Estudio de contactos en el siglo XXI: se precisan innovaciones

Caylà, Joan A.; Orcau, Àngels

doi:10.1016/s0025-7753(03)73999-2

Cited by 7 publications

(2 citation statements)

References 5 publications

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“…TB Programs should be adapted to migration changes [18] . The use of community health workers, who play the role of translators and culture mediators, has been demonstrated as useful to minimize this problem [19] .…”

Section: Discussionmentioning

confidence: 99%

Social, Clinical and Microbiological Differential Characteristics of Tuberculosis among Immigrants in Spain

et al. 2011

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BackgroundTo identify the differential tuberculosis (TB) characteristics within the immigrant population with respect to natives in Spain.Methodology/Principal FindingsA prospective cohort study design was implemented to examine the TB cases diagnosed and starting standard antituberculous treatment in Spain, between January 1st 2006 and March 31st 2007. A logistic regression analysis was performed to determine differential characteristics. 1,490 patients were included in the study population, 1,048 natives and 442 (29.7%) immigrants. According to the multivariate analysis, the following variables were significantly associated with immigrant TB cases: younger age (OR = 3.79; CI:2.16–6.62), living in group situation (OR = 7.61; CI:3.38–12.12), lower frequency of disabled (OR:0.08; CI:0.02–0.26) and retired (OR:0.21; CI:0.09–0.48) employment status, lower frequency of pulmonary disease presentation (OR = 0.47; CI:0.24–0.92), primary or emergency care admission (OR = 1.80; CI:1.05–3.06 and OR = 2.16; CI:1.36–3.45), drug resistance (OR = 1.86; CI:1.01–3.46), treatment default (OR:2.12; CI:1.18–3.81), lower frequency of alcohol and cigarette consumption (OR = 2.10; CI:1.42–3.11 and OR = 2.85; CI:2.10–3.87 respectively), more directly observed treatment (OR = 1.68; CI:1.04–2.69), and poor understanding of TB disease and its treatment (OR = 3.11; CI:1.86–5.20). The low percentage of primary MDR-TB in the native population (0.1% vs. 2.2% of immigrants) should be noted.Conclusions/SignificanceThe differences show the need to introduce specific strategies in the management of TB within the immigrant population, including the improvement of social and work conditions.

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Section: Discussionmentioning

confidence: 99%

Social, Clinical and Microbiological Differential Characteristics of Tuberculosis among Immigrants in Spain

et al. 2011

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“…There are ethical, clinical and epidemiological reasons to justify the incorporation of HIV contact notification and evaluation as a regular part of prevention programs for public health, as for other infections [ 8 ]. However, there is considerable variation between European countries in the way in which partner notification is implemented, and this variation is driven by factors such as differences in laws, policies, regulations and clinical guidelines [ 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of a Pilot Partner Notification Program for New HIV Cases in Barcelona, Spain

et al. 2015

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BackgroundAn estimated 30% of HIV cases in the European Union are not aware of their serological status. This study aimed to assess the effectiveness of a pilot HIV partner notification program.MethodsHIV cases diagnosed between January 2012 and June 2013 at two healthcare settings in Barcelona were invited to participate in a prospective survey. We identified process and outcome measures to evaluate this partner notification program, including the number of partners identified per interviewed index case, the proportion of partners tested for HIV as a result of the partner notification, and the proportion of new HIV diagnoses among their sex or needle-sharing partners.ResultsOf the 125 index cases contacted, 108 (86.4%) agreed to provide information about partners. A total of 199 sexual partners were identified (1.8 partners per interviewed index case). HIV outcome was already known for 58 partners (70.7% were known to be HIV-positive), 141 partners were tested as result of partner notification, and 26 were newly diagnosed with HIV. The case-finding effectiveness of the program was 18.4%.ConclusionThis pilot program provides evidence of the effectiveness of a partner notification program implemented in healthcare settings. This active partner notification program was feasible, acceptable to the user, and identified a high proportion of HIV-infected patients previously unaware of their status.

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¿Es posible disminuir el retraso diagnóstico en la infección por VIH?

Olalla

Caylà

2010

Enfermedades Infecciosas y Microbiología Clínica

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Estudio de contactos en el siglo XXI: se precisan innovaciones

Cited by 7 publications

References 5 publications

Social, Clinical and Microbiological Differential Characteristics of Tuberculosis among Immigrants in Spain

Social, Clinical and Microbiological Differential Characteristics of Tuberculosis among Immigrants in Spain

Effectiveness of a Pilot Partner Notification Program for New HIV Cases in Barcelona, Spain

¿Es posible disminuir el retraso diagnóstico en la infección por VIH?

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