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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...
Autores principales: | , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Organización Panamericana de la Salud
2017
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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. |
format | Online Article Text |
id | pubmed-6645313 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Organización Panamericana de la Salud |
record_format | MEDLINE/PubMed |
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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