Tuberculosis e inmigración en un área sanitaria de Madrid. Situación epidemiológica y evolución en la década 1994-2003 / Tuberculosis and immigration in a health sanitary area in Madrid, Spain. Trends in 1994-2003
Med. clín (Ed. impr.)
; 125(6): 210-212, jul. 2005. tab, graf
Article
em Es
| IBECS
| ID: ibc-038752
Biblioteca responsável:
ES1.1
Localização: ES1.1 - BNCS
RESUMEN
Fundamento y objetivo:
El objetivo de este estudio es cuantificar el aumento de tuberculosis importada y comparar las características clinicoepidemiológicas entre inmigrantes y autóctonos. Población ymétodo:
Estudio descriptivo poblacional de casos diagnosticados en Madrid (Área 11, 755.202 habitantes), en el período 1994-2003. La fuente de datos utilizada fue el Registro Regional de Casos de Tuberculosis.Resultados:
Se notificaron 2.211 casos, 269 (12,1%) correspondían a inmigrantes. La tasa de incidencia pasó de 46,6/100.000 en 1994 (2,9% inmigrantes) a 25,2/100.000 en 2003 (35,8% inmigrantes) (p < 0,001). Los inmigrantes procedían de América Latina-Caribe (56%), África (30%) y Europa (11%). El 73,6% desarrolló tuberculosis en el primer quinquenio de estancia (un 50,9% en el primer bienio).Conclusiones:
Se evidencia una tendencia decreciente en la incidencia global de tuberculosis, con disminución en la población autóctona y aumento en la población inmigrante. La mitad de los pacientes inmigrantes enferman en los 2 primeros añosABSTRACT
Background and objective:
To describe trends and epidemiological characteristics of immigrant and native populations with tuberculosis. Population andmethod:
Population-based, descriptive analysis of case data reported to the Regional Registry of Tuberculosis Cases from 1994 to 2003 living in the south of Madrid, Spain (755,202 inhabitants).Results:
The number of cases reported was 2211, of which 269 (12.1%) were foreign-born persons. Tuberculosis incidence declined from 46.6/100,000 in 1994 (2.9% immigrants) to 25.2/100,000 in 2003 (35.8% immigrants) (p < 0,001). Foreign-born persons with tuberculosis had come to Spain from Latin America-Caribbean (56%), Africa (30%) and Europe (11%). Of the foreign-born, 73.6% developed active tuberculosis within 5 years of arrival (50.9% within 2 years).Conclusions:
The incidence of tuberculosis has declined in the study area but the tendency to decrease has come to a halt because of cases occurring among immigrants. Among those for whom the date of Spain entry was known, a half arrived 2 years or less prior to the diagnosis of tuberculosis. We stress that tuberculosis control programs must target such at-risk population
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Base de dados:
IBECS
Assunto principal:
Tuberculose
/
Emigração e Imigração
Tipo de estudo:
Incidence_studies
Limite:
Humans
Idioma:
Es
Ano de publicação:
2005
Tipo de documento:
Article