Clinical and epidemiological profile of rightholders with tuberculosis of IHSS, Tegucigalpa; period 2011-2016

Abstract

Background: The working conditions of certain people may favor the appearance of tuberculosis. Objective. To determine the existence of patterns of occupational type between beneficiaries with tuberculosis (TB), of the Honduran Institute of Social Security (IHSS) on the city of Tegucigalpa and the result on the diagnostic approach and treatment. Methodology. A descriptive retrospective study, carried among the beneficiaries of the IHSS of Tegucigalpa, with a population of 460,150; the sample consisted of all records on people with Tuberculosis of the period between 2011-2016 older than 18 years. The information was obtained through a systematic review of the database, notification sheets, clinical file and review of the follow-up book, determining occupation and other sociodemographic variables and programmatic. Frequencies and confidence intervals were analyzed using Epi Info Version 7.2. Ethical aspects were respected, requesting permission from the IHSS and rules on data management and confidentiality, principles of beneficence, justice and integrity. Results. Records of 214 tuberculosis patients were found: (113) 52.6% women and (101) 47.4% men; (137) 64% had pulmonary tuberculosis and (77) 36% had extrapulmonary tuberculosis. The predominant employment situation was that of unskilled workers (73/214) 34%, followed by retirees (16/214) 7%, health workers (12/214) 6%, caretakers (5/214) 2% and maquila employees (5/214) 2%. The most frequent diagnostic method was bacilloscopy (127) 59%, treatment success (171) 80%, (13) 6% died, follow-up loss (13) 6%. Conclusion It is necessary to design prevention strategies and training for diagnosis and timely treatment in workplaces such as surveillance companies, maquilas, schools and universities, hospitals and investigate reasons for exceeding deaths and loss of patient follow-up.