Bibliographic citations
Mamani, P., (2019). Factores asociados al diagnóstico tardío de tuberculosis pulmonar, en los establecimientos de la Dirección Regional de Salud - Cusco, 2019. [Tesis, Universidad Andina del Cusco]. https://hdl.handle.net/20.500.12557/2344
Mamani, P., Factores asociados al diagnóstico tardío de tuberculosis pulmonar, en los establecimientos de la Dirección Regional de Salud - Cusco, 2019. [Tesis]. : Universidad Andina del Cusco; 2019. https://hdl.handle.net/20.500.12557/2344
@misc{renati/20880,
title = "Factores asociados al diagnóstico tardío de tuberculosis pulmonar, en los establecimientos de la Dirección Regional de Salud - Cusco, 2019.",
author = "Mamani Figueroa, Paul Palmer",
publisher = "Universidad Andina del Cusco",
year = "2019"
}
Background: Tuberculosis (TB) is a global health problem that requires early diagnosis, by health facilities (EESS) at the primary level. Two studies in Peru show a delay of 61 and 57 days, from the onset of symptoms to the diagnosis of pulmonary TB, which is inadmissible in other countries. The difference in TB indicators from 2014 to 2017 in Cusco indicates that there was an increase in the mortality and lethality rate, in addition pulmonary sequelae and increased bacillary load have been recorded; probable results of a late diagnosis. The objective of the research will be to determine the factors associated with late diagnosis of pulmonary TB. Methods: Case - control study will be conducted in 72 patients. Patients with pulmonary TB will be defined as CASE, with more than 45 days of delay in their diagnosis from the beginning of the symptoms and CONTROL those with less than 45 days. To analyze the association, we calculate the OR, p-value and IC95%, and a logistic regression analysis, for the respective variables. Results: The average time of diagnostic delay was 65.17 days with an 95% IC [51.79 - 78.54]. The factors associated with late diagnosis were rural residence (OR = 7.75 IC95% [2.45 - 24.49] p = 0.0005), overcrowding (OR = 0.13 IC95% [0.04 - 0.41] p = 0.00), the first informal care search (OR = 3.0 IC95% [1.10 - 8.13] p = 0.03), the history of contact with a person with pulmonary TB (OR = 0.28 IC95% [0.089 - 0.91] p = 0.034), the perception of weight loss (OR = 0.49 IC95% [0.39 - 0.62] p = 0.039), the nonknowledge of contagiousness of pulmonary TB (OR = 3.3 IC95% [1.15 - 9.52] p = 0.02) and the perception of waiting time for delayed attention of the EESS closest primary (OR = 3.4 IC95% [1.25 - 9.21] p = 0.016). Conclusions: The diagnostic delay time is considerable, in our region. The risk factors for the late diagnosis were the area of rural residence, the first search for informal care, the lack of knowledge of the infectiousness of pulmonary TB and the perception of delayed waiting time in the care of the primary EESS. The protective factors were: overcrowding, the history of contact with a person with pulmonary TB and the perception of weight loss; therefore, working in the promotional preventive sector would be the pillar to combat late diagnosis.
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