Factores predictivos de tuberculosis pulmonar en personas privadas de la libertad, Ecuador 2019

Abstract

Objective: To determine the predictive factors and the proportion of cases of active pulmonary tuberculosis. Material and method: A cross-sectional study was realized with the prisoners who were admitted between February and April 2019 to the center with the highest prison density in Ecuador. Incidence, prevalence and risk factors for pulmonary tuberculosis were calculated. Results: 634 prisoners were surveyed, 14% with respiratory symptoms and 0,2% were diagnosed with pulmonary tuberculosis. The prevalence of pulmonary tuberculosis was 1,4%, of which 22,2% were MDR and 11,1% presented coinfection with HIV. The TB prevalence rate was 1.419,6 per 100.000 prisoners (95% CI, 488,7-2.540,4) and MDR TB was 11% (95% CI, 8,7-205,9). Conclusion: The proportion of pulmonary tuberculosis cases were higher than those found in the general population and lower than those registered inside the prison and HIV infection was the main predictive factor found, so it is necessary to optimize the preadmission diagnostic algorithms for avoid transmission in these enclosures.