array:24 [
  "pii" => "S1579212916000318"
  "issn" => "15792129"
  "doi" => "10.1016/j.arbr.2016.02.006"
  "estado" => "S300"
  "fechaPublicacion" => "2016-06-01"
  "aid" => "1235"
  "copyright" => "SEPAR"
  "copyrightAnyo" => "2015"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "fla"
  "cita" => "Arch Bronconeumol. 2016;52:289-92"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 2459
    "formatos" => array:3 [
      "EPUB" => 160
      "HTML" => 1636
      "PDF" => 663
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0300289615003221"
      "issn" => "03002896"
      "doi" => "10.1016/j.arbres.2015.07.014"
      "estado" => "S300"
      "fechaPublicacion" => "2016-06-01"
      "aid" => "1235"
      "copyright" => "SEPAR"
      "documento" => "article"
      "crossmark" => 1
      "subdocumento" => "fla"
      "cita" => "Arch Bronconeumol. 2016;52:289-92"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 3167
        "formatos" => array:3 [
          "EPUB" => 137
          "HTML" => 2281
          "PDF" => 749
        ]
      ]
      "es" => array:13 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Original</span>"
        "titulo" => "Brote de tuberculosis resistente a isoniacida en una comunidad de inmigrantes en Espa&#241;a"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "tieneResumen" => array:2 [
          0 => "es"
          1 => "en"
        ]
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "289"
            "paginaFinal" => "292"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Outbreak of isoniazid-resistant tuberculosis in an immigrant community in Spain"
          ]
        ]
        "contieneResumen" => array:2 [
          "es" => true
          "en" => true
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:7 [
            "identificador" => "fig0010"
            "etiqueta" => "Figura 2"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr2.jpeg"
                "Alto" => 929
                "Ancho" => 1651
                "Tamanyo" => 86082
              ]
            ]
            "descripcion" => array:1 [
              "es" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">&#193;rbol de actuaci&#243;n e interpretaci&#243;n de la tuberculina e IGRA<a class="elsevierStyleCrossRef" href="#bib0140"><span class="elsevierStyleSup">12</span></a>&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Cristina Hern&#225;n Garc&#237;a, Lourdes Moreno Cea, Virginia Fern&#225;ndez Espinilla, Gema Ruiz Lopez del Prado, Socorro Fern&#225;ndez Arribas, Irene Andr&#233;s Garc&#237;a, Ver&#243;nica Rubio, Silvan Vesenbeckh, Jos&#233; Mar&#237;a Eiros Bouza"
            "autores" => array:9 [
              0 => array:2 [
                "nombre" => "Cristina"
                "apellidos" => "Hern&#225;n Garc&#237;a"
              ]
              1 => array:2 [
                "nombre" => "Lourdes"
                "apellidos" => "Moreno Cea"
              ]
              2 => array:2 [
                "nombre" => "Virginia"
                "apellidos" => "Fern&#225;ndez Espinilla"
              ]
              3 => array:2 [
                "nombre" => "Gema"
                "apellidos" => "Ruiz Lopez del Prado"
              ]
              4 => array:2 [
                "nombre" => "Socorro"
                "apellidos" => "Fern&#225;ndez Arribas"
              ]
              5 => array:2 [
                "nombre" => "Irene"
                "apellidos" => "Andr&#233;s Garc&#237;a"
              ]
              6 => array:2 [
                "nombre" => "Ver&#243;nica"
                "apellidos" => "Rubio"
              ]
              7 => array:2 [
                "nombre" => "Silvan"
                "apellidos" => "Vesenbeckh"
              ]
              8 => array:2 [
                "nombre" => "Jos&#233; Mar&#237;a"
                "apellidos" => "Eiros Bouza"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S1579212916000318"
          "doi" => "10.1016/j.arbr.2016.02.006"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => false
            "ES2" => false
            "LATM" => false
          ]
          "gratuito" => false
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212916000318?idApp=UINPBA00003Z"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615003221?idApp=UINPBA00003Z"
      "url" => "/03002896/0000005200000006/v1_201605260144/S0300289615003221/v1_201605260144/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S157921291630026X"
    "issn" => "15792129"
    "doi" => "10.1016/j.arbr.2016.03.020"
    "estado" => "S300"
    "fechaPublicacion" => "2016-06-01"
    "aid" => "1273"
    "copyright" => "SEPAR"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "fla"
    "cita" => "Arch Bronconeumol. 2016;52:293-8"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 2618
      "formatos" => array:3 [
        "EPUB" => 137
        "HTML" => 1906
        "PDF" => 575
      ]
    ]
    "en" => array:13 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Original Article</span>"
      "titulo" => "Methylation Analysis of the <span class="elsevierStyleItalic">BMPR2</span> Gene Promoter Region in Patients With Pulmonary Arterial Hypertension"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "293"
          "paginaFinal" => "298"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "An&#225;lisis de la metilaci&#243;n de la regi&#243;n promotora del gen <span class="elsevierStyleItalic">BMPR2</span> en pacientes con hipertensi&#243;n arterial pulmonar"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0025"
          "etiqueta" => "Fig&#46; 5"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr5.jpeg"
              "Alto" => 1223
              "Ancho" => 2515
              "Tamanyo" => 262705
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Amplification of the <span class="elsevierStyleItalic">BMPR2</span> gene promoter regions in H1299 Cells&#46; Wells 1&#8211;6 correspond to the result of methylation-specific PCR amplification and the non-methylation-specific PCR of replicas of H1299 cell cultures&#59; wells C&#43; correspond to methylated controls&#44; and wells C&#8722; to unmethylated controls and wells &#42; to targets with H<span class="elsevierStyleInf">2</span>O&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Guillermo Pousada, Adolfo Baloira, Diana Valverde"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Guillermo"
              "apellidos" => "Pousada"
            ]
            1 => array:2 [
              "nombre" => "Adolfo"
              "apellidos" => "Baloira"
            ]
            2 => array:2 [
              "nombre" => "Diana"
              "apellidos" => "Valverde"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0300289615004494"
        "doi" => "10.1016/j.arbres.2015.10.006"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615004494?idApp=UINPBA00003Z"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S157921291630026X?idApp=UINPBA00003Z"
    "url" => "/15792129/0000005200000006/v1_201605260126/S157921291630026X/v1_201605260126/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S1579212916300222"
    "issn" => "15792129"
    "doi" => "10.1016/j.arbr.2016.03.017"
    "estado" => "S300"
    "fechaPublicacion" => "2016-06-01"
    "aid" => "1324"
    "copyright" => "SEPAR"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Arch Bronconeumol. 2016;52:287-8"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 1840
      "formatos" => array:3 [
        "EPUB" => 122
        "HTML" => 1212
        "PDF" => 506
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Editorial</span>"
      "titulo" => "Tuberculosis Outbreaks&#58; Beyond the Tuberculin Skin Test"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "287"
          "paginaFinal" => "288"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Brotes de tuberculosis&#58; m&#225;s all&#225; de la prueba de la tuberculina"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Maria Luiza de Souza-Galv&#227;o, Mateu Espasa Soley"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "Maria Luiza"
              "apellidos" => "de Souza-Galv&#227;o"
            ]
            1 => array:2 [
              "nombre" => "Mateu"
              "apellidos" => "Espasa Soley"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S030028961600034X"
        "doi" => "10.1016/j.arbres.2016.01.013"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S030028961600034X?idApp=UINPBA00003Z"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212916300222?idApp=UINPBA00003Z"
    "url" => "/15792129/0000005200000006/v1_201605260126/S1579212916300222/v1_201605260126/en/main.assets"
  ]
  "en" => array:21 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Original Article</span>"
    "titulo" => "Outbreak of Isoniazid-resistant Tuberculosis in an Immigrant Community in Spain"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "289"
        "paginaFinal" => "292"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Cristina Hern&#225;n Garc&#237;a, Lourdes Moreno Cea, Virginia Fern&#225;ndez Espinilla, Gema Ruiz Lopez del Prado, Socorro Fern&#225;ndez Arribas, Irene Andr&#233;s Garc&#237;a, Ver&#243;nica Rubio, Silvan Vesenbeckh, Jos&#233; Mar&#237;a Eiros Bouza"
        "autores" => array:9 [
          0 => array:4 [
            "nombre" => "Cristina"
            "apellidos" => "Hern&#225;n Garc&#237;a"
            "email" => array:1 [
              0 => "cristinahernang&#64;gmail&#46;com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Lourdes"
            "apellidos" => "Moreno Cea"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Virginia"
            "apellidos" => "Fern&#225;ndez Espinilla"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "Gema"
            "apellidos" => "Ruiz Lopez del Prado"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          4 => array:3 [
            "nombre" => "Socorro"
            "apellidos" => "Fern&#225;ndez Arribas"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          5 => array:3 [
            "nombre" => "Irene"
            "apellidos" => "Andr&#233;s Garc&#237;a"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          6 => array:3 [
            "nombre" => "Ver&#243;nica"
            "apellidos" => "Rubio"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          7 => array:3 [
            "nombre" => "Silvan"
            "apellidos" => "Vesenbeckh"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
          8 => array:3 [
            "nombre" => "Jos&#233; Mar&#237;a"
            "apellidos" => "Eiros Bouza"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">d</span>"
                "identificador" => "aff0020"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:4 [
          0 => array:3 [
            "entidad" => "Servicio de Medicina Preventiva y Salud Publica&#44; Hospital Cl&#237;nico Universitario de Valladolid&#44; Valladolid&#44; Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Epidemiolog&#237;a&#44; Direcci&#243;n General de Salud P&#250;blica&#44; Consejer&#237;a de Sanidad&#44; Valladolid&#44; Spain"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
          2 => array:3 [
            "entidad" => "Department of Respiratory Medicine&#44; HELIOS Klinikum Emil von Behring&#44; Berl&#237;n&#44; Germany"
            "etiqueta" => "c"
            "identificador" => "aff0015"
          ]
          3 => array:3 [
            "entidad" => "Hospital Cl&#237;nico Universitario de Valladolid&#44; Valladolid&#44; Spain"
            "etiqueta" => "d"
            "identificador" => "aff0020"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Brote de tuberculosis resistente a isoniacida en una comunidad de inmigrantes en Espa&#241;a"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:7 [
        "identificador" => "fig0010"
        "etiqueta" => "Fig&#46; 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 929
            "Ancho" => 1651
            "Tamanyo" => 84392
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Tuberculin and IGRA interpretation algorithm&#46;<a class="elsevierStyleCrossRef" href="#bib0140"><span class="elsevierStyleSup">12</span></a></p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">Tuberculosis &#40;TB&#41; was once one of the major causes of morbidity and mortality in Spain&#44; and it continues to be a serious worldwide health problem&#46; It is a transmissible&#44; notifiable disease&#44; caused by bacteria from the <span class="elsevierStyleItalic">Mycobacterium tuberculosis &#40;M&#46; tuberculosis&#41;</span> complex&#44; and can affect any organ&#44; although the most common presentation is pulmonary&#46; It is most often transmitted from person to person by airborne mechanisms&#46; The main risk factor for developing the disease among infected individuals is human immunodeficiency virus infection or autoimmune deficiency syndrome&#44; but other risk factors have been reported&#44; including diabetes&#44; silicosis&#44; immunosuppressive treatments&#44; chronic renal disease&#44; and malignant disease&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Worldwide&#44; national and regional alliances&#44; which have mobilized to create specific programs for the control of TB&#44; have played a decisive role in the fight against the disease&#46;<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">1</span></a> In 2012&#44; 8&#46;6 million new cases of active TB were reported globally&#44; of which 450<span class="elsevierStyleHsp" style=""></span>000 were multi-drug resistant tuberculosis &#40;MDR-TB&#41;&#46; In 2013&#44; the incidence of TB rose to 9 million affected individuals&#44; of which 3&#46;5&#37; were new cases of MDR-TB&#59; these figures have remained stable in recent years&#46;<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">1</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">In the last 6 years in Spain&#44; TB rates have remained above the average for the European Union&#44; despite the downward trend perceived in the analysis of the latest published data&#46; In 2013&#44; the rate was 11&#46;88 cases per 100<span class="elsevierStyleHsp" style=""></span>000 inhabitants&#46; This figure is 8&#46;3&#37; lower than in 2012&#44; when 12&#46;95 cases&#47;100<span class="elsevierStyleHsp" style=""></span>000 were reported&#44; and in 2011&#44; when 14&#46;74 cases&#47;100<span class="elsevierStyleHsp" style=""></span>000 inhabitants were reported&#46;<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">2</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">The percentage of cases of TB detected in Spain but originating in another country was 31&#46;2&#37; in 2012 and 15&#46;97&#37; in 2013&#44; mainly in the 24&#8211;34 year age group&#46; Cases originating in Spain were mainly distributed among the over-65s&#44; and the 35&#8211;44 years age group&#46;<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">3</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">In Castile and Leon&#44; 288 cases of TB were registered in 2013&#44; representing a rate of 11&#46;43 cases per 100<span class="elsevierStyleHsp" style=""></span>000 inhabitants &#40;17&#37; fewer cases than in 2012&#41;&#46; Of these&#44; 22 cases were associated with an outbreak &#40;7&#46;64&#37;&#41;&#46; The most common risk factor was immigrant status &#40;7&#46;76&#37; of cases&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">4</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">An outbreak is defined as 1 or more of cases of TB occurring after the first case is detected&#46;<a class="elsevierStyleCrossRef" href="#bib0105"><span class="elsevierStyleSup">5</span></a> Several factors can boost an outbreak&#44; such as exposure&#44; and delay in obtaining a sputum smear and diagnosis&#44; among others&#46;<a class="elsevierStyleCrossRefs" href="#bib0110"><span class="elsevierStyleSup">6&#8211;9</span></a> In 2013&#44; 61 outbreaks of pulmonary TB were reported to the National Epidemiological