La evolucion de la tuberculosis en españa: situacion actual. Dificultades y errores epidemiologicos
Evolution of tuberculosis in Spain: current status. Difficulties and epidemiologic misconceptions
P. De March
Director del Dispensario Enfermedades de Tórax. Barcelona
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Bello, M. Vila, E. Moreno, F. Duce, F.J. Suarez" "autores" => array:5 [ 0 => array:2 [ "nombre" => "S." "apellidos" => "Bello" ] 1 => array:2 [ "nombre" => "M." "apellidos" => "Vila" ] 2 => array:2 [ "nombre" => "E." "apellidos" => "Moreno" ] 3 => array:2 [ "nombre" => "F." "apellidos" => "Duce" ] 4 => array:2 [ "nombre" => "F.J." "apellidos" => "Suarez" ] ] ] 1 => array:2 [ "autoresLista" => "M.A. De Gregorio" "autores" => array:1 [ 0 => array:2 [ "nombre" => "M.A." "apellidos" => "De Gregorio" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615319426?idApp=UINPBA00003Z" "url" => "/03002896/0000002300000004/v1_201509151109/S0300289615319426/v1_201509151109/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "La evolucion de la tuberculosis en españa: situacion actual. Dificultades y errores epidemiologicos" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "181" "paginaFinal" => "191" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "P. De March" "autores" => array:1 [ 0 => array:2 [ "nombre" => "P." "apellidos" => "De March" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Director del Dispensario Enfermedades de Tórax. Barcelona" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Evolution of tuberculosis in Spain: current status. Difficulties and epidemiologic misconceptions" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1986-05-29" "fechaAceptado" => "1986-12-01" "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La evolución epidemiológica natural de la tuberculosis demuestra la imposibilidad de su incremento en España. El nivel de desarrollo económicosodal alcanzado imposibilita cualquier influencia negativa sobre la misma. Persiste, sin embargo, una elevada morbilidad e infección cuyo lento declive no se corresponde con la inversión sanitaria que realiza el país.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">La incidencia de enfermos demuestra una desproporcionada notificación de niños respecto a los adultos y viejos motivada por erróneas declaraciones infantiles y deficitarias en adultos. El único parámetro fiable representado por la incidencia de meningitis tuberculosa en menores de cinco años demuestra una tendencia regresiva en los últimos 13 años.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La infección evidencia un constante declive desde 1921 acelerado a partir de 1952, general para toda la población española, si bien, debido a la incorrecta organización antituberculosa, no desciende al nivel de los países industrializados. La sobreestimación provocada por la vacunación BCG es la causa de los incongruentes resultados publicados sobre la evolución de la infección.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The natural epidemiologic evolution of tuberculosis in Spain reflects the impossibility of a further increase of the disease in this country, due mainly to the degree of socieconomical development achieved. However, there is a remaining high morbidity and infection which slow decreasing does not correlate with the amount of resources inverted.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The incidence of new cases shows a desproportionate number for children as compared with adult and elderly patients. This is due to erroneous reporting of paediatric cases and lack of reporting of adult cases. The only reliable parameter, which is the incidence of tuberculous meningitis in children aged less than five, has shown a regressive trend for the last 13 years. Tuberculosis infection has shown a steady decrease among the spanish population since 1921, even more marked since 1952. It has not reached however the level of more industrialized countries because of the deficient antituberculous health tare organization. The overestimation induced by BCG vaccination is responsible for the incongruity of the data on the evolution of the infection.