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Hospital-based tuberculosis control activities in five cities of Latin America

OBJECTIVE. To generate actionable insights for improving TB control in urban areas by describing the tuberculosis (TB) control activities of hospitals in five cities in Latin America. METHODS. A descriptive study of hospital-based TB control activities was conducted in 2013–2015 using a cross-sectio...

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Autores principales: Moreno, Ralfh, López, Rafael, Tenorio, Alfonso, Victoria, Jorge, Volz, Anna, Cruz, Oscar, Moreno, Ernesto, Quijada, Carlos, Hesse-de-Herrera, Ana, Aguirre, Sarita, Santos, Laedi, Lima, Noemi, Tanomaru, Neide, Alarcon, Antonieta, Del-Granado, Mirtha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Organización Panamericana de la Salud 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6645313/
https://www.ncbi.nlm.nih.gov/pubmed/31384249
http://dx.doi.org/10.26633/RPSP.2017.95
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author Moreno, Ralfh
López, Rafael
Tenorio, Alfonso
Victoria, Jorge
Volz, Anna
Cruz, Oscar
Moreno, Ernesto
Quijada, Carlos
Hesse-de-Herrera, Ana
Aguirre, Sarita
Santos, Laedi
Lima, Noemi
Tanomaru, Neide
Alarcon, Antonieta
Del-Granado, Mirtha
author_facet Moreno, Ralfh
López, Rafael
Tenorio, Alfonso
Victoria, Jorge
Volz, Anna
Cruz, Oscar
Moreno, Ernesto
Quijada, Carlos
Hesse-de-Herrera, Ana
Aguirre, Sarita
Santos, Laedi
Lima, Noemi
Tanomaru, Neide
Alarcon, Antonieta
Del-Granado, Mirtha
author_sort Moreno, Ralfh
collection PubMed
description OBJECTIVE. To generate actionable insights for improving TB control in urban areas by describing the tuberculosis (TB) control activities of hospitals in five cities in Latin America. METHODS. A descriptive study of hospital-based TB control activities was conducted in 2013–2015 using a cross-sectional survey designed by the Pan American Health Organization and administered in Guatemala City, Guatemala; Guarulhos, Brazil; Bogotá, Colombia; Lima, Peru; and Asunción, Paraguay. Data were analyzed using Chi-squared, Fisher exact tests, and the Mantel–Haenszel test for Risk Ratios, as necessary (P < 0.05). RESULTS. While variation among cities existed, most hospitals (91.3%) conducted acid-fast bacilli smears for TB diagnosis and had a quality control process (94.0%), followed national TB guidelines (95%), and reported TB cases to the respective health authorities (96%). Additionally, TB treatment was offered free of charge almost universally (97.1%). However, only 74.2% of hospitals were supervised by the national or local TB programs; 52.8% followed up on the outcome of referrals; and 39.1% offered full ambulatory TB treatment, with 68.7% using Directly-Observed Therapy. CONCLUSION. The study underscored strengths and weaknesses in specific areas for TB control activities in hospitals and highlighted the importance and complexity of coordinating efforts among private and public hospitals and the various stakeholders. Local TB programs and health authorities should use these results to enhance the quality of TB-related actions in hospitals in similar settings.
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spelling pubmed-66453132019-08-05 Hospital-based tuberculosis control activities in five cities of Latin America Moreno, Ralfh López, Rafael Tenorio, Alfonso Victoria, Jorge Volz, Anna Cruz, Oscar Moreno, Ernesto Quijada, Carlos Hesse-de-Herrera, Ana Aguirre, Sarita Santos, Laedi Lima, Noemi Tanomaru, Neide Alarcon, Antonieta Del-Granado, Mirtha Rev Panam Salud Publica Original Research OBJECTIVE. To generate actionable insights for improving TB control in urban areas by describing the tuberculosis (TB) control activities of hospitals in five cities in Latin America. METHODS. A descriptive study of hospital-based TB control activities was conducted in 2013–2015 using a cross-sectional survey designed by the Pan American Health Organization and administered in Guatemala City, Guatemala; Guarulhos, Brazil; Bogotá, Colombia; Lima, Peru; and Asunción, Paraguay. Data were analyzed using Chi-squared, Fisher exact tests, and the Mantel–Haenszel test for Risk Ratios, as necessary (P < 0.05). RESULTS. While variation among cities existed, most hospitals (91.3%) conducted acid-fast bacilli smears for TB diagnosis and had a quality control process (94.0%), followed national TB guidelines (95%), and reported TB cases to the respective health authorities (96%). Additionally, TB treatment was offered free of charge almost universally (97.1%). However, only 74.2% of hospitals were supervised by the national or local TB programs; 52.8% followed up on the outcome of referrals; and 39.1% offered full ambulatory TB treatment, with 68.7% using Directly-Observed Therapy. CONCLUSION. The study underscored strengths and weaknesses in specific areas for TB control activities in hospitals and highlighted the importance and complexity of coordinating efforts among private and public hospitals and the various stakeholders. Local TB programs and health authorities should use these results to enhance the quality of TB-related actions in hospitals in similar settings. Organización Panamericana de la Salud 2017-06-19 /pmc/articles/PMC6645313/ /pubmed/31384249 http://dx.doi.org/10.26633/RPSP.2017.95 Text en https://creativecommons.org/licenses/by/4.0/  
spellingShingle Original Research
Moreno, Ralfh
López, Rafael
Tenorio, Alfonso
Victoria, Jorge
Volz, Anna
Cruz, Oscar
Moreno, Ernesto
Quijada, Carlos
Hesse-de-Herrera, Ana
Aguirre, Sarita
Santos, Laedi
Lima, Noemi
Tanomaru, Neide
Alarcon, Antonieta
Del-Granado, Mirtha
Hospital-based tuberculosis control activities in five cities of Latin America
title Hospital-based tuberculosis control activities in five cities of Latin America
title_full Hospital-based tuberculosis control activities in five cities of Latin America
title_fullStr Hospital-based tuberculosis control activities in five cities of Latin America
title_full_unstemmed Hospital-based tuberculosis control activities in five cities of Latin America
title_short Hospital-based tuberculosis control activities in five cities of Latin America
title_sort hospital-based tuberculosis control activities in five cities of latin america
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6645313/
https://www.ncbi.nlm.nih.gov/pubmed/31384249
http://dx.doi.org/10.26633/RPSP.2017.95
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