Surveillance Network&#46; This number is lower than in previous years &#40;135 in 2011 and 92 in 2012&#41;&#44; although the figures may be underestimated due to delays in reporting&#46;<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">4</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">Tuberculous disease can only be controlled with the implementation of a program based on early diagnosis of the patient&#44; compliance with the right treatment&#44; follow-up of cases to ensure cure&#44; and instigation of specific contact tracing&#46;<a class="elsevierStyleCrossRef" href="#bib0130"><span class="elsevierStyleSup">10</span></a></p><p id="par0040" class="elsevierStylePara elsevierViewall">Drug-resistance testing is essential in the control of TB&#44; particularly in the context of an outbreak&#46;<a class="elsevierStyleCrossRef" href="#bib0130"><span class="elsevierStyleSup">10</span></a></p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Material and Methods</span><p id="par0045" class="elsevierStylePara elsevierViewall">This study was initiated after the index case was reported to the Department of Preventive Health and Public Health of the Hospital Cl&#237;nico Universitario of Valladolid&#46; The protocol for tracing&#44; treatment&#44; and follow-up of cohabitants and contacts for TB was implemented&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">Exposed individuals were censored using the concentric circle approach&#46;<a class="elsevierStyleCrossRef" href="#bib0135"><span class="elsevierStyleSup">11</span></a> Contacts were classified as high priority &#40;individuals with contact &#62;6<span class="elsevierStyleHsp" style=""></span>h&#47;day&#44; children younger than 5 years&#44; immunocompromised individuals&#41;&#44; medium priority &#40;individuals with daily contact&#44; but &#60;6<span class="elsevierStyleHsp" style=""></span>h&#47;day&#41;&#44; and low priority &#40;sporadic contact&#41;<a class="elsevierStyleCrossRef" href="#bib0105"><span class="elsevierStyleSup">5</span></a> &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0055" class="elsevierStylePara elsevierViewall">Mantoux tuberculin testing was performed on all exposed individuals&#46; Results were interpreted after 48<span class="elsevierStyleHsp" style=""></span>h&#44; by measuring the transversal induration&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">Interferon gamma release assays &#40;IGRA&#41; diagnostics could not be performed in all patients as indicated<a class="elsevierStyleCrossRef" href="#bib0135"><span class="elsevierStyleSup">11</span></a> &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41;&#44;<a class="elsevierStyleCrossRef" href="#bib0140"><span class="elsevierStyleSup">12</span></a> since at that time the IGRA method was unavailable in our hospital laboratory&#46; We were able send only a selection of samples&#44; designated according to patient risk and age&#44; to the reference hospital &#40;Hospital Universitario R&#237;o Hortega de Valladolid&#41;&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0065" class="elsevierStylePara elsevierViewall">To complete the epidemiological study&#44; sputum samples from the index case and 3 exposed individuals who had active disease were sent to the reference laboratory of the National Center of Microbiology in Majadahonda &#40;Instituto de Salud Carlos III&#44; Spain&#41; for genotyping and expanded resistance studies&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">High-risk contacts with a negative tuberculin test were treated for probable infection&#44; and the Mantoux test was repeated 2 months later&#46; If the second tuberculin test was negative&#44; chemoprophylactic treatment was administered&#46;</p><p id="par0075" class="elsevierStylePara elsevierViewall">Exposed individuals whose tuberculin test was positive were screened for disease with chest X-ray and serial sputum cultures&#46; After active disease was ruled out&#44; treatment for latent infection &#40;TLI&#41; was administered to contacts classified as high risk&#44; medium risk&#44; or sporadic risk due to concomitant medical conditions&#46; The tuberculin test in contacts who had received BCG vaccination was considered positive if the induration was greater than 5<span class="elsevierStyleHsp" style=""></span>mm in individuals who were close contacts&#44; younger than 20 years&#44; or who presented risk factors&#59; and greater than 15<span class="elsevierStyleHsp" style=""></span>mm in contacts with medium and sporadic risk&#46;<a class="elsevierStyleCrossRef" href="#bib0135"><span class="elsevierStyleSup">11</span></a></p><p id="par0080" class="elsevierStylePara elsevierViewall">Exposed individuals who were diagnosed as having active tuberculous disease were referred to the Infectious Diseases Unit of our hospital for administration of anti-TB treatment&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Results</span><p id="par0085" class="elsevierStylePara elsevierViewall">The index case was a 28-year-old Bolivian woman&#44; who had been living in Spain for 12 years&#46; Active tracing of cohabitants and contacts produced a total of 39 individuals &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; Disease incidence was 15&#46;3&#37; &#40;6&#47;39&#41;&#46; Four new cases associated with the index case were detected in the months following identification of the index case&#46; One contact was lost to follow-up&#46; A fifth case&#44; which was not investigated in the Hospital Cl&#237;nico Universitario de Valladolid&#44; was diagnosed 2 years later&#46; All cases were of South American origin&#44; except for one boy&#44; who was born in Spain&#46; All individuals had been living in Spain for more than 10 years and none of them had recently traveled to their home country&#46; The Hospital Cl&#237;nico Universitario was responsible for treatment and follow-up of the cases&#44; and treatment was adjusted when the results of sputum resistance testing were available&#44; in line with current guidelines&#46; Treatment compliance was 100&#37; in all cases&#44; as was cure&#46; Epidemiological characteristics&#44; diagnostic tests and specific treatment of the index case and the 5 derived cases are shown in <a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0090" class="elsevierStylePara elsevierViewall">Genotyping and expanded resistance results revealed isoniazid-resistant <span class="elsevierStyleItalic">Mycobacterium tuberculosis</span> &#40;KatG-msp unmutated&#47;inhA C-T 5 RBS&#41;&#59; the 4 patients tested had this same strain&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">A list of the contacts who did not develop disease is shown in <a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a>&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0100" class="elsevierStylePara elsevierViewall">In total&#44; 80&#37; of the patients had received BCG vaccination&#46; Of the contacts who initially presented negative Mantoux results&#44; 14&#37; were positive when the test was repeated 2 months later&#46; TLI was given to all patients who converted and to a contact who showed conversion on an IGRA test&#46; IGRA was positive in 3 of the unvaccinated contacts younger than 20 years whose Mantoux had been negative&#46; No PPD false positives were detected on IGRA testing in individuals who had received BCG vaccination&#46; All other contacts were considered healthy and no further studies were performed&#46;</p><p id="par0105" class="elsevierStylePara elsevierViewall">The incidence of latent infection &#40;LI&#41; was 71&#46;43&#37; &#40;25&#47;35&#41;&#46; Of 25 patients with LI&#44; 23 received TLI after active disease was ruled out &#40;20 with LI and 3 converters&#41;&#46; The remaining 2 &#40;sporadic contacts&#41; refused treatment&#46; All cases of LI were treated with rifampicin for 4 months&#46; One individual discontinued treatment after 1 month due to pregnancy&#44; and 2 discontinued treatment&#44; as they could not be located during follow-up&#46;</p><p id="par0110" class="elsevierStylePara elsevierViewall">Exposed children with LI continued their treatment period for up to 6 months&#46; No adverse drug event was reported&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Discussion</span><p id="par0115" class="elsevierStylePara elsevierViewall">Very little literature is available on TB outbreaks&#44; either in Spain or around the world&#46;<a class="elsevierStyleCrossRef" href="#bib0145"><span class="elsevierStyleSup">13</span></a> This study confirmed the existence of an outbreak of tuberculous disease&#46;</p><p id="par0120" class="elsevierStylePara elsevierViewall">The treatment and chemoprophylaxis of TB is complicated if the infection is caused by bacilli resistant to any of the antituberculous agents&#46; Molecular genetic techniques provided very valuable epidemiological data for characterizing the outbreak and helped us to confirm in our study that a single isoniazid-resistant strain was responsible for the outbreak&#46;</p><p id="par0125" class="elsevierStylePara elsevierViewall">It is essential that contact tracing is undertaken when a case of TB is detected&#44; to determine the real index case and secondary or infected cases&#46;<a class="elsevierStyleCrossRef" href="#bib0145"><span class="elsevierStyleSup">13</span></a> Of singular importance&#44; too&#44; is the availability of IGRA diagnostic techniques&#44; to improve the early detection of LI&#46;<a class="elsevierStyleCrossRef" href="#bib0150"><span class="elsevierStyleSup">14</span></a></p><p id="par0130" class="elsevierStylePara elsevierViewall">The initial rate of resistance to isoniazid is greater than estimated&#44; probably due to the increase in immigration in recent years&#46; In Spain&#44; between 2010 and 2011&#44; initial resistance to isoniazid was found to be 5&#46;7&#37;&#59; associated factors include crowded living conditions and immigrant status&#46;<a class="elsevierStyleCrossRef" href="#bib0155"><span class="elsevierStyleSup">15</span></a></p><p id="par0135" class="elsevierStylePara elsevierViewall">The incidence of primary resistance and multi-drug resistance in the region of Castile and Leon is low&#44; although a slight&#44; insignificant upward trend has been observed&#46; Isoniazid resistance is 3&#46;2&#37;&#46;<a class="elsevierStyleCrossRef" href="#bib0160"><span class="elsevierStyleSup">16</span></a></p><p id="par0140" class="elsevierStylePara elsevierViewall">We cannot confidently claim that the strain involved in our outbreak was imported&#44; since the index case has been living in Spain for 12 years&#44; nor can we rule out the possibility that the disease was a reactivation&#46;</p><p id="par0145" class="elsevierStylePara elsevierViewall">In our study&#44; the interval between onset of symptoms and starting treatment was approximately 6 months&#44; and this delay may have led to the appearance of the other new cases&#44; or could at least have been a determining factor in the outbreak&#46; The pulmonary localization in our index case and the fact that she had active disease&#44; along with the intensity of the contact&#44; are significant risk factors for transmission to susceptible individuals&#46;</p><p id="par0150" class="elsevierStylePara elsevierViewall">Treatment compliance in cases and in contacts was high&#46; Only 2 patients refused TLI&#44; as their contact had been sporadic&#44; and 1 patient withdraw due to pregnancy&#46; Another 2 contacts discontinued treatment for no apparent reason and we failed to locate them&#44; despite several attempts&#46; No adverse treatment effects were reported&#44; which helped encourage adherence&#46;</p><p id="par0155" class="elsevierStylePara elsevierViewall">A comprehensive approach to MDR-TB calls for actions addressing all aspects of the disease&#44; from prevention to cure&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Conflict of Interests</span><p id="par0160" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflict of interests&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:10 [
        0 => array:3 [
          "identificador" => "xres655733"
          "titulo" => "Abstract"
          "secciones" => array:4 [
            0 => array:2 [
              "identificador" => "abst0005"
              "titulo" => "Background"
            ]
            1 => array:2 [
              "identificador" => "abst0010"
              "titulo" => "Methods"
            ]
            2 => array:2 [
              "identificador" => "abst0015"
              "titulo" => "Results"
            ]
            3 => array:2 [
              "identificador" => "abst0020"
              "titulo" => "Conclusions"
            ]
          ]
        ]
        1 => array:2 [
          "identificador" => "xpalclavsec665351"
          "titulo" => "Keywords"
        ]
        2 => array:3 [
          "identificador" => "xres655734"
          "titulo" => "Resumen"
          "secciones" => array:4 [
            0 => array:2 [
              "identificador" => "abst0025"
              "titulo" => "Introducci&#243;n"
            ]
            1 => array:2 [
              "identificador" => "abst0030"
              "titulo" => "M&#233;todo"
            ]
            2 => array:2 [
              "identificador" => "abst0035"
              "titulo" => "Resultados"
            ]
            3 => array:2 [
              "identificador" => "abst0040"
              "titulo" => "Discusi&#243;n"
            ]
          ]
        ]
        3 => array:2 [
          "identificador" => "xpalclavsec665352"
          "titulo" => "Palabras clave"
        ]
        4 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Introduction"
        ]
        5 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "Material and Methods"
        ]
        6 => array:2 [
          "identificador" => "sec0015"
          "titulo" => "Results"
        ]
        7 => array:2 [
          "identificador" => "sec0020"
          "titulo" => "Discussion"
        ]
        8 => array:2 [
          "identificador" => "sec0025"
          "titulo" => "Conflict of Interests"
        ]
        9 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2015-04-15"
    "fechaAceptado" => "2015-07-21"
    "PalabrasClave" => array:2 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec665351"
          "palabras" => array:5 [
            0 => "Drug-resistant tuberculosis"
            1 => "Outbreak"
            2 => "Immigration"
            3 => "Latent tuberculosis"
            4 => "Contact tracing"
          ]
        ]
      ]
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec665352"
          "palabras" => array:5 [
            0 => "Tuberculosis resistente"
            1 => "Brote"
            2 => "Inmigraci&#243;n"
            3 => "Infecci&#243;n tuberculosa latente"
            4 => "Estudio de contactos"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "en" => array:3 [
        "titulo" => "Abstract"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Background</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Tuberculosis &#40;TB&#41; remains a major public health problem&#46; In 2013&#44; 9 million new cases of active TB were estimated globally and the proportion of reported new cases with multi-drug resistance &#40;MDR&#41; was 3&#46;5&#37;&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Contact tracing of a case of pulmonary tuberculosis was performed in a Bolivian patient&#46; Diagnostic tests were performed according to national and local protocols&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">An outbreak of tuberculosis in an immigrant community was detected&#44; with 5 cases originating from one index case&#46; Genotyping and drug susceptibility testing of the sputum samples determined <span class="elsevierStyleItalic">Mycobacterium tuberculosis</span> resistant to isoniazid &#40;KatG-msp unmutated&#47;inhA 5 RBS CT&#41;&#46; Active case finding revealed a total of 39 contacts with an incidence of latent infection of 71&#46;43&#37;&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The present study confirms the importance of active case finding through contact tracing as well as rapid laboratory diagnosis to achieve improvements in early detection of TB&#46; Early diagnosis of the patient&#44; compliance with appropriate treatment protocols and monitoring of drug resistance are considered essential for the prevention and control of TB&#46;</p></span>"
