Please use this identifier to cite or link to this item: http://hdl.handle.net/10668/2372
Título : Factors associated with unreported tuberculosis cases in Spanish hospitals.
Autor : Morales-García, Concepción
Rodrigo, Teresa
García-Clemente, Marta M
Muñoz, Ana
Bermúdez, Pilar
Casas, Francisco
Somoza, María
Milá, Celia
Penas, Antón
Hidalgo, Carmen
Casals, Martí
Caylá, Joan A
Filiación: [Morales-García,C; Rodrigo,T; García-Clemente,MM; Muñoz,A; Bermúdez,P; Casas,F; Somoza,M; Milá,C; Penas,A; Hidalgo,C; Casals,M; Caylá,JA] Programa Integrado de Investigación en Tuberculosis (PII-TB) de la Sociedad Española de Neumología y Cirugía Torácica (SEPAR), Barcelona, Spain. [Morales-García,C; Hidalgo,C] Hospital Universitario Virgen de las Nieves de Granada, Granada, Spain. [Rodrigo,T] Fundación Respira de la SEPAR, Barcelona, Spain. Agencia de Salud Pública, Barcelona, Spain. [García-Clemente,MM] Hospital Central de Asturias de Oviedo, Oviedo, Spain. [Muñoz,A; Bermúdez,P] Hospital Universitario Carlos Haya de Málaga, Malaga, Spain. [Casas F] Hospital Universitario San Cecilio de Granada, Granada, Spain. [Somoza M] Consorcio Sanitario de Tarrasa, Barcelona, Spain. [Milá,C] Unitat de Prevenció i Control de Tuberculosis de Barcelona, Barcelona, Spain. [Penas,A] Hospital Xeral-Calde de Lugo, Lugo, Spain. [Casals,M; Caylá,JA ]Agencia de Salud Publica, Barcelona, Spain. [Caylá,JA] CIBER de Epidemiologia y Salud Pública (CIBERESP), Barcelona, Spain.
Grupo de Investigación: Working Group on Under-reporting of Tuberculosis in Spain
Palabras clave : Notifications
Under-reporting
Reporting
Tuberculosis
Spain
Intervalos de confianza
Trazado de contacto
Demografía
Grupo de ascendencia continental europea
Instituciones de Salud
Humanos
Modelos logísticos
Oportunidad relativa
Salud pública
Estudios retrospectivos
España
Tuberculosis
MeSH: Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Statistics as Topic::Confidence Intervals
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Contact Tracing
Medical Subject Headings::Disciplines and Occupations::Social Sciences::Demography
Medical Subject Headings::Named Groups::Persons::Population Groups::Continental Population Groups::European Continental Ancestry Group
Medical Subject Headings::Health Care::Health Care Facilities, Manpower, and Services::Health Facilities
Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Statistics as Topic::Models, Statistical::Logistic Models
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Statistics as Topic::Probability::Odds Ratio
Medical Subject Headings::Disciplines and Occupations::Health Occupations::Medicine::Public Health
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Case-Control Studies::Retrospective Studies
Medical Subject Headings::Geographicals::Geographic Locations::Europe::Spain
Medical Subject Headings::Diseases::Bacterial Infections and Mycoses::Bacterial Infections::Gram-Positive Bacterial Infections::Actinomycetales Infections::Mycobacterium Infections::Tuberculosis
Fecha de publicación : 29-Jul-2015
Editorial : BioMed Central
Cita Bibliográfica: Morales-García C, Rodrigo T, García-Clemente MM, Muñoz A, Bermúdez P, Casas F, et al. Factors associated with unreported tuberculosis cases in Spanish hospitals. BMC Infect. Dis.2015; 15:295
Abstract: BACKGROUND Under-reporting of tuberculosis (TB) cases complicates disease control, hinders contact tracing and alters the accuracy of epidemiological data, including disease burden. The objective of the present study is to evaluate the proportion of unreported TB cases in Spanish healthcare facilities and to identify the associated factors. METHODS A multi-center retrospective study design was employed. The study included TB cases diagnosed in 16 facilities during 2011-2012. These cases were compared to those reported to the corresponding public health departments. Demographic, microbiological and clinical data were analyzed to determine the factors associated with unreported cases. Associated factors were analyzed on a bivariate level using the x(2) test and on a multivariate level using a logistic regression. Odds ratios (OR) and 95 % confidence intervals (CI) were calculated. RESULTS Of the 592 TB cases included in the study, 85 (14.4 %) were not reported. The percentage of unreported cases per healthcare center ranged from 0-45.2 %. The following variables were associated to under-reporting at a multivariate level: smear-negative TB (OR = 1.87; CI:1.07-3.28), extrapulmonary disease (OR = 2.07; CI:1.05-4.09) and retired patients (OR = 3.04; CI:1.29-7.18). A nurse case manager was present in all of the centers with 100 % reporting. The percentage of reported cases among the smear-positive cases was 9.4 % and 19.4 % (p = 0.001) among the rest of the study population. Smear-positive TB was no associated to under-reporting. CONCLUSIONS It is important that TB Control Programs encourage thorough case reporting to improve disease control, contact tracing and accuracy of epidemiological data. The help from a TB nurse case manager could improve the rate of under-reporting.
Descripción : Journal Article; Research Support, Non-U.S. Gov't;
URI: http://hdl.handle.net/10668/2372
Versión del editor : http://www.biomedcentral.com/1471-2334/15/295#abs
DOI: 10.1186/s12879-015-1047-0
ISSN : 1471-2334 (Online)
Appears in Collections:01- Artículos - Complejo Hospitalario Universitario de Granada
01- Artículos - Hospital Regional de Málaga

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