statistical significance in adherence to treatment as a protective factor to prevent hospital readmission in patients with TMG with an adjusted OR of 0.35 (CI 95%: 0.21-0.58).<br><strong>Conclusions:</strong> The total patients, contributed with 153 hospitalizations (20.7%). For this reason, it is important to follow up the event to establish the causes of re-entry and establish actions that allow reducing their frequency.</p> Nancy Milena Campo Alegría Laura Milena Cardona Marín Jenny Carolina López Pacheco Robinson Pacheco López ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2019-06-27 2019-06-27 2 1 016 10.18041/2665-427X/ijeph.1.5499 Nontuberculous mycobacteria in patients registered in a tuberculosis control program in Southwestern Colombia, 2014-2017 https://revistas.unilibre.edu.co/index.php/iJEPH/article/view/5449 <p><span style="font-size: 9.30303px;"><strong><span style="left: 214.551px; top: 241.656px; font-family: serif; padding: 0px; transform: scaleX(0.97973);">Introduction:</span></strong></span><span style="left: 262.175px; top: 241.981px; font-size: 9.30303px; font-family: serif; padding: 0px; transform: scaleX(0.892504);"> Pulmonary disease produced by nontuberculous </span><span style="left: 214.551px; top: 255.936px; font-size: 9.30303px; font-family: serif; padding: 0px; transform: scaleX(0.87273);">mycobacteria and pulmonary tuberculosis can share clinical </span><span style="left: 214.551px; top: 269.89px; font-size: 9.30303px; font-family: serif; padding: 0px; transform: scaleX(0.896616);">signs and symptoms. It is important to discern one from the </span><span style="left: 214.551px; top: 283.845px; font-size: 9.30303px; font-family: serif; padding: 0px; transform: scaleX(0.919011);">other in order to provide the proper treatment and programmatic </span><span style="left: 214.551px; top: 297.799px; font-size: 9.30303px; font-family: serif; padding: 0px; transform: scaleX(0.908655);">management.</span></p> <p><span style="font-size: 9.30303px;"><strong><span style="left: 214.551px; top: 311.428px; font-family: serif; padding: 0px; transform: scaleX(0.915944);">Objective:</span></strong></span><span style="left: 250.043px; top: 311.754px; font-size: 9.30303px; font-family: serif; padding: 0px; transform: scaleX(0.872503);"> To describe the frequency of nontuberculous </span><span style="left: 214.551px; top: 325.708px; font-size: 9.30303px; font-family: serif; padding: 0px; transform: scaleX(0.906107);">mycobacteria isolated from patients registered in the tuberculosis </span><span style="left: 214.551px; top: 339.663px; font-size: 9.30303px; font-family: serif; padding: 0px; transform: scaleX(0.903491);">control program in Cali.</span></p> <p><span style="font-size: 9.30303px;"><strong><span style="left: 214.551px; top: 353.292px; font-family: serif; padding: 0px; transform: scaleX(0.933686);">Methods:</span></strong></span><span style="left: 247.355px; top: 353.618px; font-size: 9.30303px; font-family: serif; padding: 0px; transform: scaleX(0.911903);"> We conducted a descriptive study to know what extent </span><span style="left: 214.551px; top: 367.572px; font-size: 9.30303px; font-family: serif; padding: 0px; transform: scaleX(0.898851);">of the pulmonary tuberculosis load in Cali-Colombia corresponds </span><span style="left: 214.551px; top: 381.527px; font-size: 9.30303px; font-family: serif; padding: 0px; transform: scaleX(0.884647);">to nontuberculous mycobacteria, in a four-year period, 2014-2017. </span><span style="left: 214.551px; top: 395.481px; font-size: 9.30303px; font-family: serif; padding: 0px; transform: scaleX(0.856893);">Demographic (sex, age, health insurance), clinical (diagnosis </span><span style="left: 214.551px; top: 409.436px; font-size: 9.30303px; font-family: serif; padding: 0px; transform: scaleX(0.912883);">dates, laboratory data, comorbidities) and programmatic data </span><span style="left: 214.551px; top: 423.39px; font-size: 9.30303px; font-family: serif; padding: 0px; transform: scaleX(0.91842);">(tuberculosis treatment initiation and duration) was collected for </span><span style="left: 214.551px; top: 437.345px; font-size: 9.30303px; font-family: serif; padding: 0px; transform: scaleX(0.877234);">statistical analysis.