        "secciones" => array:4 [
          0 => array:2 [
            "identificador" => "abst0005"
            "titulo" => "Background"
          ]
          1 => array:2 [
            "identificador" => "abst0010"
            "titulo" => "Methods"
          ]
          2 => array:2 [
            "identificador" => "abst0015"
            "titulo" => "Results"
          ]
          3 => array:2 [
            "identificador" => "abst0020"
            "titulo" => "Conclusions"
          ]
        ]
      ]
      "es" => array:3 [
        "titulo" => "Resumen"
        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Introducci&#243;n</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">La tuberculosis &#40;TB&#41; contin&#250;a siendo un importante problema de salud p&#250;blica&#46; En 2013 se declararon 9 millones de casos nuevos de TB activa a nivel mundial&#44; siendo la proporci&#243;n de nuevos casos de TB multirresistente del 3&#44;5&#37;&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">M&#233;todo</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Se realiz&#243; un estudio de contactos de un caso de TB pulmonar en una paciente de nacionalidad boliviana&#46; Las pruebas diagn&#243;sticas se realizaron seg&#250;n los protocolos establecidos a nivel nacional y local&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Se detectaron 5 casos a partir del caso &#237;ndice y se constat&#243; la existencia de un brote de TB en una comunidad inmigrante&#46; El resultado del genotipado y del antibiograma ampliado de las muestras de esputo fue crecimiento de <span class="elsevierStyleItalic">Mycobacterium tuberculosis</span> &#40;KatG-msp no mutado&#47;inhA C-T 5 RBS&#41; resistente a isoniacida&#46; Se realiz&#243; la b&#250;squeda activa de convivientes y contactos con un censo total de 39 personas&#46; La incidencia de infecci&#243;n latente fue de 71&#44;43&#37;&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Discusi&#243;n</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">El estudio de este brote como otros en la literatura constata la importancia de la b&#250;squeda activa de la localizaci&#243;n de contactos y su estudio&#44; de la investigaci&#243;n de laboratorio para lograr la mejora en la detecci&#243;n precoz de la TB&#46; Un diagn&#243;stico precoz del enfermo&#44; el cumplimiento de un tratamiento adecuado y la vigilancia de la farmacorresistencia se consideran pilares fundamentales para la prevenci&#243;n y el control de la TB&#46;</p></span>"
        "secciones" => array:4 [
          0 => array:2 [
            "identificador" => "abst0025"
            "titulo" => "Introducci&#243;n"
          ]
          1 => array:2 [
            "identificador" => "abst0030"
            "titulo" => "M&#233;todo"
          ]
          2 => array:2 [
            "identificador" => "abst0035"
            "titulo" => "Resultados"
          ]
          3 => array:2 [
            "identificador" => "abst0040"
            "titulo" => "Discusi&#243;n"
          ]
        ]
      ]
    ]
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Hern&#225;n Garc&#237;a C&#44; Moreno Cea L&#44; Fern&#225;ndez Espinilla V&#44; Ruiz Lopez del Prado G&#44; Fern&#225;ndez Arribas S&#44; Andr&#233;s Garc&#237;a I&#44; et al&#46; Brote de tuberculosis resistente a isoniacida en una comunidad de inmigrantes en Espa&#241;a&#46; Arch Bronconeumol&#46; 2016&#59;52&#58;289&#8211;292&#46;</p>"
      ]
    ]
    "multimedia" => array:4 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Fig&#46; 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1230
            "Ancho" => 1501
            "Tamanyo" => 68504
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Classification of contacts&#46;</p>"
        ]
      ]
      1 => array:7 [
        "identificador" => "fig0010"
        "etiqueta" => "Fig&#46; 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 929
            "Ancho" => 1651
            "Tamanyo" => 84392
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Tuberculin and IGRA interpretation algorithm&#46;<a class="elsevierStyleCrossRef" href="#bib0140"><span class="elsevierStyleSup">12</span></a></p>"
        ]
      ]
      2 => array:7 [
        "identificador" => "tbl0005"
        "etiqueta" => "Table 1"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "tabla" => array:1 [
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Index case&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Case 2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Case 3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Case 4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Case 5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Case 6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Age&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">28 years&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">33 years&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">29 years&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">29 years&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1 year&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">33 years&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Sex&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Female&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Male&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Female&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Female&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Male&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Male&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Nationality&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Bolivian&#44; resident in Spain since 2005&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Bolivian&#44; resident in Spain since 2003&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Bolivian&#44; resident in Spain since 2000&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Bolivian resident in Spain&#44; date unknown&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Spanish of Bolivian descent&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Bolivian&#44; resident in Spain since 2003&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Onset of symptoms&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">January 2012&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">May 2012&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">No symptoms&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">July 2012&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">July 2012&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">December 2014&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Type&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Pulmonary&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Pulmonary&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Pulmonary&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Pleural&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Pulmonary&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Pulmonary&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Mantoux&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Not done&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Negative&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Positive&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Positive&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Positive&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Positive&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">IGRA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Not done&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Not done&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Positive&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Not done&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Not done&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Positive&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Chest X-ray&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Pathological with cavities&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Pathological without cavities&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Not done due to pregnancy&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Pathological without cavities&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Pathological without cavities&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Pathological with cavities&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Sputum smear&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Positive&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Negative&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Negative&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Negative&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Negative in gastric fluid&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Positive&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Sputum culture&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Positive for <span class="elsevierStyleItalic">M</span>&#46; <span class="elsevierStyleItalic">tuberculosis</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Positive for <span class="elsevierStyleItalic">M</span>&#46; <span class="elsevierStyleItalic">tuberculosis</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Positive for <span class="elsevierStyleItalic">M</span>&#46; <span class="elsevierStyleItalic">tuberculosis</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Negative&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Negative in gastric fluid&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Positive for <span class="elsevierStyleItalic">M</span>&#46; <span class="elsevierStyleItalic">tuberculosis</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Start of treatment&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">02&#47;Jul&#47;2012&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">13&#47;Jul&#47;2012&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">27&#47;Jul&#47;2012&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">30&#47;Jul&#47;2012&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">30&#47;Sep&#47;2012&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&#47;Dec&#47;2014&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Isoniazid resistance&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Yes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Yes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Yes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Not tested&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Not tested&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Yes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Genotype&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">KatG-msp unmutated&#47;inhA C-T 5RBS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">KatG-msp unmutated&#47;inhA C-T 5RBS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">KatG-msp unmutated&#47;inhA C-T 5RBS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Not done&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Not done&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">KatG-msp unmutated&#47;inhA C-T 5RBS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Treatment duration&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">9 months&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">12 months&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">12 months&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">9 months&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">9 months&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">9 months&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Specific treatment&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Ethambutol&#44; rifampicin&#44; pyrazinamide&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Ethambutol&#44; rifampicin&#44; pyrazinamide&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Ethambutol&#44; rifampicin&#44; pyrazinamide&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Ethambutol&#44; rifampicin&#44; pyrazinamide&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Ethambutol&#44; rifampicin&#44; pyrazinamide&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Ethambutol&#44; rifampicin&#44; pyrazinamide&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Compliance&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Yes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Yes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Yes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Yes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Yes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Ongoing&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Cure&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Yes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Yes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Yes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Yes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Yes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Ongoing&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab1077241.png"
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Epidemiological characteristics&#44; diagnostic tests and specific treatment of tuberculosis cases&#46;</p>"
        ]
      ]
      3 => array:7 [
        "identificador" => "tbl0010"
        "etiqueta" => "Table 2"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "tabla" => array:1 [
