Servicios Personalizados
Revista
Articulo
Indicadores
- Citado por SciELO
- Accesos
Links relacionados
- Similares en SciELO
Compartir
Neumología y cirugía de tórax
versión impresa ISSN 0028-3746
Resumen
FELIX-PONCE, Miroslava; JIMENEZ-GRACIA, Alejandra Isabel y LANIADO-LABORIN, Rafael. Delayed initiation of treatment in patients with drug-resistant TB. Neumol. cir. torax [online]. 2019, vol.78, n.4, pp.363-365. Epub 06-Ago-2021. ISSN 0028-3746.
Introduction:
Timely initiation of treatment is crucial for program management in countries with a high burden of multidrug-resistant tuberculosis (MDR-TB). The delay in the initiation of the treatment allows the transmission in the community and the appearance of TB-MDR cases.
Material and methods:
Retrospective review of the files of the Tuberculosis Clinic of the Tijuana General Hospital, including all cases with a diagnosis of tuberculosis with rifampicin resistance (RR-TB) or MDR-TB, during the period between 2006-2019. The interval (in days) between the regimen prescription and the start of treatment was determined.
Results:
52 patients were included. The delay in the initiation of treatment after having recommended a treatment regimen for TB-RR /MDR was 115.6 ± 109.2 days (3.8 months) with a median of 97.5 days. The delay in patients who were cured was 113.4 days versus 155.0 days for patients who died (p = 0.83).
Conclusions:
The time interval between prescription of treatment of an RR/MDR-TB case and the start of treatment (115 days) is unacceptably long. The network for MDR-TB care would be strengthened with the decentralization of stocks of second-line anti-tuberculosis drugs.
Palabras llave : Multidrug resistance; delay; treatment; tuberculosis.