</span></p> <p><span style="font-size: 9.30303px;"><strong><span style="left: 214.551px; top: 450.974px; font-family: serif; padding: 0px; transform: scaleX(0.917275);">Results:</span></strong></span><span style="left: 242.038px; top: 451.299px; font-size: 9.30303px; font-family: serif; padding: 0px; transform: scaleX(0.892437);"> Of 3,651 patients registered in the local tuberculosis </span><span style="left: 214.551px; top: 465.254px; font-size: 9.30303px; font-family: serif; padding: 0px; transform: scaleX(0.90968);">program with an initial diagnosis of pulmonary tuberculosis, </span><span style="left: 214.551px; top: 479.208px; font-size: 9.30303px; font-family: serif; padding: 0px; transform: scaleX(0.850799);">2,904 had sputum culture and among them 1.5% (43/2904) </span><span style="left: 214.551px; top: 493.163px; font-size: 9.30303px; font-family: serif; padding: 0px; transform: scaleX(0.877802);">had nontuberculous mycobacteria isolation rather than </span><span style="left: 214.551px; top: 507.118px; font-size: 9.30303px; font-family: serif; padding: 0px; transform: scaleX(0.881571);">Mycobacterium tuberculosis. Most of the nontuberculous </span><span style="left: 214.551px; top: 521.072px; font-size: 9.30303px; font-family: serif; padding: 0px; transform: scaleX(0.891821);">mycobacteria isolates were not identified at the species level; </span><span style="left: 214.551px; top: 535.027px; font-size: 9.30303px; font-family: serif; padding: 0px; transform: scaleX(0.858641);">M. fortuitum and M. abscessus were the most common species </span><span style="left: 214.551px; top: 548.981px; font-size: 9.30303px; font-family: serif; padding: 0px; transform: scaleX(0.858518);">identified. 86% of patients initiated unnecessary tuberculosis </span><span style="left: 214.551px; top: 562.936px; font-size: 9.30303px; font-family: serif; padding: 0px; transform: scaleX(0.916945);">treatment. </span></p> <p><span style="font-size: 9.30303px;"><strong><span style="left: 214.551px; top: 576.565px; font-family: serif; padding: 0px; transform: scaleX(0.939161);">Conclusion:</span></strong></span><span style="left: 256.766px; top: 576.89px; font-size: 9.30303px; font-family: serif; padding: 0px; transform: scaleX(0.900704);"> Nontuberculous mycobacteria isolation from </span><span style="left: 214.551px; top: 590.845px; font-size: 9.30303px; font-family: serif; padding: 0px; transform: scaleX(0.883363);">pulmonary samples could be frequent in patients registered in </span><span style="left: 214.551px; top: 604.799px; font-size: 9.30303px; font-family: serif; padding: 0px; transform: scaleX(0.844475);">the tuberculosis program in Cali, Colombia. The lack of clinical </span><span style="left: 214.551px; top: 618.754px; font-size: 9.30303px; font-family: serif; padding: 0px; transform: scaleX(0.889584);">suspicion, the limited laboratory infrastructure, and the absence of </span><span style="left: 214.551px; top: 632.708px; font-size: 9.30303px; font-family: serif; padding: 0px; transform: scaleX(0.906212);">a reporting system could be contributing factors to underestimate </span><span style="left: 214.551px; top: 646.663px; font-size: 9.30303px; font-family: serif; padding: 0px; transform: scaleX(0.879534);">the importance of nontuberculous mycobacteria in this setting. </span><span style="left: 214.551px; top: 660.618px; font-size: 9.30303px; font-family: serif; padding: 0px; transform: scaleX(0.871709);">We recommend that nontuberculous mycobacteria identification </span><span style="left: 214.551px; top: 674.572px; font-size: 9.30303px; font-family: serif; padding: 0px; transform: scaleX(0.901169);">should be considered for public health intervention. </span></p> Luis Eduardo Delgado Daniela Rocío Escobar Diana Marcela Hoyos Lucy Luna Robinson Pacheco López Beatriz Eugenia Ferro Ramos ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2020-03-10 2020-03-10 2 1 017 10.18041/2665-427X/ijeph.1.5449