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">High priority contacts <span class="elsevierStyleItalic">n</span> &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Medium priority contacts <span class="elsevierStyleItalic">n</span> &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Low priority contacts <span class="elsevierStyleItalic">n</span> &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Number</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">17&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleItalic">Sex</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Female&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">6 &#40;75&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">5 &#40;50&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">9 &#40;52&#46;95&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Male&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2 &#40;25&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">5 &#40;50&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8 &#40;47&#46;05&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleItalic">Age</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#8804;10 years&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">4 &#40;50&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3 &#40;30&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">5 &#40;29&#46;41&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>11&#8211;20 years&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1 &#40;10&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1 &#40;5&#46;89&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>21&#8211;40 years&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">4 &#40;50&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3 &#40;30&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8 &#40;47&#46;05&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>41&#8211;60 years&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3 &#40;30&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3 &#40;17&#46;65&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#8805;60 years&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleItalic">Mantoux</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Positive&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">4 &#40;50&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">7 &#40;70&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8 &#40;47&#46;05&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Negative&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">4 &#40;50&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3 &#40;30&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">7 &#40;41&#46;18&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Not done&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2 &#40;11&#46;76&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleItalic">IGRA</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Requested&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3 &#40;37&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1 &#40;10&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">4 &#40;23&#46;52&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Positive&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Negative&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">4 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleItalic">Chest X-ray</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Pathological with no signs of active infection&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1 &#40;10&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Normal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8 &#40;80&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8 &#40;47&#46;05&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Not done&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#40;10&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">9 &#40;52&#46;95&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Treatment for probable infection</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1 &#40;12&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2 &#40;20&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2 &#40;11&#46;76&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Treatment for latent infection</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">7 &#40;87&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">7 &#40;70&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">6 &#40;35&#46;29&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab1077242.png"
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Characteristics of tuberculosis contacts&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:16 [
            0 => array:3 [
              "identificador" => "bib0085"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "WHO&#46; Global tuberculosis report 2014 &#91;Internet&#93;&#46; WHO&#46; &#91;accessed 10 Mar 2015&#93;&#46; Available from&#58; <a id="intr0010" class="elsevierStyleInterRef" href="http://www.who.int/tb/publications/global_report/en/">http&#58;&#47;&#47;www&#46;who&#46;int&#47;tb&#47;publications&#47;global&#95;report&#47;en&#47;</a>&#46;"
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0090"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Informe epidemiol&#243;gico sobre la situaci&#243;n de la tuberculosis en Espa&#241;a&#46; A&#241;o 2013"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "Centro Nacional de Epidemiolog&#237;a"
                            1 => "Instituto de Salud Carlos III"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "2014"
                        "editorial" => "Instituto de Salud Carlos III"
                        "editorialLocalizacion" => "Madrid"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0095"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Informe epidemiol&#243;gico sobre la situaci&#243;n de la tuberculosis en Espa&#241;a&#46; A&#241;o 2012"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "Centro Nacional de Epidemiolog&#237;a"
                            1 => "Instituto de Salud Carlos III"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "2013"
                        "editorial" => "Instituto de Salud Carlos III"
                        "editorialLocalizacion" => "Madrid"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0100"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "473200-Informe epidemiol&#243;gico sobre la tuberculosis en Castilla y Le&#243;n&#46; A&#241;o 2013&#46;pdf &#91;Internet&#93;&#46; &#91;accessed 30 Mar 2015&#93;&#46; Available from&#58; <a id="intr0015" class="elsevierStyleInterRef" href="http://www.saludcastillayleon.es/profesionales/es/informacion-epidemiologica/enfermedades-infecciosas/tuberculosis.ficheros/473200-Informe%20epidemiol%C3%B3gico%20sobre%20la%20tuberculosis%20en%20Castilla%20y%20Le%C3%B3n.%20A%C3%B1o%202013.pdf">http&#58;&#47;&#47;www&#46;saludcastillayleon&#46;es&#47;profesionales&#47;es&#47;informacion-epidemiologica&#47;enfermedades-infecciosas&#47;tuberculosis&#46;ficheros&#47;473200-Informe&#37;20epidemiol&#37;C3&#37;B3gico&#37;20sobre&#37;20la&#37;20tuberculosis&#37;20en&#37;20Castilla&#37;20y&#37;20Le&#37;C3&#37;B3n&#46;&#37;20A&#37;C3&#37;B1o&#37;202013&#46;pdf</a>&#46;"
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0105"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Plan para la prevenci&#243;n y control de la tuberculosis en Espa&#241;a&#46; Documento aprobado por la Comisi&#243;n de Salud P&#250;blica del Consejo Interterritorial del Sistema Nacional de Salud&#44; el 15 de noviembre de 2007 y por el Consejo Interterritorial del Sistema Nacional de Salud&#44; el 18 de junio de 2008&#46;"
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0110"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Estudio del contagio en 3&#46;071 contactos familiares de enfermos con tuberculosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "R&#46; Vidal"
                            1 => "M&#46; Miravitlles"
                            2 => "J&#46;A&#46; Cayl&#224;"
                            3 => "M&#46; Torrella"
                            4 => "N&#46; Mart&#237;n"
                            5 => "J&#46; de Gracia"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Med Clin"
                        "fecha" => "1997"
                        "volumen" => "108"
                        "paginaInicial" => "361"
                        "paginaFinal" => "365"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0115"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Estudio del retraso diagn&#243;stico de la tuberculosis pulmonar sintom&#225;tica"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M&#46;N&#46; Altet G&#243;mez"
                            1 => "J&#46; Alcaide Meg&#237;as"
                            2 => "J&#46; Canela Soler"
                            3 => "C&#46; Mil&#225; Aug&#233;"
                            4 => "M&#46;A&#46; Jim&#233;nez Fuentes"
                            5 => "M&#46;L&#46; de Souza Galvao"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Bronconeumol"
                        "fecha" => "2003"
                        "volumen" => "39"
                        "paginaInicial" => "146"
                        "paginaFinal" => "152"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12716554"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0120"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "The influence of intravenous drug use and HIV infection in tuberculosis&#58; AIDS &#91;Internet&#93;&#46; LWW&#46; &#91;accessed 7 Apr 2015&#93;&#46; Available from&#58; <a id="intr0020" class="elsevierStyleInterRef" href="http://journals.lww.com/aidsonline/Fulltext/1996/01000/The_influence_of_intravenous_drug_use_and_HIV.14.aspx">http&#58;&#47;&#47;journals&#46;lww&#46;com&#47;aidsonline&#47;Fulltext&#47;1996&#47;01000&#47;The&#95;influence&#95;of&#95;intravenous&#95;drug&#95;use&#95;and&#95;HIV&#46;14&#46;aspx</a>&#46;"
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0125"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Outbreak of tuberculosis among homeless persons coinfected with human immunodeficiency virus"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "P&#46;D&#46; McElroy"
                            1 => "K&#46;L&#46; Southwick"
                            2 => "E&#46;R&#46; Fortenberry"
                            3 => "E&#46;C&#46; Levine"
                            4 => "L&#46;A&#46; Diem"
                            5 => "C&#46;L&#46; Woodley"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1086/374836"
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin Infect Dis"
                        "fecha" => "2003"
                        "volumen" => "36"
                        "paginaInicial" => "1305"
                        "paginaFinal" => "1312"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12746777"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0130"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "CDC&#46; Tuberculosis infection control and prevention &#91;Internet&#93;&#46; &#91;accessed 10 Mar 2015&#93;&#46; Available from&#58; <a id="intr0025" class="elsevierStyleInterRef" href="http://www.cdc.gov/tb/topic/infectioncontrol/default.htm">http&#58;&#47;&#47;www&#46;cdc&#46;gov&#47;tb&#47;topic&#47;infectioncontrol&#47;default&#46;htm</a>&#46;"
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib0135"
              "etiqueta" => "11"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Estudio de contactos ante un caso de tuberculosis&#46; Programa de Prevenci&#243;n y Control de la Tuberculosis&#46; Red de Vigilancia Epidemiol&#243;gica de Castilla y Le&#243;n&#46; Junta de Castilla y Le&#243;n"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "Direcci&#243;n General de Salud P&#250;blica&#44; Investigaci&#243;n&#44; Desarrollo e Innovaci&#243;n"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "2011"
                        "editorial" => "Consejer&#237;a de Sanidad"
                        "editorialLocalizacion" => "Valladolid"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib0140"
              "etiqueta" => "12"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Diagn&#243;stico y tratamiento de la tuberculosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46; Ruiz-Manzano"
                            1 => "R&#46; Blanquer"
                            2 => "J&#46;L&#46; Calpe"
                            3 => "J&#46;A&#46; Caminero"
                            4 => "J&#46; Cayla"
                            5 => "J&#46;A&#46; Dominguez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Bronconeumol"
                        "fecha" => "2008"
                        "volumen" => "44"
                        "paginaInicial" => "551"
                        "paginaFinal" => "566"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19006636"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib0145"
              "etiqueta" => "13"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Estudio de los brotes de tuberculosis que han generado informes epidemiol&#243;gicos en Catalu&#241;a &#40;1998&#8211;2002&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "C&#46;M&#46; Bran"
                            1 => "J&#46;A&#46; Cayl&#225;"
                            2 => "&#193;&#46; Dom&#237;nguez"
                            3 => "N&#46; Camps"
                            4 => "P&#46; Godoy"
                            5 => "A&#46; Orcau"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Bronconeumol"
                        "fecha" => "2006"
                        "volumen" => "42"
                        "paginaInicial" => "260"
                        "paginaFinal" => "266"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16827973"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib0150"
              "etiqueta" => "14"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Updated guidelines for using interferon gamma release assays to detect mycobacterium tuberculosis infection&#46; United States&#44; 2010 &#91;Internet&#93;&#46; &#91;accessed 26 Jun 2015&#93;&#46; Available from&#58; <a id="intr0030" class="elsevierStyleInterRef" href="http://francais.cdc.gov/mmwr/preview/mmwrhtml/rr5905a1.htm?s_cid=rr5905a1_w">http&#58;&#47;&#47;francais&#46;cdc&#46;gov&#47;mmwr&#47;preview&#47;mmwrhtml&#47;rr5905a1&#46;htm&#63;s&#95;cid&#61;rr5905a1&#95;w</a>&#46;"
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib0155"
              "etiqueta" => "15"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Resistencia a f&#225;rmacos antituberculosos de primera l&#237;nea en Espa&#241;a durante 2010&#8211;2011&#46; Estudio RETUBES"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "R&#46; Blanquer"
                            1 => "T&#46; Rodrigo"
                            2 => "M&#46; Casals"
                            3 => "J&#46;R&#46; Manzano"
                            4 => "J&#46;M&#46; Garc&#237;a-Garc&#237;a"
                            5 => "J&#46;L&#46; Calpe"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.arbres.2014.06.001"
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Bronconeumol"
                        "fecha" => "2015"
                        "volumen" => "51"
                        "paginaInicial" => "24"
                        "paginaFinal" => "30"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25027066"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib0160"
              "etiqueta" => "16"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Resistencias a f&#225;rmacos de Mycobacterium tuberculosis en la Comunidad de Castilla y Le&#243;n &#40;Espa&#241;a&#41;&#44; 2001&#8211;2005&#58; tercer estudio multic&#233;ntrico"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46; Alberte-Casti&#241;eiras"
                            1 => "&#193;&#46; Campos-Bueno"
                            2 => "L&#46; L&#243;pez-Urrutia"
                            3 => "E&#46; &#193;lvarez-Alonso"
                            4 => "G&#46; Meg&#237;as"
                            5 => "E&#46; Ojeda-Fern&#225;ndez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.eimc.2010.02.011"
                      "Revista" => array:6 [
                        "tituloSerie" => "Enferm Infecc Microbiol Clin"
                        "fecha" => "2010"
                        "volumen" => "28"
                        "paginaInicial" => "706"
                        "paginaFinal" => "709"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20627375"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
    "agradecimientos" => array:1 [
      0 => array:3 [
        "titulo" => "Acknowledgements"
        "texto" => "<p id="par0165" class="elsevierStylePara elsevierViewall">We thank the Pulmonology Department&#44; the Infectious Diseases Unit and the Microbiology Department of the Hospital Cl&#237;nico Universitario de Valladolid&#46;</p>"
        "vista" => "all"
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15792129/0000005200000006/v1_201605260126/S1579212916000318/v1_201605260126/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "9374"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Original Articles"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/15792129/0000005200000006/v1_201605260126/S1579212916000318/v1_201605260126/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212916000318?idApp=UINPBA00003Z"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Original Article
Outbreak of Isoniazid-resistant Tuberculosis in an Immigrant Community in Spain
Brote de tuberculosis resistente a isoniacida en una comunidad de inmigrantes en España
Cristina Hernán Garcíaa,
Corresponding author
cristinahernang@gmail.com

Corresponding author.
