Prevalence of Drug-Resistant Tuberculosis in HIV-Positive and Diabetic Patients in Sinaloa, Mexico: A Retrospective Cross-Sectional Study

被引:0
|
作者
Perez, Analy Aispuro [1 ]
Osuna-Martinez, Ulises [1 ]
Espinoza-Gallardo, Jose Angel [2 ]
Dorantes-Alvarez, Luis Alfredo [2 ]
Inzunza-Leyva, Gerardo Kenny [2 ]
Dorantes-Bernal, Kimberly Estefania [2 ]
Quinonez-Bastidas, Geovanna Nallely [3 ]
机构
[1] Univ Autonoma Sinaloa, Fac Ciencias Quim Biol, Ciudad Univ, Culiacan 80013, Sinaloa, Mexico
[2] Serv Salud Sinaloa, Coordinac Estatal TB, Secretaria Salud Blvd, Alfonso Zaragoza Maytorena, Culiacan 80020, Sinaloa, Mexico
[3] Univ Autonoma Sinaloa, Ctr Invest & Docencia Ciencias Salud, Eustaquio Buelna 91, Culiacan 80030, Sinaloa, Mexico
关键词
drug resistance; prevalence; tuberculosis; HIV; T2DM; MYCOBACTERIUM-TUBERCULOSIS; RISK-FACTORS; MELLITUS; STATES;
D O I
10.3390/tropicalmed9040089
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Tuberculosis (TB) is a disease caused by the bacillus Mycobacterium tuberculosis (MTB). Human immunodeficiency virus (HIV) infection and type 2 diabetes mellitus (T2DM) are among the main risk factors for the development of TB and increase the risk of drug-resistant TB developing (DR-TB). The aim of this study was to estimate the prevalence of DR-TB in patients with HIV or T2DM in Sinaloa, Mexico. This was an observational and cross-sectional study. The analysis was conducted using the clinical data of patients registered on the National Epidemiological Surveillance System for TB (SINAVE/PUI-TB) platform with a presumed diagnosis of TB during 2019 to 2021 in Sinaloa, Mexico. The prevalence of DR-TB was estimated in HIV and T2DM patients, as well as the odds ratios for their sociodemographic variables, using the Chi-square test. There were 2, 4, and 4 TB-HIV cases and 2, 6, and 9 TB-T2DM cases during 2019, 2020, and 2021, respectively, whereas there were 2 and 1 DRTB-HIV and DRTB-T2DM cases, respectively. The results indicated that the WHO guidelines for DR-TB were not properly applied to this high-risk population. Hence, the appropriate application of guidelines for TB and DR-TB detection in these patients needs to be immediately implemented by the State health system.
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页数:13
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