Factors associated with primary multidrug-resistant tuberculosis in patients from Callao, Peru

Authors

  • Ana Cecilia Ávalos Rodríguez Facultad de Medicina San Fernando, Universidad Nacional Mayor de San Marcos, Lima, Perú
  • Fernando Jean Carlos Imán Izquierdo Facultad de Medicina San Fernando, Universidad Nacional Mayor de San Marcos, Lima, Perú
  • Manuel André Virú Loza Facultad de Medicina San Fernando, Universidad Nacional Mayor de San Marcos, Lima, Perú; Asociación para el Desarrollo de la Investigación Estudiantil en Ciencias de la Salud (ADIECS-UNMSM), Lima, Perú
  • José Cabrera Rivero Responsable de la Unidad Técnica-DR, Estrategia Sanitaria Nacional de Prevención y Control de la Tuberculosis, Ministerio de Salud, Lima, Perú
  • Anthony Edgar Zárate Robles Facultad de Medicina San Fernando, Universidad Nacional Mayor de San Marcos, Lima, Perú
  • Mariela Cecibet Meza Monterrey Facultad de Medicina San Fernando, Universidad Nacional Mayor de San Marcos, Lima, Perú
  • Brenner Alberto Ñaupari Meza Facultad de Medicina San Fernando, Universidad Nacional Mayor de San Marcos, Lima, Perú
  • Wendy Teoana Figueroa Bravo Facultad de Medicina San Fernando, Universidad Nacional Mayor de San Marcos, Lima, Perú
  • Mirella Kristal Cajas Socualaya Facultad de Medicina San Fernando, Universidad Nacional Mayor de San Marcos, Lima, Perú
  • Hugo Paul Castro Trujillo Facultad de Medicina San Fernando, Universidad Nacional Mayor de San Marcos, Lima, Perú
  • Talía Minerva Zapata Susanívar Facultad de Medicina San Fernando, Universidad Nacional Mayor de San Marcos, Lima, Perú

DOI:

https://doi.org/10.15381/anales.v75i3.9775

Keywords:

Tuberculosis, multidrug- resistance, risk factors, Peru.

Abstract

Introduction: Lima and Callao are high risk areas for tuberculosis active transmission in Peru. Multidrug-resistant tuberculosis represents 5.54% of the new cases of pulmonary tuberculosis (primary MDR-TB) in Lima and Callao. Involved risk factors have not been studied in patients from Callao. Objectives: To determine risk factors for primary MDR-TB in patients attending health care facilities in Callao during 2009-2010. Design: Case-control study. Setting: Health care facilities from Callao. Participants: Twenty nine primary MDR-TB patients and 37 drug-sensitive TB patients were studied through assessment of the Tuberculosis Control Program Registries and healthcare facilities’ clinical records. Interventions: Information was obtained from secondary sources. Odds-ratios were calculated by bivariate analysis. Logistic regression models were used to calculate multivariate odd-ratios. Main outcome measures: Risk factors for primary MDR-TB. Results: Prior contact with a MDR-TB or XDR-TB patient was a significant risk factor (OR: 5.56; 95%CI: 1.05-29.27) in bivariate analysis; the same was found in multivariate analysis (OR: 14.56; 95%CI: 1.52–139.54). Being 40 or more years old was a significant protective factor in multivariate analysis (OR: 0.94; 95% CI: 0.90–0.99). Conclusions: Previous contact with a MDR-TB or XDR-TB patient was a risk factor, and being 40 or more years old was a protective factor for primary MDR-TB in Callao patients studied.

Author Biographies

  • Ana Cecilia Ávalos Rodríguez, Facultad de Medicina San Fernando, Universidad Nacional Mayor de San Marcos, Lima, Perú
    Bachiller en Medicina.
  • Manuel André Virú Loza, Facultad de Medicina San Fernando, Universidad Nacional Mayor de San Marcos, Lima, Perú; Asociación para el Desarrollo de la Investigación Estudiantil en Ciencias de la Salud (ADIECS-UNMSM), Lima, Perú
    Bachiller en Medicina.
  • José Cabrera Rivero, Responsable de la Unidad Técnica-DR, Estrategia Sanitaria Nacional de Prevención y Control de la Tuberculosis, Ministerio de Salud, Lima, Perú
    Médico Neumólogo.
  • Anthony Edgar Zárate Robles, Facultad de Medicina San Fernando, Universidad Nacional Mayor de San Marcos, Lima, Perú
    Bachiller en Medicina.
  • Mariela Cecibet Meza Monterrey, Facultad de Medicina San Fernando, Universidad Nacional Mayor de San Marcos, Lima, Perú
    Bachiller en Medicina.
  • Brenner Alberto Ñaupari Meza, Facultad de Medicina San Fernando, Universidad Nacional Mayor de San Marcos, Lima, Perú
    Bachiller en Medicina.
  • Wendy Teoana Figueroa Bravo, Facultad de Medicina San Fernando, Universidad Nacional Mayor de San Marcos, Lima, Perú
    Bachiller en Medicina.
  • Mirella Kristal Cajas Socualaya, Facultad de Medicina San Fernando, Universidad Nacional Mayor de San Marcos, Lima, Perú
    Bachiller en Medicina.
  • Hugo Paul Castro Trujillo, Facultad de Medicina San Fernando, Universidad Nacional Mayor de San Marcos, Lima, Perú
    Bachiller en Medicina.
  • Talía Minerva Zapata Susanívar, Facultad de Medicina San Fernando, Universidad Nacional Mayor de San Marcos, Lima, Perú
    Bachiller en Medicina.

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Published

2014-09-15

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Section

Trabajos originales

How to Cite

1.
Ávalos Rodríguez AC, Imán Izquierdo FJC, Virú Loza MA, Cabrera Rivero J, Zárate Robles AE, Meza Monterrey MC, et al. Factors associated with primary multidrug-resistant tuberculosis in patients from Callao, Peru. An Fac med [Internet]. 2014 Sep. 15 [cited 2024 Jul. 17];75(3):233-6. Available from: https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/9775