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:47 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Algunos aspectos referentes al control de la tuberculosis y las nuevas tecnologías en el marco de la atención primaria de salud en los países en desarrollo" "autores" => array:1 [ 0 => array:3 [ "colaboracion" => "(OMS)" "etal" => false "autores" => array:1 [ 0 => "F. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 10 | 3 | 13 |
| 2024 October | 98 | 25 | 123 |
| 2024 September | 47 | 15 | 62 |
| 2024 August | 68 | 29 | 97 |
| 2024 July | 49 | 29 | 78 |
| 2024 June | 75 | 20 | 95 |
| 2024 May | 59 | 58 | 117 |
| 2024 April | 50 | 66 | 116 |
| 2024 March | 42 | 51 | 93 |
| 2024 February | 32 | 63 | 95 |
| 2024 January | 0 | 8 | 8 |
| 2023 December | 0 | 3 | 3 |
| 2023 November | 0 | 3 | 3 |
| 2023 October | 0 | 5 | 5 |
| 2023 September | 0 | 6 | 6 |
| 2023 August | 0 | 7 | 7 |
| 2023 July | 0 | 2 | 2 |
| 2023 June | 0 | 1 | 1 |
| 2023 May | 0 | 1 | 1 |
| 2023 March | 5 | 5 | 10 |
| 2023 February | 42 | 23 | 65 |
| 2023 January | 40 | 25 | 65 |
| 2022 December | 45 | 26 | 71 |
| 2022 November | 39 | 18 | 57 |
| 2022 October | 52 | 28 | 80 |
| 2022 September | 34 | 16 | 50 |
| 2022 August | 38 | 46 | 84 |
| 2022 July | 33 | 30 | 63 |
| 2022 June | 32 | 37 | 69 |
| 2022 May | 46 | 34 | 80 |
| 2022 April | 38 | 22 | 60 |
| 2022 March | 43 | 36 | 79 |
| 2022 February | 50 | 29 | 79 |
| 2022 January | 59 | 29 | 88 |
| 2021 December | 30 | 38 | 68 |
| 2021 November | 29 | 27 | 56 |
| 2021 October | 21 | 28 | 49 |
| 2021 September | 15 | 25 | 40 |
| 2021 August | 10 | 20 | 30 |
| 2021 July | 15 | 24 | 39 |
| 2021 June | 14 | 19 | 33 |
| 2021 May | 21 | 16 | 37 |
| 2021 April | 79 | 24 | 103 |
| 2021 March | 59 | 11 | 70 |
| 2021 February | 43 | 6 | 49 |
| 2021 January | 27 | 20 | 47 |
| 2020 December | 25 | 20 | 45 |
| 2020 November | 31 | 9 | 40 |
| 2020 October | 16 | 6 | 22 |
| 2020 September | 14 | 7 | 21 |
| 2020 August | 25 | 6 | 31 |
| 2020 July | 18 | 14 | 32 |
| 2020 June | 7 | 11 | 18 |
| 2020 May | 19 | 14 | 33 |
| 2020 April | 21 | 9 | 30 |
| 2020 March | 12 | 10 | 22 |
| 2020 February | 14 | 15 | 29 |
| 2020 January | 25 | 16 | 41 |
| 2019 December | 30 | 32 | 62 |
| 2019 November | 14 | 17 | 31 |
| 2019 October | 18 | 19 | 37 |
| 2019 September | 8 | 23 | 31 |
| 2019 August | 9 | 27 | 36 |
| 2019 July | 7 | 18 | 25 |
| 2019 June | 13 | 25 | 38 |
| 2019 May | 17 | 31 | 48 |
| 2019 April | 33 | 22 | 55 |
| 2019 March | 6 | 10 | 16 |
| 2019 February | 2 | 9 | 11 |
| 2019 January | 5 | 11 | 16 |
| 2018 December | 5 | 11 | 16 |
| 2018 November | 18 | 16 | 34 |
| 2018 October | 20 | 11 | 31 |
| 2018 September | 18 | 12 | 30 |
| 2018 July | 0 | 1 | 1 |
| 2018 May | 8 | 1 | 9 |
| 2018 April | 14 | 9 | 23 |
| 2018 March | 9 | 6 | 15 |
| 2018 February | 9 | 16 | 25 |
| 2018 January | 8 | 13 | 21 |
| 2017 December | 8 | 14 | 22 |
| 2017 November | 12 | 12 | 24 |
| 2017 October | 8 | 15 | 23 |
| 2017 September | 7 | 15 | 22 |
| 2017 August | 9 | 17 | 26 |
| 2017 July | 5 | 18 | 23 |
| 2017 June | 15 | 15 | 30 |
| 2017 May | 14 | 13 | 27 |
| 2017 April | 13 | 15 | 28 |
| 2017 March | 14 | 15 | 29 |
| 2017 February | 8 | 13 | 21 |
| 2017 January | 9 | 8 | 17 |
| 2016 December | 10 | 7 | 17 |
| 2016 November | 13 | 18 | 31 |
| 2016 October | 19 | 30 | 49 |
| 2016 September | 30 | 26 | 56 |
| 2016 August | 16 | 4 | 20 |
| 2016 July | 29 | 9 | 38 |
| 2016 June | 26 | 15 | 41 |
| 2016 May | 18 | 17 | 35 |
| 2016 April | 14 | 1 | 15 |
| 2016 March | 13 | 0 | 13 |
| 2016 February | 13 | 3 | 16 |
| 2016 January | 29 | 9 | 38 |
| 2015 December | 32 | 19 | 51 |
| 2015 November | 34 | 8 | 42 |
| 2015 October | 10 | 4 | 14 |
| 2015 September | 2 | 0 | 2 |
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