, Lourdes Moreno Ceaa, Virginia Fernández Espinillaa, Gema Ruiz Lopez del Pradoa, Socorro Fernández Arribasb, Irene Andrés Garcíaa, Verónica Rubioa, Silvan Vesenbeckhc, José María Eiros Bouzad
a Servicio de Medicina Preventiva y Salud Publica, Hospital Clínico Universitario de Valladolid, Valladolid, Spain
b Servicio de Epidemiología, Dirección General de Salud Pública, Consejería de Sanidad, Valladolid, Spain
c Department of Respiratory Medicine, HELIOS Klinikum Emil von Behring, Berlín, Germany
d Hospital Clínico Universitario de Valladolid, Valladolid, Spain
Read
5730
Times
was read the article
2045
Total PDF
3685
Total HTML
Share statistics
 array:24 [
  "pii" => "S1579212916000318"
  "issn" => "15792129"
  "doi" => "10.1016/j.arbr.2016.02.006"
  "estado" => "S300"
  "fechaPublicacion" => "2016-06-01"
  "aid" => "1235"
  "copyright" => "SEPAR"
  "copyrightAnyo" => "2015"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "fla"
  "cita" => "Arch Bronconeumol. 2016;52:289-92"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 2459
    "formatos" => array:3 [
      "EPUB" => 160
      "HTML" => 1636
      "PDF" => 663
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0300289615003221"
      "issn" => "03002896"
      "doi" => "10.1016/j.arbres.2015.07.014"
      "estado" => "S300"
      "fechaPublicacion" => "2016-06-01"
      "aid" => "1235"
      "copyright" => "SEPAR"
      "documento" => "article"
      "crossmark" => 1
      "subdocumento" => "fla"
      "cita" => "Arch Bronconeumol. 2016;52:289-92"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 3167
        "formatos" => array:3 [
          "EPUB" => 137
          "HTML" => 2281
          "PDF" => 749
        ]
      ]
      "es" => array:13 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Original</span>"
        "titulo" => "Brote de tuberculosis resistente a isoniacida en una comunidad de inmigrantes en Espa&#241;a"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "tieneResumen" => array:2 [
          0 => "es"
          1 => "en"
        ]
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "289"
            "paginaFinal" => "292"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Outbreak of isoniazid-resistant tuberculosis in an immigrant community in Spain"
          ]
        ]
        "contieneResumen" => array:2 [
          "es" => true
          "en" => true
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:7 [
            "identificador" => "fig0010"
            "etiqueta" => "Figura 2"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr2.jpeg"
                "Alto" => 929
                "Ancho" => 1651
                "Tamanyo" => 86082
              ]
            ]
            "descripcion" => array:1 [
              "es" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">&#193;rbol de actuaci&#243;n e interpretaci&#243;n de la tuberculina e IGRA<a class="elsevierStyleCrossRef" href="#bib0140"><span class="elsevierStyleSup">12</span></a>&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Cristina Hern&#225;n Garc&#237;a, Lourdes Moreno Cea, Virginia Fern&#225;ndez Espinilla, Gema Ruiz Lopez del Prado, Socorro Fern&#225;ndez Arribas, Irene Andr&#233;s Garc&#237;a, Ver&#243;nica Rubio, Silvan Vesenbeckh, Jos&#233; Mar&#237;a Eiros Bouza"
            "autores" => array:9 [
              0 => array:2 [
                "nombre" => "Cristina"
                "apellidos" => "Hern&#225;n Garc&#237;a"
              ]
              1 => array:2 [
                "nombre" => "Lourdes"
                "apellidos" => "Moreno Cea"
              ]
              2 => array:2 [
                "nombre" => "Virginia"
                "apellidos" => "Fern&#225;ndez Espinilla"
              ]
              3 => array:2 [
                "nombre" => "Gema"
                "apellidos" => "Ruiz Lopez del Prado"
              ]
              4 => array:2 [
                "nombre" => "Socorro"
                "apellidos" => "Fern&#225;ndez Arribas"
              ]
              5 => array:2 [
                "nombre" => "Irene"
                "apellidos" => "Andr&#233;s Garc&#237;a"
              ]
              6 => array:2 [
                "nombre" => "Ver&#243;nica"
                "apellidos" => "Rubio"
              ]
              7 => array:2 [
                "nombre" => "Silvan"
                "apellidos" => "Vesenbeckh"
              ]
              8 => array:2 [
                "nombre" => "Jos&#233; Mar&#237;a"
                "apellidos" => "Eiros Bouza"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S1579212916000318"
          "doi" => "10.1016/j.arbr.2016.02.006"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => false
            "ES2" => false
            "LATM" => false
          ]
          "gratuito" => false
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212916000318?idApp=UINPBA00003Z"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615003221?idApp=UINPBA00003Z"
      "url" => "/03002896/0000005200000006/v1_201605260144/S0300289615003221/v1_201605260144/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S157921291630026X"
    "issn" => "15792129"
    "doi" => "10.1016/j.arbr.2016.03.020"
    "estado" => "S300"
    "fechaPublicacion" => "2016-06-01"
    "aid" => "1273"
    "copyright" => "SEPAR"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "fla"
    "cita" => "Arch Bronconeumol. 2016;52:293-8"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 2618
      "formatos" => array:3 [
        "EPUB" => 137
        "HTML" => 1906
        "PDF" => 575
      ]
    ]
    "en" => array:13 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Original Article</span>"
      "titulo" => "Methylation Analysis of the <span class="elsevierStyleItalic">BMPR2</span> Gene Promoter Region in Patients With Pulmonary Arterial Hypertension"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "293"
          "paginaFinal" => "298"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "An&#225;lisis de la metilaci&#243;n de la regi&#243;n promotora del gen <span class="elsevierStyleItalic">BMPR2</span> en pacientes con hipertensi&#243;n arterial pulmonar"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0025"
          "etiqueta" => "Fig&#46; 5"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr5.jpeg"
              "Alto" => 1223
              "Ancho" => 2515
              "Tamanyo" => 262705
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Amplification of the <span class="elsevierStyleItalic">BMPR2</span> gene promoter regions in H1299 Cells&#46; Wells 1&#8211;6 correspond to the result of methylation-specific PCR amplification and the non-methylation-specific PCR of replicas of H1299 cell cultures&#59; wells C&#43; correspond to methylated controls&#44; and wells C&#8722; to unmethylated controls and wells &#42; to targets with H<span class="elsevierStyleInf">2</span>O&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Guillermo Pousada, Adolfo Baloira, Diana Valverde"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Guillermo"
              "apellidos" => "Pousada"
            ]
            1 => array:2 [
              "nombre" => "Adolfo"
              "apellidos" => "Baloira"
            ]
            2 => array:2 [
              "nombre" => "Diana"
              "apellidos" => "Valverde"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0300289615004494"
        "doi" => "10.1016/j.arbres.2015.10.006"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615004494?idApp=UINPBA00003Z"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S157921291630026X?idApp=UINPBA00003Z"
    "url" => "/15792129/0000005200000006/v1_201605260126/S157921291630026X/v1_201605260126/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S1579212916300222"
    "issn" => "15792129"
    "doi" => "10.1016/j.arbr.2016.03.017"
    "estado" => "S300"
    "fechaPublicacion" => "2016-06-01"
    "aid" => "1324"
    "copyright" => "SEPAR"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Arch Bronconeumol. 2016;52:287-8"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 1840
      "formatos" => array:3 [
        "EPUB" => 122
        "HTML" => 1212
        "PDF" => 506
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Editorial</span>"
      "titulo" => "Tuberculosis Outbreaks&#58; Beyond the Tuberculin Skin Test"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "287"
          "paginaFinal" => "288"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Brotes de tuberculosis&#58; m&#225;s all&#225; de la prueba de la tuberculina"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Maria Luiza de Souza-Galv&#227;o, Mateu Espasa Soley"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "Maria Luiza"
              "apellidos" => "de Souza-Galv&#227;o"
            ]
            1 => array:2 [
              "nombre" => "Mateu"
              "apellidos" => "Espasa Soley"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S030028961600034X"
        "doi" => "10.1016/j.arbres.2016.01.013"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S030028961600034X?idApp=UINPBA00003Z"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212916300222?idApp=UINPBA00003Z"
    "url" => "/15792129/0000005200000006/v1_201605260126/S1579212916300222/v1_201605260126/en/main.assets"
  ]
  "en" => array:21 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Original Article</span>"
    "titulo" => "Outbreak of Isoniazid-resistant Tuberculosis in an Immigrant Community in Spain"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "289"
        "paginaFinal" => "292"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Cristina Hern&#225;n Garc&#237;a, Lourdes Moreno Cea, Virginia Fern&#225;ndez Espinilla, Gema Ruiz Lopez del Prado, Socorro Fern&#225;ndez Arribas, Irene Andr&#233;s Garc&#237;a, Ver&#243;nica Rubio, Silvan Vesenbeckh, Jos&#233; Mar&#237;a Eiros Bouza"
        "autores" => array:9 [
          0 => array:4 [
            "nombre" => "Cristina"
            "apellidos" => "Hern&#225;n Garc&#237;a"
            "email" => array:1 [
              0 => "cristinahernang&#64;gmail&#46;com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Lourdes"
            "apellidos" => "Moreno Cea"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Virginia"
            "apellidos" => "Fern&#225;ndez Espinilla"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "Gema"
            "apellidos" => "Ruiz Lopez del Prado"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          4 => array:3 [
            "nombre" => "Socorro"
            "apellidos" => "Fern&#225;ndez Arribas"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          5 => array:3 [
            "nombre" => "Irene"
            "apellidos" => "Andr&#233;s Garc&#237;a"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          6 => array:3 [
            "nombre" => "Ver&#243;nica"
            "apellidos" => "Rubio"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          7 => array:3 [
            "nombre" => "Silvan"
            "apellidos" => "Vesenbeckh"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
          8 => array:3 [
            "nombre" => "Jos&#233; Mar&#237;a"
            "apellidos" => "Eiros Bouza"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">d</span>"
                "identificador" => "aff0020"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:4 [
          0 => array:3 [
            "entidad" => "Servicio de Medicina Preventiva y Salud Publica&#44; Hospital Cl&#237;nico Universitario de Valladolid&#44; Valladolid&#44; Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Epidemiolog&#237;a&#44; Direcci&#243;n General de Salud P&#250;blica&#44; Consejer&#237;a de Sanidad&#44; Valladolid&#44; Spain"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
          2 => array:3 [
            "entidad" => "Department of Respiratory Medicine&#44; HELIOS Klinikum Emil von Behring&#44; Berl&#237;n&#44; Germany"
            "etiqueta" => "c"
            "identificador" => "aff0015"
          ]
          3 => array:3 [
            "entidad" => "Hospital Cl&#237;nico Universitario de Valladolid&#44; Valladolid&#44; Spain"
            "etiqueta" => "d"
            "identificador" => "aff0020"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Brote de tuberculosis resistente a isoniacida en una comunidad de inmigrantes en Espa&#241;a"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:7 [
        "identificador" => "fig0010"
        "etiqueta" => "Fig&#46; 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 929
            "Ancho" => 1651
            "Tamanyo" => 84392
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Tuberculin and IGRA interpretation algorithm&#46;<a class="elsevierStyleCrossRef" href="#bib0140"><span class="elsevierStyleSup">12</span></a></p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">Tuberculosis &#40;TB&#41; was once one of the major causes of morbidity and mortality in Spain&#44; and it continues to be a serious worldwide health problem&#46; It is a transmissible&#44; notifiable disease&#44; caused by bacteria from the <span class="elsevierStyleItalic">Mycobacterium tuberculosis &#40;M&#46; tuberculosis&#41;</span> complex&#44; and can affect any organ&#44; although the most common presentation is pulmonary&#46; It is most often transmitted from person to person by airborne mechanisms&#46; The main risk factor for developing the disease among infected individuals is human immunodeficiency virus infection or autoimmune deficiency syndrome&#44; but other risk factors have been reported&#44; including diabetes&#44; silicosis&#44; immunosuppressive treatments&#44; chronic renal disease&#44; and malignant disease&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Worldwide&#44; national and regional alliances&#44; which have mobilized to create specific programs for the control of TB&#44; have played a decisive role in the fight against the disease&#46;<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">1</span></a> In 2012&#44; 8&#46;6 million new cases of active TB were reported globally&#44; of which 450<span class="elsevierStyleHsp" style=""></span>000 were multi-drug resistant tuberculosis &#40;MDR-TB&#41;&#46; In 2013&#44; the incidence of TB rose to 9 million affected individuals&#44; of which 3&#46;5&#37; were new cases of MDR-TB&#59; these figures have remained stable in recent years&#46;<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">1</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">In the last 6 years in Spain&#44; TB rates have remained above the average for the European Union&#44; despite the downward trend perceived in the analysis of the latest published data&#46; In 2013&#44; the rate was 11&#46;88 cases per 100<span class="elsevierStyleHsp" style=""></span>000 inhabitants&#46; This figure is 8&#46;3&#37; lower than in 2012&#44; when 12&#46;95 cases&#47;100<span class="elsevierStyleHsp" style=""></span>000 were reported&#44; and in 2011&#44; when 14&#46;74 cases&#47;100<span class="elsevierStyleHsp" style=""></span>000 inhabitants were reported&#46;<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">2</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">The percentage of cases of TB detected in Spain but originating in another country was 31&#46;2&#37; in 2012 and 15&#46;97&#37; in 2013&#44; mainly in the 24&#8211;34 year age group&#46; Cases originating in Spain were mainly distributed among the over-65s&#44; and the 35&#8211;44 years age group&#46;<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">3</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">In Castile and Leon&#44; 288 cases of TB were registered in 2013&#44; representing a rate of 11&#46;43 cases per 100<span class="elsevierStyleHsp" style=""></span>000 inhabitants &#40;17&#37; fewer cases than in 2012&#41;&#46; Of these&#44; 22 cases were associated with an outbreak &#40;7&#46;64&#37;&#41;&#46; The most common risk factor was immigrant status &#40;7&#46;76&#37; of cases&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">4</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">An outbreak is defined as 1 or more of cases of TB occurring after the first case is detected&#46;<a class="elsevierStyleCrossRef" href="#bib0105"><span class="elsevierStyleSup">5</span></a> Several factors can boost an outbreak&#44; such as exposure&#44; and delay in obtaining a sputum smear and diagnosis&#44; among others&#46;<a class="elsevierStyleCrossRefs" href="#bib0110"><span class="elsevierStyleSup">6&#8211;9</span></a> In 2013&#44; 61 outbreaks of pulmonary