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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Evaluar la prevalencia de enfermedad e infecci&#243;n tuberculosa latente entre la poblaci&#243;n inmigrante procedente de pa&#237;ses con elevada prevalencia de tuberculosis &#40;TB&#41; que reside en Bilbao&#44; as&#237; como las condiciones sociosanitarias relacionadas con ella&#46;</p> <span class="elsevierStyleSectionTitle">Material y M&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio descriptivo llevado a cabo en el barrio San Francisco de Bilbao&#46; La captaci&#243;n de sujetos se realiz&#243; durante un per&#237;odo de 7 meses mediante una campa&#241;a de captaci&#243;n activa dirigida por una asistenta social y a trav&#233;s de la inclusi&#243;n voluntaria de pacientes que acud&#237;an al consultorio m&#233;dico de la organizaci&#243;n no gubernamental &#40;ONG&#41; M&#233;dicos del Mundo con objeto de recibir ayuda m&#233;dica o social&#46; De forma sistem&#225;tica se realizaron encuestas social y m&#233;dica&#44; prueba de la tuberculina y radiograf&#237;a de t&#243;rax a todos los inmigrantes que aceptaron ser incluidos en el estudio&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se evalu&#243; inicialmente a 406 inmigrantes con una edad media &#40;desviaci&#243;n est&#225;ndar&#41; de 32&#44;5 &#40;9&#44;7&#41; a&#241;os&#44; mayoritariamente procedentes de &#193;frica subsahariana&#44; un 83&#44;2&#37; de ellos ilegales&#46; Completaron totalmente el estudio 306 inmigrantes &#40;75&#44;4&#37;&#41;&#44; y se objetivaron adherencias superiores en aquellos cuyo motivo de inclusi&#243;n fue la solicitud de un certificado m&#233;dico &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;039&#41; o presentaban alguna sintomatolog&#237;a &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;016&#41;&#46; La prevalencia de infectados fue del 31&#37; y de tuberculosis activa 0&#44;83&#37;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Creemos justificada la realizaci&#243;n de pruebas de cribado de TB en el colectivo de inmigrantes reci&#233;n llegados a la provincia de Vizcaya dada su elevada tasa de infecci&#243;n y enfermedad&#46; La incentivaci&#243;n y la participaci&#243;n de las ONG podr&#237;an optimizar la aceptaci&#243;n y adhesi&#243;n de dicha poblaci&#243;n a este tipo de programas&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To assess the prevalence of tuberculosis &#40;TB&#41; and latent tuberculous infection among immigrant residents of Bilbao who came from countries where the disease is highly prevalent&#46; We also studied related social and health conditions&#46;</p> <span class="elsevierStyleSectionTitle">Material and Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">A descriptive study carried out in the San Francisco neighborhood of Bilbao&#46; Subjects were enrolled during a seven-month period by a social worker and by the personnel of a non-governmental organization &#40;M&#233;dicos del Mundo&#41; who recruited volunteers from among persons requesting medical or social assistance&#46; The subjects who agreed to participate answered systematic questionnaires on social and medical conditions and were given tuberculin tests and chest X-rays&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">We initially evaluated 406 immigrants &#40;mean age 32&#46;5 years&#59; SD 9&#46;7&#41; mainly from sub-Saharan Africa&#44; 83&#46;2&#37; of whom were undocumented&#46; Three hundred six completed the study &#40;75&#46;4&#37;&#41;&#46; Compliance was higher among those who applied for medical certificates &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;039&#41; or who were symptomatic &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;016&#41;&#46; Thirty-one subjects had been exposed and 0&#46;83&#37; had active TB&#46;</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">We believe that TB screening tests for recently arrived immigrants are necessary given the high rate of exposure and disease&#46; Incentives and the cooperation of non-governmental organizations could improve acceptance of and compliance with such programs&#46;</p>"
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Tuberculosis en la población inmigrante de Bilbao
Tuberculosis among inmigrants in Bilbao (Spain)
C. Salinas Solanoa, L. Altube Urrengoetxeaa,*, P.P. España Yandiolaa, A. Capelastegui Saiza, J.M. Quintana Lópezb
a Servicio de Neumología
b Unidad de Investigación Clínica. Hospital de Galdakao. Bizkaia. España
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          "palabras" => array:3 [
            0 => "Tuberculosis"
            1 => "Inmigrantes"
            2 => "Prevalencia"
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        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec190658"
          "palabras" => array:3 [
            0 => "Tuberculosis"
            1 => "Immigration"
