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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Evaluar la prevalencia de enfermedad e infecci&#243;n tuberculosa latente entre la poblaci&#243;n inmigrante procedente de pa&#237;ses con elevada prevalencia de tuberculosis &#40;TB&#41; que reside en Bilbao&#44; as&#237; como las condiciones sociosanitarias relacionadas con ella&#46;</p> <span class="elsevierStyleSectionTitle">Material y M&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio descriptivo llevado a cabo en el barrio San Francisco de Bilbao&#46; La captaci&#243;n de sujetos se realiz&#243; durante un per&#237;odo de 7 meses mediante una campa&#241;a de captaci&#243;n activa dirigida por una asistenta social y a trav&#233;s de la inclusi&#243;n voluntaria de pacientes que acud&#237;an al consultorio m&#233;dico de la organizaci&#243;n no gubernamental &#40;ONG&#41; M&#233;dicos del Mundo con objeto de recibir ayuda m&#233;dica o social&#46; De forma sistem&#225;tica se realizaron encuestas social y m&#233;dica&#44; prueba de la tuberculina y radiograf&#237;a de t&#243;rax a todos los inmigrantes que aceptaron ser incluidos en el estudio&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se evalu&#243; inicialmente a 406 inmigrantes con una edad media &#40;desviaci&#243;n est&#225;ndar&#41; de 32&#44;5 &#40;9&#44;7&#41; a&#241;os&#44; mayoritariamente procedentes de &#193;frica subsahariana&#44; un 83&#44;2&#37; de ellos ilegales&#46; Completaron totalmente el estudio 306 inmigrantes &#40;75&#44;4&#37;&#41;&#44; y se objetivaron adherencias superiores en aquellos cuyo motivo de inclusi&#243;n fue la solicitud de un certificado m&#233;dico &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;039&#41; o presentaban alguna sintomatolog&#237;a &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;016&#41;&#46; La prevalencia de infectados fue del 31&#37; y de tuberculosis activa 0&#44;83&#37;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Creemos justificada la realizaci&#243;n de pruebas de cribado de TB en el colectivo de inmigrantes reci&#233;n llegados a la provincia de Vizcaya dada su elevada tasa de infecci&#243;n y enfermedad&#46; La incentivaci&#243;n y la participaci&#243;n de las ONG podr&#237;an optimizar la aceptaci&#243;n y adhesi&#243;n de dicha poblaci&#243;n a este tipo de programas&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To assess the prevalence of tuberculosis &#40;TB&#41; and latent tuberculous infection among immigrant residents of Bilbao who came from countries where the disease is highly prevalent&#46; We also studied related social and health conditions&#46;</p> <span class="elsevierStyleSectionTitle">Material and Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">A descriptive study carried out in the San Francisco neighborhood of Bilbao&#46; Subjects were enrolled during a seven-month period by a social worker and by the personnel of a non-governmental organization &#40;M&#233;dicos del Mundo&#41; who recruited volunteers from among persons requesting medical or social assistance&#46; The subjects who agreed to participate answered systematic questionnaires on social and medical conditions and were given tuberculin tests and chest X-rays&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">We initially evaluated 406 immigrants &#40;mean age 32&#46;5 years&#59; SD 9&#46;7&#41; mainly from sub-Saharan Africa&#44; 83&#46;2&#37; of whom were undocumented&#46; Three hundred six completed the study &#40;75&#46;4&#37;&#41;&#46; Compliance was higher among those who applied for medical certificates &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;039&#41; or who were symptomatic &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;016&#41;&#46; Thirty-one subjects had been exposed and 0&#46;83&#37; had active TB&#46;</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">We believe that TB screening tests for recently arrived immigrants are necessary given the high rate of exposure and disease&#46; Incentives and the cooperation of non-governmental organizations could improve acceptance of and compliance with such programs&#46;</p>"
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Vol. 38. Issue 11.
Pages 506-510 (November 2002)
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Vol. 38. Issue 11.
Pages 506-510 (November 2002)
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Tuberculosis en la población inmigrante de Bilbao
Tuberculosis among inmigrants in Bilbao (Spain)
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C. Salinas Solanoa, L. Altube Urrengoetxeaa,*, P.P. España Yandiolaa, A. Capelastegui Saiza, J.M. Quintana Lópezb
a Servicio de Neumología
b Unidad de Investigación Clínica. Hospital de Galdakao. Bizkaia. España
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Objetivo

Evaluar la prevalencia de enfermedad e infección tuberculosa latente entre la población inmigrante procedente de países con elevada prevalencia de tuberculosis (TB) que reside en Bilbao, así como las condiciones sociosanitarias relacionadas con ella.

Material y Métodos

Estudio descriptivo llevado a cabo en el barrio San Francisco de Bilbao. La captación de sujetos se realizó durante un período de 7 meses mediante una campaña de captación activa dirigida por una asistenta social y a través de la inclusión voluntaria de pacientes que acudían al consultorio médico de la organización no gubernamental (ONG) Médicos del Mundo con objeto de recibir ayuda médica o social. De forma sistemática se realizaron encuestas social y médica, prueba de la tuberculina y radiografía de tórax a todos los inmigrantes que aceptaron ser incluidos en el estudio.

Resultados

Se evaluó inicialmente a 406 inmigrantes con una edad media (desviación estándar) de 32,5 (9,7) años, mayoritariamente procedentes de África subsahariana, un 83,2% de ellos ilegales. Completaron totalmente el estudio 306 inmigrantes (75,4%), y se objetivaron adherencias superiores en aquellos cuyo motivo de inclusión fue la solicitud de un certificado médico (p=0,039) o presentaban alguna sintomatología (p=0.016). La prevalencia de infectados fue del 31% y de tuberculosis activa 0,83%.

Conclusiones

Creemos justificada la realización de pruebas de cribado de TB en el colectivo de inmigrantes recién llegados a la provincia de Vizcaya dada su elevada tasa de infección y enfermedad. La incentivación y la participación de las ONG podrían optimizar la aceptación y adhesión de dicha población a este tipo de programas.

Palabras clave:
Tuberculosis
Inmigrantes
Prevalencia
Objective

To assess the prevalence of tuberculosis (TB) and latent tuberculous infection among immigrant residents of Bilbao who came from countries where the disease is highly prevalent. We also studied related social and health conditions.

Material and Methods

A descriptive study carried out in the San Francisco neighborhood of Bilbao. Subjects were enrolled during a seven-month period by a social worker and by the personnel of a non-governmental organization (Médicos del Mundo) who recruited volunteers from among persons requesting medical or social assistance. The subjects who agreed to participate answered systematic questionnaires on social and medical conditions and were given tuberculin tests and chest X-rays.

Results

We initially evaluated 406 immigrants (mean age 32.5 years; SD 9.7) mainly from sub-Saharan Africa, 83.2% of whom were undocumented. Three hundred six completed the study (75.4%). Compliance was higher among those who applied for medical certificates (p=0.039) or who were symptomatic (p=0.016). Thirty-one subjects had been exposed and 0.83% had active TB.

Conclusion

We believe that TB screening tests for recently arrived immigrants are necessary given the high rate of exposure and disease. Incentives and the cooperation of non-governmental organizations could improve acceptance of and compliance with such programs.

Keywords:
Tuberculosis
Immigration
Prevalance
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Este proyecto ha sido financiado por el Departamento de Sanidad del Gobierno Vasco

Copyright © 2002. Sociedad Española de Neumología y Cirugía Torácica
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