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Int J Tuberc Lung Dis ; 22(1): 86-92, 2018 01 01.
Artículo en Inglés | MEDLINE | ID: mdl-29297431

RESUMEN

INTRODUCTION: The increasing prevalence of non-communicable diseases (NCDs) poses a major challenge to low- and middle-income countries. Patients' engagement with health services for anti-tuberculosis treatment provides an opportunity for screening for NCDs and for linkage to care. METHODS: We explored the feasibility and yield of screening for NCDs in patients treated for tuberculosis (TB) in Lima, Peru, as part of a study focused on chronic respiratory sequelae. A representative sample of community controls was recruited from the same geographical area. Screening entailed taking a medical history and performing ambulatory blood pressure measurement and urinalysis. RESULTS: A total of 177 participants with previous TB (33 with multidrug-resistant TB) and 161 community controls were evaluated. There was an almost four-fold increased prevalence of self-reported diabetes mellitus (DM) in the TB group (adjusted prevalence ratio 3.66, 95%CI 1.68-8.01). Among those without self-reported DM, 3.3% had glycosuria, with a number needed to screen (NNS) of 31. The NNS to find one (new) case of hypertension or proteinuria in the TB group was respectively 24 and 5. CONCLUSION: Patient-centred care that includes pragmatic NCD screening is feasible in TB patients, and the treatment period provides a good opportunity to link patients to ongoing care.


Asunto(s)
Diabetes Mellitus/epidemiología , Tamizaje Masivo/métodos , Enfermedades no Transmisibles/epidemiología , Tuberculosis/epidemiología , Adulto , Monitoreo Ambulatorio de la Presión Arterial/métodos , Estudios de Cohortes , Diabetes Mellitus/diagnóstico , Estudios de Factibilidad , Femenino , Humanos , Masculino , Persona de Mediana Edad , Atención Dirigida al Paciente/métodos , Perú/epidemiología , Prevalencia , Tuberculosis Resistente a Múltiples Medicamentos/epidemiología , Urinálisis/métodos , Adulto Joven
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