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    "titulo" => "Enfermedad tuberculosa en la mineria asturiana. Trienio 1975-1977 incidencia, distribucion geografica, fuente de contagio y medidas terapeuticas"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Durante el trienio 1975-1977 fueron vistos 194 nuevos casos de tuberculosis activa probados bacteriol&#243;gicamente entre los mineros del carb&#243;n&#46; De los 163 cultivos positivos en medio de Lowenstein s&#243;lo se aisl&#243; una Mycobacteria at&#237;pica &#40;Myc&#46; Avium&#41;&#46; La edad media para los tuberculosos con neumoconiosis complicada era de 56&#44;70 &#177; 10&#44;93 a&#241;os siendo superior a las encontradas en a&#241;os anteriores &#40;P &#60; 0&#44;001&#41;&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">La tasa de nuevos casos bacteriol&#243;gicamente positivos se ha mantenido constante&#44; oscilando alrededor de 1&#44;53&#37;0 mineros totales&#46; La distribuci&#243;n de enfermos en los distintos partidos judiciales asturianos&#44; no se ha modificado respecto al trienio 1971-1973&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La fuente de infecci&#243;n entre la poblaci&#243;n minera radica entre los neumoconi&#243;ticos complicados donde la tuberculosis es 33 veces m&#225;s frecuente que en los mineros sin neumoconiosis&#46; De cada mil neumoconi&#243;ticos complicados 101&#44;6 van hacer tuberculosis&#44; apareciendo las tres cuartas partes de ellos en el primer a&#241;o de observaci&#243;n y el resto a lo largo de los 3 a&#241;os siguientes a un ritmo de 7&#44;5&#37;o y por a&#241;o&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Se discute la estrategia a seguir para intentar disminuir la incidencia de enfermos tuberculosos en esta poblaci&#243;n minera mediante quimioprofilaxis y b&#250;squeda de nuevos casos entre los contactos</p></span>"
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        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">During the period 1975-1977&#44; 194 new cases of active tuberculosis&#44; proved bacteriolog&#237;cally&#44; were seen among coal miners&#46; Of the 163 positive cultures in Lowenstein&#39;s m&#233;dium&#44; only one atypical Mycobacteria &#40;Myc&#46; Avium&#41; was isolated&#46; The average age for the tuberculotic patients with compl icated pneumoconiosis was 56&#46;70 &#177; 10&#46;93 years&#44; being superior to that found in previous years &#40;P &#60; 0&#46;001&#41;&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The &#205;ndex of bacteriolog&#237;cally positive new cases has remained constat&#44; oscillating around 1&#46;53 per thousand miners in total&#46; The distribution of patients in the different Asturian judicial districts did not change with respect to the triennium 1971-1973&#46;</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The source of infection in the mining population lies in those miners with complicated pneumoconiosis where tuberculosis is 33 time more frequent than in miners without pneumoconiosis&#46; Of every thousand workers with complicated pneumoconiosis&#44; 101&#46;6 will have tuberculosis&#46; Three-fourths of these cases will appear in the first year of observation and the rest during the following 6 years at the rate of 7&#46;5 per thousand and per year&#46;</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The authors discuss the strategy to be followed in order to try to decrease the incidence of tuberculotic patients in the mining population by means of chemoprophylaxis and the search for new cases among their contacts&#46;</p></span>"
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Vol. 15. Issue 3.
Pages 99-104 (July - September 1979)
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Vol. 15. Issue 3.
Pages 99-104 (July - September 1979)
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Enfermedad tuberculosa en la mineria asturiana. Trienio 1975-1977 incidencia, distribucion geografica, fuente de contagio y medidas terapeuticas
Tuberculous disease in asturian miners. Triennium 1975-1977
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T. González Bazús*, M.J. Ferreiro Alvarez*, E.G. Diego González*, A. Méndez Lanza*, J.A. Muñoz Martínez*, M.aI. Sánchez Folgueras**, E. Fernández Bustillo***, J.A. Mosquera Pestaña*
* Servicio de Neumología. Instituto Nacional de Silicosis. Oviedo
** Servicio de Bacteriología. Instituto Nacional de Silicosis. Oviedo
*** Laboralorio Técnico. Instituto Nacional de Silicosis. Oviedo
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Resumen

Durante el trienio 1975-1977 fueron vistos 194 nuevos casos de tuberculosis activa probados bacteriológicamente entre los mineros del carbón. De los 163 cultivos positivos en medio de Lowenstein sólo se aisló una Mycobacteria atípica (Myc. Avium). La edad media para los tuberculosos con neumoconiosis complicada era de 56,70 ± 10,93 años siendo superior a las encontradas en años anteriores (P < 0,001).

La tasa de nuevos casos bacteriológicamente positivos se ha mantenido constante, oscilando alrededor de 1,53%0 mineros totales. La distribución de enfermos en los distintos partidos judiciales asturianos, no se ha modificado respecto al trienio 1971-1973.

La fuente de infección entre la población minera radica entre los neumoconióticos complicados donde la tuberculosis es 33 veces más frecuente que en los mineros sin neumoconiosis. De cada mil neumoconióticos complicados 101,6 van hacer tuberculosis, apareciendo las tres cuartas partes de ellos en el primer año de observación y el resto a lo largo de los 3 años siguientes a un ritmo de 7,5%o y por año.

Se discute la estrategia a seguir para intentar disminuir la incidencia de enfermos tuberculosos en esta población minera mediante quimioprofilaxis y búsqueda de nuevos casos entre los contactos

Summary

During the period 1975-1977, 194 new cases of active tuberculosis, proved bacteriologícally, were seen among coal miners. Of the 163 positive cultures in Lowenstein's médium, only one atypical Mycobacteria (Myc. Avium) was isolated. The average age for the tuberculotic patients with compl icated pneumoconiosis was 56.70 ± 10.93 years, being superior to that found in previous years (P < 0.001).

The Índex of bacteriologícally positive new cases has remained constat, oscillating around 1.53 per thousand miners in total. The distribution of patients in the different Asturian judicial districts did not change with respect to the triennium 1971-1973.

The source of infection in the mining population lies in those miners with complicated pneumoconiosis where tuberculosis is 33 time more frequent than in miners without pneumoconiosis. Of every thousand workers with complicated pneumoconiosis, 101.6 will have tuberculosis. Three-fourths of these cases will appear in the first year of observation and the rest during the following 6 years at the rate of 7.5 per thousand and per year.

The authors discuss the strategy to be followed in order to try to decrease the incidence of tuberculotic patients in the mining population by means of chemoprophylaxis and the search for new cases among their contacts.

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Copyright © 1979. Sociedad Española de Neumología y Cirugía Torácica
Archivos de Bronconeumología
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