[Tuberculosis surveillance in the Balearic Islands and characteristics of unreported cases from 2005 to 2007].

Autor:	Giménez Duran J; Centro Nacional de Epidemiología, Instituto de Salud Carlos III, Madrid, España. jaumegd@gmail.com, Galmés Truyols AM, Herrera Guibert D, Bonilla Vargas LA, Luque Fernández MA, Bosch Isabel C, Nicolau Riutort A, Caylà Buqueras J
Jazyk:	Spanish; Castilian
Zdroj:	Gaceta sanitaria [Gac Sanit] 2011 Jan-Feb; Vol. 25 (1), pp. 84-6.
DOI:	10.1016/j.gaceta.2010.09.016
Abstrakt:	We performed a descriptive study of tuberculosis cases detected by the Epidemiological Surveillance System in the Balearic Islands in the triennium 2005-2007. Our goal was to characterize underreported cases in sociodemographic terms and their contact with primary care. Overall, underreporting of tuberculosis was approximately 20%. Significant factors in multivariate analysis were social marginality (consisting of alcoholism, intravenous drug use or indigence) (aOR: 2.6 [1.2 to 5.3]), contact with primary care (aOR: 3.2 [1.4 to 7.1]), and extrapulmonary tuberculosis (aOR: 5.5[3.2-9.6]). We recommend strengthening notification by hospital specialists through the use of hospital electronic records. Our findings show that the information obtained from the primary care computerized history is helpful in improving the epidemiological surveillance of tuberculosis. (Copyright © 2010 SESPAS. Published by Elsevier Espana. All rights reserved.)
Databáze:	MEDLINE
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