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Vol. 29. Issue 3.
Pages 116-122 (April 1993)
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Vol. 29. Issue 3.
Pages 116-122 (April 1993)
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Yatrogenia en el tratamiento de la tuberculosis
latrogenia in the treatment of tuberculosis
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A. Ramos Martos, R. Rey Durán
Servicio de Neumología. Instituto de Salud Carlos III. Centro de Investigación Clínica. Madrid
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Cualquier actividad humana carga con la posibilidad de provocar un error. Un espíritu crítico respecto a este patrimonio exclusivo de los hombres es la mejor garantía para no perseverar en el mismo; otra actitud sería aparentemente impropia de nuestra especie por simple irracionalidad.

En medicina y en relación con el tratamiento de la tuberculosis, la yatrogenia puede tener características dramáticas por sus trágicos resultados. Teóricamente es importante diferenciar estas dos situaciones: 1. Yatrogenia inevitable pero corregible, secundaria a los efectos adversos de cada droga, frecuentemente no bien conocidos. 2. Yatrogenia evitable e inexcusable, propia del uso incorrecto de los recursos terapéuticos por parte del médico.

La revisión de estos aspectos con la intención de aclarar algunas dudas y de crear inquietud son los únicos objetivos del presente trabajo, para contribuir a la aún lejana eliminación de esta enfermedad de nuestro medio. Todo médico conoce que es perfectamente curable y en muchos casos inevitable.

Any human activity assumes the responsability of the possibility to cause an error. A critical spirit concerning this exclusive patrimony of men is the best guarantee in order to don’t persevere in the same; other attitude would be apparently inappropriate of our species for irrationality.

In medicine and in relationship with the tuberculosis treatment the iatrogenia could have dramatic characteristics for their tragic results. Is important distinguish these two situations: 1. Inevitable iatrogenia but recoverable, secondary to the adverse effects of every drugs frequently no very well-known. 2. Avoidable iatrogenia and inexcusable, because the incorrect use of the therapeutics facilities per party of the doctor.

The revision of these aspects with the intention of becoming clear some doubts and of creating certain anxiety is the only goals of the current paper and always with the purpose of contributing to the still distant elimination of this illness of our medium. All physician knows that it is perfectly curable and avoidable in many cases.

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