Title
Sociodemographic and physiopathological factors associated with tuberculosis of the central nervous system in a public hospital of Lima-Peru, 2014-2017
Other title
[Factores sociodemográficos y fisiopatológicos asociados a la tuberculosis del sistema nervioso central en un Hospital Público de Lima-Perú, 2014-2017]
Date Issued
01 January 2019
Access level
open access
Resource Type
journal article
Author(s)
Publisher(s)
Asociacion Colombiana de Infectologia
Abstract
Objective: To determine the sociodemographic and physiopathological factors of neurotuberculosis (NTB) in the patients registered in the Tuberculosis Control Program (TCP) of the Hospital Nacional Dos de Mayo. Materials and Methods: Analytical cross- sectional study, developed between July 2014 and 2017 July. We designed a card that included data sociodemographic, pathophysiological and the diagnostic characteristics. Were obtained prevalence ratio (RP) raw and adjusted, with 95% confidence intervals. Results: 1038 patients participated. 16% of the entire population and 34% of the extrapulmonary tuberculosis had NTB. The most common clinical form was tuberculous meningoencephalitis (MEC TB) (96%). Within the clinical manifestations emphasized the seizures (22%), headache (20%), meningeal signs (18%) and sensory disorder (16%). The presence of NTB was associated with the diagnosis of HIV (aPR: 2.06, 95%CI: 1.53-2.76, P value <0.001), alcoholism (aPR: 1.53, 95%CI: 1.04-2.25, p value = 0.030) and female gender (aPR: 1.40, 95%CI: 1.06-1.84, p value = 0.019). Conclusions: The diagnosis of HIV, condition of alcoholism and the female gender are factors associated with increased frequency of NTB in the Hospital Dos de Mayo.
Start page
155
End page
160
Volume
23
Issue
2
Language
Spanish
OCDE Knowledge area
Neurociencias
Neurología clínica
Subjects
Scopus EID
2-s2.0-85065015242
Source
Infectio
ISSN of the container
01239392
Sponsor(s)
Por la naturaleza del estudio (que se basó en la obtención de la información de los registros, sin encuestar ni tener contacto con ninguno de los pacientes) no se requirió consentimiento informado alguno. Se solicitó el permiso a la Oficina de Capa-citación y Docencia, Servicio de Neumología y la Oficina del Programa de Control de la Tuberculosis del Hospital Nacional Dos de Mayo; esto para la realización del estudio y acceso a las historias clínicas. Se obtuvo todas las autorizaciones y aprobaciones respectivas (Registro de Referencia N° 021219).
Sources of information:
Directorio de Producción Científica
Scopus