TB were reported to the National Epidemiological Surveillance Network&#46; This number is lower than in previous years &#40;135 in 2011 and 92 in 2012&#41;&#44; although the figures may be underestimated due to delays in reporting&#46;<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">4</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">Tuberculous disease can only be controlled with the implementation of a program based on early diagnosis of the patient&#44; compliance with the right treatment&#44; follow-up of cases to ensure cure&#44; and instigation of specific contact tracing&#46;<a class="elsevierStyleCrossRef" href="#bib0130"><span class="elsevierStyleSup">10</span></a></p><p id="par0040" class="elsevierStylePara elsevierViewall">Drug-resistance testing is essential in the control of TB&#44; particularly in the context of an outbreak&#46;<a class="elsevierStyleCrossRef" href="#bib0130"><span class="elsevierStyleSup">10</span></a></p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Material and Methods</span><p id="par0045" class="elsevierStylePara elsevierViewall">This study was initiated after the index case was reported to the Department of Preventive Health and Public Health of the Hospital Cl&#237;nico Universitario of Valladolid&#46; The protocol for tracing&#44; treatment&#44; and follow-up of cohabitants and contacts for TB was implemented&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">Exposed individuals were censored using the concentric circle approach&#46;<a class="elsevierStyleCrossRef" href="#bib0135"><span class="elsevierStyleSup">11</span></a> Contacts were classified as high priority &#40;individuals with contact &#62;6<span class="elsevierStyleHsp" style=""></span>h&#47;day&#44; children younger than 5 years&#44; immunocompromised individuals&#41;&#44; medium priority &#40;individuals with daily contact&#44; but &#60;6<span class="elsevierStyleHsp" style=""></span>h&#47;day&#41;&#44; and low priority &#40;sporadic contact&#41;<a class="elsevierStyleCrossRef" href="#bib0105"><span class="elsevierStyleSup">5</span></a> &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0055" class="elsevierStylePara elsevierViewall">Mantoux tuberculin testing was performed on all exposed individuals&#46; Results were interpreted after 48<span class="elsevierStyleHsp" style=""></span>h&#44; by measuring the transversal induration&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">Interferon gamma release assays &#40;IGRA&#41; diagnostics could not be performed in all patients as indicated<a class="elsevierStyleCrossRef" href="#bib0135"><span class="elsevierStyleSup">11</span></a> &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41;&#44;<a class="elsevierStyleCrossRef" href="#bib0140"><span class="elsevierStyleSup">12</span></a> since at that time the IGRA method was unavailable in our hospital laboratory&#46; We were able send only a selection of samples&#44; designated according to patient risk and age&#44; to the reference hospital &#40;Hospital Universitario R&#237;o Hortega de Valladolid&#41;&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0065" class="elsevierStylePara elsevierViewall">To complete the epidemiological study&#44; sputum samples from the index case and 3 exposed individuals who had active disease were sent to the reference laboratory of the National Center of Microbiology in Majadahonda &#40;Instituto de Salud Carlos III&#44; Spain&#41; for genotyping and expanded resistance studies&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">High-risk contacts with a negative tuberculin test were treated for probable infection&#44; and the Mantoux test was repeated 2 months later&#46; If the second tuberculin test was negative&#44; chemoprophylactic treatment was administered&#46;</p><p id="par0075" class="elsevierStylePara elsevierViewall">Exposed individuals whose tuberculin test was positive were screened for disease with chest X-ray and serial sputum cultures&#46; After active disease was ruled out&#44; treatment for latent infection &#40;TLI&#41; was administered to contacts classified as high risk&#44; medium risk&#44; or sporadic risk due to concomitant medical conditions&#46; The tuberculin test in contacts who had received BCG vaccination was considered positive if the induration was greater than 5<span class="elsevierStyleHsp" style=""></span>mm in individuals who were close contacts&#44; younger than 20 years&#44; or who presented risk factors&#59; and greater than 15<span class="elsevierStyleHsp" style=""></span>mm in contacts with medium and sporadic risk&#46;<a class="elsevierStyleCrossRef" href="#bib0135"><span class="elsevierStyleSup">11</span></a></p><p id="par0080" class="elsevierStylePara elsevierViewall">Exposed individuals who were diagnosed as having active tuberculous disease were referred to the Infectious Diseases Unit of our hospital for administration of anti-TB treatment&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Results</span><p id="par0085" class="elsevierStylePara elsevierViewall">The index case was a 28-year-old Bolivian woman&#44; who had been living in Spain for 12 years&#46; Active tracing of cohabitants and contacts produced a total of 39 individuals &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; Disease incidence was 15&#46;3&#37; &#40;6&#47;39&#41;&#46; Four new cases associated with the index case were detected in the months following identification of the index case&#46; One contact was lost to follow-up&#46; A fifth case&#44; which was not investigated in the Hospital Cl&#237;nico Universitario de Valladolid&#44; was diagnosed 2 years later&#46; All cases were of South American origin&#44; except for one boy&#44; who was born in Spain&#46; All individuals had been living in Spain for more than 10 years and none of them had recently traveled to their home country&#46; The Hospital Cl&#237;nico Universitario was responsible for treatment and follow-up of the cases&#44; and treatment was adjusted when the results of sputum resistance testing were available&#44; in line with current guidelines&#46; Treatment compliance was 100&#37; in all cases&#44; as was cure&#46; Epidemiological characteristics&#44; diagnostic tests and specific treatment of the index case and the 5 derived cases are shown in <a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0090" class="elsevierStylePara elsevierViewall">Genotyping and expanded resistance results revealed isoniazid-resistant <span class="elsevierStyleItalic">Mycobacterium tuberculosis</span> &#40;KatG-msp unmutated&#47;inhA C-T 5 RBS&#41;&#59; the 4 patients tested had this same strain&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">A list of the contacts who did not develop disease is shown in <a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a>&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0100" class="elsevierStylePara elsevierViewall">In total&#44; 80&#37; of the patients had received BCG vaccination&#46; Of the contacts who initially presented negative Mantoux results&#44; 14&#37; were positive when the test was repeated 2 months later&#46; TLI was given to all patients who converted and to a contact who showed conversion on an IGRA test&#46; IGRA was positive in 3 of the unvaccinated contacts younger than 20 years whose Mantoux had been negative&#46; No PPD false positives were detected on IGRA testing in individuals who had received BCG vaccination&#46; All other contacts were considered healthy and no further studies were performed&#46;</p><p id="par0105" class="elsevierStylePara elsevierViewall">The incidence of latent infection &#40;LI&#41; was 71&#46;43&#37; &#40;25&#47;35&#41;&#46; Of 25 patients with LI&#44; 23 received TLI after active disease was ruled out &#40;20 with LI and 3 converters&#41;&#46; The remaining 2 &#40;sporadic contacts&#41; refused treatment&#46; All cases of LI were treated with rifampicin for 4 months&#46; One individual discontinued treatment after 1 month due to pregnancy&#44; and 2 discontinued treatment&#44; as they could not be located during follow-up&#46;</p><p id="par0110" class="elsevierStylePara elsevierViewall">Exposed children with LI continued their treatment period for up to 6 months&#46; No adverse drug event was reported&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Discussion</span><p id="par0115" class="elsevierStylePara elsevierViewall">Very little literature is available on TB outbreaks&#44; either in Spain or around the world&#46;<a class="elsevierStyleCrossRef" href="#bib0145"><span class="elsevierStyleSup">13</span></a> This study confirmed the existence of an outbreak of tuberculous disease&#46;</p><p id="par0120" class="elsevierStylePara elsevierViewall">The treatment and chemoprophylaxis of TB is complicated if the infection is caused by bacilli resistant to any of the antituberculous agents&#46; Molecular genetic techniques provided very valuable epidemiological data for characterizing the outbreak and helped us to confirm in our study that a single isoniazid-resistant strain was responsible for the outbreak&#46;</p><p id="par0125" class="elsevierStylePara elsevierViewall">It is essential that contact tracing is undertaken when a case of TB is detected&#44; to determine the real index case and secondary or infected cases&#46;<a class="elsevierStyleCrossRef" href="#bib0145"><span class="elsevierStyleSup">13</span></a> Of singular importance&#44; too&#44; is the availability of IGRA diagnostic techniques&#44; to improve the early detection of LI&#46;<a class="elsevierStyleCrossRef" href="#bib0150"><span class="elsevierStyleSup">14</span></a></p><p id="par0130" class="elsevierStylePara elsevierViewall">The initial rate of resistance to isoniazid is greater than estimated&#44; probably due to the increase in immigration in recent years&#46; In Spain&#44; between 2010 and 2011&#44; initial resistance to isoniazid was found to be 5&#46;7&#37;&#59; associated factors include crowded living conditions and immigrant status&#46;<a class="elsevierStyleCrossRef" href="#bib0155"><span class="elsevierStyleSup">15</span></a></p><p id="par0135" class="elsevierStylePara elsevierViewall">The incidence of primary resistance and multi-drug resistance in the region of Castile and Leon is low&#44; although a slight&#44; insignificant upward trend has been observed&#46; Isoniazid resistance is 3&#46;2&#37;&#46;<a class="elsevierStyleCrossRef" href="#bib0160"><span class="elsevierStyleSup">16</span></a></p><p id="par0140" class="elsevierStylePara elsevierViewall">We cannot confidently claim that the strain involved in our outbreak was imported&#44; since the index case has been living in Spain for 12 years&#44; nor can we rule out the possibility that the disease was a reactivation&#46;</p><p id="par0145" class="elsevierStylePara elsevierViewall">In our study&#44; the interval between onset of symptoms and starting treatment was approximately 6 months&#44; and this delay may have led to the appearance of the other new cases&#44; or could at least have been a determining factor in the outbreak&#46; The pulmonary localization in our index case and the fact that she had active disease&#44; along with the intensity of the contact&#44; are significant risk factors for transmission to susceptible individuals&#46;</p><p id="par0150" class="elsevierStylePara elsevierViewall">Treatment compliance in cases and in contacts was high&#46; Only 2 patients refused TLI&#44; as their contact had been sporadic&#44; and 1 patient withdraw due to pregnancy&#46; Another 2 contacts discontinued treatment for no apparent reason and we failed to locate them&#44; despite several attempts&#46; No adverse treatment effects were reported&#44; which helped encourage adherence&#46;</p><p id="par0155" class="elsevierStylePara elsevierViewall">A comprehensive approach to MDR-TB calls for actions addressing all aspects of the disease&#44; from prevention to cure&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Conflict of Interests</span><p id="par0160" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflict of interests&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:10 [
        0 => array:3 [
          "identificador" => "xres655733"
          "titulo" => "Abstract"
          "secciones" => array:4 [
            0 => array:2 [
              "identificador" => "abst0005"
              "titulo" => "Background"
            ]
            1 => array:2 [
              "identificador" => "abst0010"
              "titulo" => "Methods"
            ]
            2 => array:2 [
              "identificador" => "abst0015"
              "titulo" => "Results"
            ]
            3 => array:2 [
              "identificador" => "abst0020"
              "titulo" => "Conclusions"
            ]
          ]
        ]
        1 => array:2 [
          "identificador" => "xpalclavsec665351"
          "titulo" => "Keywords"
        ]
        2 => array:3 [
          "identificador" => "xres655734"
          "titulo" => "Resumen"
          "secciones" => array:4 [
            0 => array:2 [
              "identificador" => "abst0025"
              "titulo" => "Introducci&#243;n"
            ]
            1 => array:2 [
              "identificador" => "abst0030"
              "titulo" => "M&#233;todo"
            ]
            2 => array:2 [
              "identificador" => "abst0035"
              "titulo" => "Resultados"
            ]
            3 => array:2 [
              "identificador" => "abst0040"
              "titulo" => "Discusi&#243;n"
            ]
          ]
        ]
        3 => array:2 [
          "identificador" => "xpalclavsec665352"
          "titulo" => "Palabras clave"
        ]
        4 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Introduction"
        ]
        5 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "Material and Methods"
        ]
        6 => array:2 [
          "identificador" => "sec0015"
          "titulo" => "Results"
        ]
        7 => array:2 [
          "identificador" => "sec0020"
          "titulo" => "Discussion"
        ]
        8 => array:2 [
          "identificador" => "sec0025"
          "titulo" => "Conflict of Interests"
        ]
        9 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2015-04-15"
    "fechaAceptado" => "2015-07-21"
    "PalabrasClave" => array:2 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec665351"
          "palabras" => array:5 [
            0 => "Drug-resistant tuberculosis"
            1 => "Outbreak"
            2 => "Immigration"
            3 => "Latent tuberculosis"
            4 => "Contact tracing"
          ]
        ]
      ]
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec665352"
          "palabras" => array:5 [
            0 => "Tuberculosis resistente"
            1 => "Brote"
            2 => "Inmigraci&#243;n"
            3 => "Infecci&#243;n tuberculosa latente"
            4 => "Estudio de contactos"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "en" => array:3 [
        "titulo" => "Abstract"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Background</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Tuberculosis &#40;TB&#41; remains a major public health problem&#46; In 2013&#44; 9 million new cases of active TB were estimated globally and the proportion of reported new cases with multi-drug resistance &#40;MDR&#41; was 3&#46;5&#37;&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Contact tracing of a case of pulmonary tuberculosis was performed in a Bolivian patient&#46; Diagnostic tests were performed according to national and local protocols&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">An outbreak of tuberculosis in an immigrant community was detected&#44; with 5 cases originating from one index case&#46; Genotyping and drug susceptibility testing of the sputum samples determined <span class="elsevierStyleItalic">Mycobacterium tuberculosis</span> resistant to isoniazid &#40;KatG-msp unmutated&#47;inhA 5 RBS CT&#41;&#46; Active case finding revealed a total of 39 contacts with an incidence of latent infection of 71&#46;43&#37;&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The present study confirms the importance of active case finding through contact tracing as well as rapid laboratory diagnosis to achieve improvements in early detection of TB&#46; Early diagnosis of the patient&#44; compliance with appropriate treatment protocols and monitoring of drug resistance are considered essential for the prevention and control of TB&#46;</p></span>"
        "secciones" => array:4 [
          0 => array:2 [