            2 => "Prevalance"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Evaluar la prevalencia de enfermedad e infecci&#243;n tuberculosa latente entre la poblaci&#243;n inmigrante procedente de pa&#237;ses con elevada prevalencia de tuberculosis &#40;TB&#41; que reside en Bilbao&#44; as&#237; como las condiciones sociosanitarias relacionadas con ella&#46;</p> <span class="elsevierStyleSectionTitle">Material y M&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio descriptivo llevado a cabo en el barrio San Francisco de Bilbao&#46; La captaci&#243;n de sujetos se realiz&#243; durante un per&#237;odo de 7 meses mediante una campa&#241;a de captaci&#243;n activa dirigida por una asistenta social y a trav&#233;s de la inclusi&#243;n voluntaria de pacientes que acud&#237;an al consultorio m&#233;dico de la organizaci&#243;n no gubernamental &#40;ONG&#41; M&#233;dicos del Mundo con objeto de recibir ayuda m&#233;dica o social&#46; De forma sistem&#225;tica se realizaron encuestas social y m&#233;dica&#44; prueba de la tuberculina y radiograf&#237;a de t&#243;rax a todos los inmigrantes que aceptaron ser incluidos en el estudio&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se evalu&#243; inicialmente a 406 inmigrantes con una edad media &#40;desviaci&#243;n est&#225;ndar&#41; de 32&#44;5 &#40;9&#44;7&#41; a&#241;os&#44; mayoritariamente procedentes de &#193;frica subsahariana&#44; un 83&#44;2&#37; de ellos ilegales&#46; Completaron totalmente el estudio 306 inmigrantes &#40;75&#44;4&#37;&#41;&#44; y se objetivaron adherencias superiores en aquellos cuyo motivo de inclusi&#243;n fue la solicitud de un certificado m&#233;dico &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;039&#41; o presentaban alguna sintomatolog&#237;a &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;016&#41;&#46; La prevalencia de infectados fue del 31&#37; y de tuberculosis activa 0&#44;83&#37;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Creemos justificada la realizaci&#243;n de pruebas de cribado de TB en el colectivo de inmigrantes reci&#233;n llegados a la provincia de Vizcaya dada su elevada tasa de infecci&#243;n y enfermedad&#46; La incentivaci&#243;n y la participaci&#243;n de las ONG podr&#237;an optimizar la aceptaci&#243;n y adhesi&#243;n de dicha poblaci&#243;n a este tipo de programas&#46;</p>"
      ]
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To assess the prevalence of tuberculosis &#40;TB&#41; and latent tuberculous infection among immigrant residents of Bilbao who came from countries where the disease is highly prevalent&#46; We also studied related social and health conditions&#46;</p> <span class="elsevierStyleSectionTitle">Material and Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">A descriptive study carried out in the San Francisco neighborhood of Bilbao&#46; Subjects were enrolled during a seven-month period by a social worker and by the personnel of a non-governmental organization &#40;M&#233;dicos del Mundo&#41; who recruited volunteers from among persons requesting medical or social assistance&#46; The subjects who agreed to participate answered systematic questionnaires on social and medical conditions and were given tuberculin tests and chest X-rays&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">We initially evaluated 406 immigrants &#40;mean age 32&#46;5 years&#59; SD 9&#46;7&#41; mainly from sub-Saharan Africa&#44; 83&#46;2&#37; of whom were undocumented&#46; Three hundred six completed the study &#40;75&#46;4&#37;&#41;&#46; Compliance was higher among those who applied for medical certificates &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;039&#41; or who were symptomatic &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;016&#41;&#46; Thirty-one subjects had been exposed and 0&#46;83&#37; had active TB&#46;</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">We believe that TB screening tests for recently arrived immigrants are necessary given the high rate of exposure and disease&#46; Incentives and the cooperation of non-governmental organizations could improve acceptance of and compliance with such programs&#46;</p>"
      ]
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        "nota" => "<p class="elsevierStyleNotepara">Este proyecto ha sido financiado por el Departamento de Sanidad del Gobierno Vasco</p>"
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                      "titulo" => "Tuberculosis screening among immigrants in The Netherlands&#58; what is its contribution to public health&#63;"
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                      "titulo" => "Tuberculosis en inmigrantes reci&#233;n llegados a Barcelona"
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                          "etal" => false
                          "autores" => array:6 [
                            0 => "E&#46; Duran"
                            1 => "J&#46; Cabezos"
                            2 => "M&#46; Ros"
                            3 => "M&#46; Terre"
                            4 => "F&#46; Zarzuela"
                            5 => "J&#46;L&#46; Bada"
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                      "Revista" => array:5 [
                        "tituloSerie" => "Med Clin &#40;Barc&#41;"
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                    0 => array:2 [
                      "titulo" => "Results of screening for tuberculosis in foreign-born persons applying for adjustment of immigration status"
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                          "autores" => array:5 [
                            0 => "R&#46;N&#46; Blum"