            "identificador" => "abst0005"
            "titulo" => "Background"
          ]
          1 => array:2 [
            "identificador" => "abst0010"
            "titulo" => "Methods"
          ]
          2 => array:2 [
            "identificador" => "abst0015"
            "titulo" => "Results"
          ]
          3 => array:2 [
            "identificador" => "abst0020"
            "titulo" => "Conclusions"
          ]
        ]
      ]
      "es" => array:3 [
        "titulo" => "Resumen"
        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Introducci&#243;n</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">La tuberculosis &#40;TB&#41; contin&#250;a siendo un importante problema de salud p&#250;blica&#46; En 2013 se declararon 9 millones de casos nuevos de TB activa a nivel mundial&#44; siendo la proporci&#243;n de nuevos casos de TB multirresistente del 3&#44;5&#37;&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">M&#233;todo</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Se realiz&#243; un estudio de contactos de un caso de TB pulmonar en una paciente de nacionalidad boliviana&#46; Las pruebas diagn&#243;sticas se realizaron seg&#250;n los protocolos establecidos a nivel nacional y local&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Se detectaron 5 casos a partir del caso &#237;ndice y se constat&#243; la existencia de un brote de TB en una comunidad inmigrante&#46; El resultado del genotipado y del antibiograma ampliado de las muestras de esputo fue crecimiento de <span class="elsevierStyleItalic">Mycobacterium tuberculosis</span> &#40;KatG-msp no mutado&#47;inhA C-T 5 RBS&#41; resistente a isoniacida&#46; Se realiz&#243; la b&#250;squeda activa de convivientes y contactos con un censo total de 39 personas&#46; La incidencia de infecci&#243;n latente fue de 71&#44;43&#37;&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Discusi&#243;n</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">El estudio de este brote como otros en la literatura constata la importancia de la b&#250;squeda activa de la localizaci&#243;n de contactos y su estudio&#44; de la investigaci&#243;n de laboratorio para lograr la mejora en la detecci&#243;n precoz de la TB&#46; Un diagn&#243;stico precoz del enfermo&#44; el cumplimiento de un tratamiento adecuado y la vigilancia de la farmacorresistencia se consideran pilares fundamentales para la prevenci&#243;n y el control de la TB&#46;</p></span>"
        "secciones" => array:4 [
          0 => array:2 [
            "identificador" => "abst0025"
            "titulo" => "Introducci&#243;n"
          ]
          1 => array:2 [
            "identificador" => "abst0030"
            "titulo" => "M&#233;todo"
          ]
          2 => array:2 [
            "identificador" => "abst0035"
            "titulo" => "Resultados"
          ]
          3 => array:2 [
            "identificador" => "abst0040"
            "titulo" => "Discusi&#243;n"
          ]
        ]
      ]
    ]
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Hern&#225;n Garc&#237;a C&#44; Moreno Cea L&#44; Fern&#225;ndez Espinilla V&#44; Ruiz Lopez del Prado G&#44; Fern&#225;ndez Arribas S&#44; Andr&#233;s Garc&#237;a I&#44; et al&#46; Brote de tuberculosis resistente a isoniacida en una comunidad de inmigrantes en Espa&#241;a&#46; Arch Bronconeumol&#46; 2016&#59;52&#58;289&#8211;292&#46;</p>"
      ]
    ]
    "multimedia" => array:4 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Fig&#46; 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1230
            "Ancho" => 1501
            "Tamanyo" => 68504
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Classification of contacts&#46;</p>"
        ]
      ]
      1 => array:7 [
        "identificador" => "fig0010"
        "etiqueta" => "Fig&#46; 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 929
            "Ancho" => 1651
            "Tamanyo" => 84392
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Tuberculin and IGRA interpretation algorithm&#46;<a class="elsevierStyleCrossRef" href="#bib0140"><span class="elsevierStyleSup">12</span></a></p>"
        ]
      ]
      2 => array:7 [
        "identificador" => "tbl0005"
        "etiqueta" => "Table 1"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "tabla" => array:1 [
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Index case&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Case 2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Case 3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Case 4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Case 5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Case 6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Age&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">28 years&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">33 years&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">29 years&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">29 years&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1 year&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">33 years&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Sex&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Female&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Male&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Female&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Female&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Male&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Male&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Nationality&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Bolivian&#44; resident in Spain since 2005&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Bolivian&#44; resident in Spain since 2003&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Bolivian&#44; resident in Spain since 2000&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Bolivian resident in Spain&#44; date unknown&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Spanish of Bolivian descent&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Bolivian&#44; resident in Spain since 2003&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Onset of symptoms&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">January 2012&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">May 2012&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">No symptoms&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">July 2012&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">July 2012&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">December 2014&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Type&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Pulmonary&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Pulmonary&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Pulmonary&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Pleural&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Pulmonary&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Pulmonary&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Mantoux&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Not done&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Negative&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Positive&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Positive&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Positive&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Positive&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">IGRA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Not done&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Not done&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Positive&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Not done&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Not done&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Positive&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Chest X-ray&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Pathological with cavities&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Pathological without cavities&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Not done due to pregnancy&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Pathological without cavities&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Pathological without cavities&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Pathological with cavities&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Sputum smear&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Positive&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Negative&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Negative&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Negative&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Negative in gastric fluid&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Positive&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Sputum culture&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Positive for <span class="elsevierStyleItalic">M</span>&#46; <span class="elsevierStyleItalic">tuberculosis</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Positive for <span class="elsevierStyleItalic">M</span>&#46; <span class="elsevierStyleItalic">tuberculosis</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Positive for <span class="elsevierStyleItalic">M</span>&#46; <span class="elsevierStyleItalic">tuberculosis</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Negative&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Negative in gastric fluid&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Positive for <span class="elsevierStyleItalic">M</span>&#46; <span class="elsevierStyleItalic">tuberculosis</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Start of treatment&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">02&#47;Jul&#47;2012&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">13&#47;Jul&#47;2012&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">27&#47;Jul&#47;2012&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">30&#47;Jul&#47;2012&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">30&#47;Sep&#47;2012&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&#47;Dec&#47;2014&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Isoniazid resistance&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Yes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Yes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Yes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Not tested&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Not tested&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Yes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Genotype&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">KatG-msp unmutated&#47;inhA C-T 5RBS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">KatG-msp unmutated&#47;inhA C-T 5RBS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">KatG-msp unmutated&#47;inhA C-T 5RBS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Not done&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Not done&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">KatG-msp unmutated&#47;inhA C-T 5RBS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Treatment duration&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">9 months&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">12 months&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">12 months&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">9 months&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">9 months&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">9 months&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Specific treatment&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Ethambutol&#44; rifampicin&#44; pyrazinamide&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Ethambutol&#44; rifampicin&#44; pyrazinamide&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Ethambutol&#44; rifampicin&#44; pyrazinamide&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Ethambutol&#44; rifampicin&#44; pyrazinamide&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Ethambutol&#44; rifampicin&#44; pyrazinamide&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Ethambutol&#44; rifampicin&#44; pyrazinamide&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Compliance&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Yes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Yes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Yes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Yes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Yes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Ongoing&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Cure&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Yes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Yes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Yes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Yes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Yes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Ongoing&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab1077241.png"
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Epidemiological characteristics&#44; diagnostic tests and specific treatment of tuberculosis cases&#46;</p>"
        ]
      ]
      3 => array:7 [
        "identificador" => "tbl0010"
        "etiqueta" => "Table 2"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "tabla" => array:1 [
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">High priority contacts <span class="elsevierStyleItalic">n</span> &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Medium priority contacts <span class="elsevierStyleItalic">n</span> &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Low priority contacts <span class="elsevierStyleItalic">n</span> &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Number</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">17&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleItalic">Sex</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Female&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">6 &#40;75&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">5 &#40;50&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">9 &#40;52&#46;95&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Male&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2 &#40;25&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">5 &#40;50&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8 &#40;47&#46;05&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleItalic">Age</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#8804;10 years&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">4 &#40;50&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3 &#40;30&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">5 &#40;29&#46;41&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>11&#8211;20 years&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1 &#40;10&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1 &#40;5&#46;89&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>21&#8211;40 years&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">4 &#40;50&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3 &#40;30&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8 &#40;47&#46;05&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>41&#8211;60 years&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3 &#40;30&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3 &#40;17&#46;65&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#8805;60 years&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleItalic">Mantoux</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Positive&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">4 &#40;50&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">7 &#40;70&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8 &#40;47&#46;05&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Negative&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">4 &#40;50&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3 &#40;30&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">7 &#40;41&#46;18&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Not done&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2 &#40;11&#46;76&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleItalic">IGRA</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Requested&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3 &#40;37&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1 &#40;10&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">4 &#40;23&#46;52&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Positive&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Negative&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">4 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleItalic">Chest X-ray</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Pathological with no signs of active infection&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1 &#40;10&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Normal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8 &#40;80&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8 &#40;47&#46;05&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Not done&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#40;10&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">9 &#40;52&#46;95&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Treatment for probable infection</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1 &#40;12&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2 &#40;20&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2 &#40;11&#46;76&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Treatment for latent infection</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">7 &#40;87&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">7 &#40;70&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">6 &#40;35&#46;29&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab1077242.png"
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Characteristics of tuberculosis contacts&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:16 [
            0 => array:3 [
              "identificador" => "bib0085"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "WHO&#46; Global tuberculosis report 2014 &#91;Internet&#93;&#46; WHO&#46; &#91;accessed 10 Mar 2015&#93;&#46; Available from&#58; <a id="intr0010" class="elsevierStyleInterRef" href="http://www.who.int/tb/publications/global_report/en/">http&#58;&#47;&#47;www&#46;who&#46;int&#47;tb&#47;publications&#47;global&#95;report&#47;en&#47;</a>&#46;"
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0090"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Informe epidemiol&#243;gico sobre la situaci&#243;n de la tuberculosis en Espa&#241;a&#46; A&#241;o 2013"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "Centro Nacional de Epidemiolog&#237;a"
                            1 => "Instituto de Salud Carlos III"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "2014"
                        "editorial" => "Instituto de Salud Carlos III"
                        "editorialLocalizacion" => "Madrid"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0095"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Informe epidemiol&#243;gico sobre la situaci&#243;n de la tuberculosis en Espa&#241;a&#46; A&#241;o 2012"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "Centro Nacional de Epidemiolog&#237;a"
                            1 => "Instituto de Salud Carlos III"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "2013"
                        "editorial" => "Instituto de Salud Carlos III"
                        "editorialLocalizacion" => "Madrid"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0100"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "473200-Informe epidemiol&#243;gico sobre la tuberculosis en Castilla y Le&#243;n&#46; A&#241;o 2013&#46;pdf &#91;Internet&#93;&#46; &#91;accessed 30 Mar 2015&#93;&#46; Available from&#58; <a id="intr0015" class="elsevierStyleInterRef" href="http://www.saludcastillayleon.es/profesionales/es/informacion-epidemiologica/enfermedades-infecciosas/tuberculosis.ficheros/473200-Informe%20epidemiol%C3%B3gico%20sobre%20la%20tuberculosis%20en%20Castilla%20y%20Le%C3%B3n.%20A%C3%B1o%202013.pdf">http&#58;&#47;&#47;www&#46;saludcastillayleon&#46;es&#47;profesionales&#47;es&#47;informacion-epidemiologica&#47;enfermedades-infecciosas&#47;tuberculosis&#46;ficheros&#47;473200-Informe&#37;20epidemiol&#37;C3&#37;B3gico&#37;20sobre&#37;20la&#37;20tuberculosis&#37;20en&#37;20Castilla&#37;20y&#37;20Le&#37;C3&#37;B3n&#46;&#37;20A&#37;C3&#37;B1o&#37;202013&#46;pdf</a>&#46;"
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0105"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Plan para la prevenci&#243;n y control de la tuberculosis en Espa&#241;a&#46; Documento aprobado por la Comisi&#243;n de Salud P&#250;blica del Consejo Interterritorial del Sistema Nacional de Salud&#44; el 15 de noviembre de 2007 y por el Consejo Interterritorial del Sistema Nacional de Salud&#44; el 18 de junio de 2008&#46;"
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0110"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Estudio del contagio en 3&#46;071 contactos familiares de enfermos con tuberculosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "R&#46; Vidal"
                            1 => "M&#46; Miravitlles"
                            2 => "J&#46;A&#46; Cayl&#224;"
                            3 => "M&#46; Torrella"
                            4 => "N&#46; Mart&#237;n"
                            5 => "J&#46; de Gracia"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Med Clin"
                        "fecha" => "1997"
                        "volumen" => "108"
                        "paginaInicial" => "361"
                        "paginaFinal" => "365"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0115"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Estudio del retraso diagn&#243;stico de la tuberculosis pulmonar sintom&#225;tica"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M&#46;N&#46; Altet G&#243;mez"
                            1 => "J&#46; Alcaide Meg&#237;as"
                            2 => "J&#46; Canela Soler"
                            3 => "C&#46; Mil&#225; Aug&#233;"
                            4 => "M&#46;A&#46; Jim&#233;nez Fuentes"
                            5 => "M&#46;L&#46; de Souza Galvao"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Bronconeumol"
                        "fecha" => "2003"
                        "volumen" => "39"
                        "paginaInicial" => "146"
                        "paginaFinal" => "152"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12716554"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0120"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "The influence of intravenous drug use and HIV infection in tuberculosis&#58; AIDS &#91;Internet&#93;&#46; LWW&#46; &#91;accessed 7 Apr 2015&#93;&#46; Available from&#58; <a id="intr0020" class="elsevierStyleInterRef" href="http://journals.lww.com/aidsonline/Fulltext/1996/01000/The_influence_of_intravenous_drug_use_and_HIV.14.aspx">http&#58;&#47;&#47;journals&#46;lww&#46;com&#47;aidsonline&#47;Fulltext&#47;1996&#47;01000&#47;The&#95;influence&#95;of&#95;intravenous&#95;drug&#95;use&#95;and&#95;HIV&#46;14&#46;aspx</a>&#46;"
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0125"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Outbreak of tuberculosis among homeless persons coinfected with human immunodeficiency virus"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "P&#46;D&#46; McElroy"
                            1 => "K&#46;L&#46; Southwick"
                            2 => "E&#46;R&#46; Fortenberry"
                            3 => "E&#46;C&#46; Levine"
                            4 => "L&#46;A&#46; Diem"
                            5 => "C&#46;L&#46; Woodley"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1086/374836"
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin Infect Dis"
                        "fecha" => "2003"
                        "volumen" => "36"
                        "paginaInicial" => "1305"
                        "paginaFinal" => "1312"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12746777"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0130"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "CDC&#46; Tuberculosis infection control and prevention &#91;Internet&#93;&#46; &#91;accessed 10 Mar 2015&#93;&#46; Available from&#58; <a id="intr0025" class="elsevierStyleInterRef" href="http://www.cdc.gov/tb/topic/infectioncontrol/default.htm">http&#58;&#47;&#47;www&#46;cdc&#46;gov&#47;tb&#47;topic&#47;infectioncontrol&#47;default&#46;htm</a>&#46;"
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib0135"
              "etiqueta" => "11"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Estudio de contactos ante un caso de tuberculosis&#46; Programa de Prevenci&#243;n y Control de la Tuberculosis&#46; Red de Vigilancia Epidemiol&#243;gica de Castilla y Le&#243;n&#46; Junta de Castilla y Le&#243;n"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "Direcci&#243;n General de Salud P&#250;blica&#44; Investigaci&#243;n&#44; Desarrollo e Innovaci&#243;n"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "2011"
                        "editorial" => "Consejer&#237;a de Sanidad"
                        "editorialLocalizacion" => "Valladolid"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib0140"
              "etiqueta" => "12"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Diagn&#243;stico y tratamiento de la tuberculosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46; Ruiz-Manzano"
                            1 => "R&#46; Blanquer"
                            2 => "J&#46;L&#46; Calpe"
                            3 => "J&#46;A&#46; Caminero"
                            4 => "J&#46; Cayla"
                            5 => "J&#46;A&#46; Dominguez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Bronconeumol"
                        "fecha" => "2008"
                        "volumen" => "44"
                        "paginaInicial" => "551"
                        "paginaFinal" => "566"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19006636"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib0145"
              "etiqueta" => "13"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Estudio de los brotes de tuberculosis que han generado informes epidemiol&#243;gicos en Catalu&#241;a &#40;1998&#8211;2002&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "C&#46;M&#46; Bran"
                            1 => "J&#46;A&#46; Cayl&#225;"
                            2 => "&#193;&#46; Dom&#237;nguez"
                            3 => "N&#46; Camps"
                            4 => "P&#46; Godoy"
                            5 => "A&#46; Orcau"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Bronconeumol"
                        "fecha" => "2006"
                        "volumen" => "42"
                        "paginaInicial" => "260"
                        "paginaFinal" => "266"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16827973"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib0150"
              "etiqueta" => "14"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Updated guidelines for using interferon gamma release assays to detect mycobacterium tuberculosis infection&#46; United States&#44; 2010 &#91;Internet&#93;&#46; &#91;accessed 26 Jun 2015&#93;&#46; Available from&#58; <a id="intr0030" class="elsevierStyleInterRef" href="http://francais.cdc.gov/mmwr/preview/mmwrhtml/rr5905a1.htm?s_cid=rr5905a1_w">http&#58;&#47;&#47;francais&#46;cdc&#46;gov&#47;mmwr&#47;preview&#47;mmwrhtml&#47;rr5905a1&#46;htm&#63;s&#95;cid&#61;rr5905a1&#95;w</a>&#46;"
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib0155"
              "etiqueta" => "15"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Resistencia a f&#225;rmacos antituberculosos de primera l&#237;nea en Espa&#241;a durante 2010&#8211;2011&#46; Estudio RETUBES"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "R&#46; Blanquer"
                            1 => "T&#46; Rodrigo"
                            2 => "M&#46; Casals"
                            3 => "J&#46;R&#46; Manzano"
                            4 => "J&#46;M&#46; Garc&#237;a-Garc&#237;a"
                            5 => "J&#46;L&#46; Calpe"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.arbres.2014.06.001"
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Bronconeumol"
                        "fecha" => "2015"
                        "volumen" => "51"
                        "paginaInicial" => "24"
                        "paginaFinal" => "30"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25027066"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib0160"
              "etiqueta" => "16"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Resistencias a f&#225;rmacos de Mycobacterium tuberculosis en la Comunidad de Castilla y Le&#243;n &#40;Espa&#241;a&#41;&#44; 2001&#8211;2005&#58; tercer estudio multic&#233;ntrico"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46; Alberte-Casti&#241;eiras"
                            1 => "&#193;&#46; Campos-Bueno"
                            2 => "L&#46; L&#243;pez-Urrutia"
                            3 => "E&#46; &#193;lvarez-Alonso"
                            4 => "G&#46; Meg&#237;as"
                            5 => "E&#46; Ojeda-Fern&#225;ndez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.eimc.2010.02.011"
                      "Revista" => array:6 [
                        "tituloSerie" => "Enferm Infecc Microbiol Clin"
                        "fecha" => "2010"
                        "volumen" => "28"
                        "paginaInicial" => "706"
                        "paginaFinal" => "709"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20627375"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
    "agradecimientos" => array:1 [
      0 => array:3 [
        "titulo" => "Acknowledgements"
        "texto" => "<p id="par0165" class="elsevierStylePara elsevierViewall">We thank the Pulmonology Department&#44; the Infectious Diseases Unit and the Microbiology Department of the Hospital Cl&#237;nico Universitario de Valladolid&#46;</p>"
        "vista" => "all"
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15792129/0000005200000006/v1_201605260126/S1579212916000318/v1_201605260126/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "9374"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Original Articles"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/15792129/0000005200000006/v1_201605260126/S1579212916000318/v1_201605260126/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212916000318?idApp=UINPBA00003Z"
]
Article information
ISSN: 15792129
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 4 5 9
2024 October 43 24 67
2024 September 31 21 52
2024 August 50 39 89
2024 July 38 21 59
2024 June 55 34 89
2024 May 74 31 105
2024 April 41 22 63
2024 March 43 17 60
2024 February 32 19 51
2023 March 10 2 12
2023 February 45 29 74
2023 January 33 37 70
2022 December 45 33 78
2022 November 78 35 113
2022 October 46 31 77
2022 September 72 40 112
2022 August 76 43 119
2022 July 59 38 97
2022 June 36 34 70
2022 May 48 38 86
2022 April 30 41 71
2022 March 48 43 91
2022 February 49 26 75
2022 January 50 39 89
2021 December 42 35 77
2021 November 52 49 101
2021 October 66 39 105
2021 September 35 45 80
2021 August 36 39 75
2021 July 27 38 65
2021 June 54 35 89
2021 May 35 32 67
2021 April 64 66 130
2021 March 48 18 66
2021 February 28 23 51
2021 January 35 22 57
2020 December 51 25 76
2020 November 29 17 46
2020 October 33 19 52
2020 September 35 17 52
2020 August 32 17 49
2020 July 30 30 60
2020 June 32 8 40
2020 May 42 15 57
2020 April 43 28 71
2020 March 49 15 64
2020 February 41 19 60
2020 January 35 22 57
2019 December 40 17 57
2019 November 35 29 64
2019 October 35 22 57
2019 September 21 15 36
2019 August 35 17 52
2019 July 30 27 57
2019 June 26 6 32
2019 May 35 29 64
2019 April 48 46 94
2019 March 38 28 66
2019 February 38 23 61
2019 January 34 13 47
2018 December 31 17 48
2018 November 66 25 91
2018 October 94 27 121
2018 September 56 17 73
2018 July 2 0 2
2018 June 1 0 1
2018 May 13 1 14
2018 April 21 9 30
2018 March 20 3 23
2018 February 37 6 43
2018 January 136 7 143
2017 December 175 6 181
2017 November 54 6 60
2017 October 22 5 27
2017 September 30 6 36
2017 August 23 11 34
2017 July 25 6 31
2017 June 41 19 60
2017 May 39 12 51
2017 April 39 14 53
2017 March 31 9 40
2017 February 17 8 25
2017 January 17 8 25
2016 December 29 14 43
2016 November 43 32 75
2016 October 53 55 108
2016 September 40 33 73
2016 August 5 2 7
Show all

Follow this link to access the full text of the article

Archivos de Bronconeumología

Are you a health professional able to prescribe or dispense drugs?