                            1 => "L&#46;B&#46; Polish"
                            2 => "J&#46;M&#46; Tapy"
                            3 => "B&#46;J&#46; Catlin"
                            4 => "D&#46;L&#46; Cohn"
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                        "tituloSerie" => "Chest"
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                      "titulo" => "Situaci&#243;n actual de la tuberculosis en Espa&#241;a"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "P&#46; De March Ayuela"
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                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Med Clin &#40;Barc&#41;"
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                        "volumen" => "97"
                        "paginaInicial" => "463"
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                    0 => array:2 [
                      "titulo" => "Rentabilidad de un estudio de contactos de tuberculosis&#46; XXXI Congreso Nacional SEPAR&#46; Madrid"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "L&#46; Altube"
                            1 => "R&#46; D&#237;ez"
                            2 => "I&#46; Urrutia"
                            3 => "C&#46; Salinas"
                            4 => "P&#46; Espa&#241;a"
                            5 => "A&#46; Capelastegui"
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                      "Revista" => array:5 [
                        "tituloSerie" => "XXXI Congreso Nacional SEPAR&#46; Madrid&#46; Arch Bronconeumol"
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                        "volumen" => "34"
                        "numero" => "Supl 1"
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                          "autores" => array:2 [
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                            1 => "R&#46;R&#46; McGregor"
                          ]
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                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:3 [
                        "titulo" => "Tuberculosis&#58; tuberculosis pedi&#225;trica"
                        "paginaInicial" => "141"
                        "serieFecha" => "1996"
                      ]
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                  ]
                ]
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                    0 => array:2 [
                      "titulo" => "Screening for pulmonary tuberculosis among immigrants&#58; estimated effect on severity of disease and duration of infectiousness"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "S&#46; Verver"
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                            2 => "M&#46;W&#46; Borgdorff"
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Int J Tuberc Lung Dis"
                        "fecha" => "2001"
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                        "paginaInicial" => "419"
                        "paginaFinal" => "425"
                        "link" => array:1 [
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                      "titulo" => "Longitudinal incidence of tuberculosis in South-East Asian refugees after re-settlement"
                      "autores" => array:1 [
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                          "autores" => array:2 [
                            0 => "C&#46;R&#46; MacIntyre"
                            1 => "A&#46;J&#46; Plant"
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                      ]
                    ]
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                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Int J Tuberc Lung Dis"
                        "fecha" => "1999"
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                        "paginaInicial" => "287"
                        "paginaFinal" => "293"
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                      "titulo" => "Tuberculosis control in Europe and international migration"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "H&#46;L&#46; Rieder"
                            1 => "J&#46;P&#46; Zellweger"
                            2 => "M&#46;C&#46; Raviglione"
                            3 => "S&#46;T&#46; Keizer"
                            4 => "G&#46;B&#46; Migliori"
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                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Eur Resp J"
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                        "paginaFinal" => "1553"
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                      "titulo" => "Screening migrants at risk of tuberculosis"
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                          "etal" => false
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                            0 => "R&#46;M&#46; Hardie"
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                        "tituloSerie" => "Bmj"
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Article information
ISSN: 03002896
Original language: Spanish
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