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Revista Virtual de la Sociedad Paraguaya de Medicina Interna
versão On-line ISSN 2312-3893
Resumo
PONCE DE LEON-PADILLA, Elizabeth e AZANERO-HARO, Johan. Drug-resistant tuberculosis and diabetes: a case-control study in a Peruvian hospital. Rev. virtual Soc. Parag. Med. Int. [online]. 2023, vol.10, n.2, pp.53-61. Epub 30-Set-2023. ISSN 2312-3893. https://doi.org/10.18004/rvspmi/2312-3893/2023.10.02.53.
Introduction:
Drug-resistant tuberculosis continues to be endemic and a major public health problem worldwide, resulting in high morbidity. People with diabetes are more susceptible to infections due to immunosuppression, threfpre it is important to recognize the factors that predispose to drug-resistant tuberculosis.
Objective:
To identify diabetes as a factor associated with drug-resistant tuberculosis in patients of the Tuberculosis Prevention and Control Program of a level II-2 Peruvian hospital from 2015 to 2021.
Methodology:
An analytical case-control study was carried out, matched by age and sex, including 66 patients with drug-resistant tuberculosis (cases) and 198 patients with sensitive tuberculosis (controls). The chi-square test was used for the bivariate analysis and Odds Ratio calculation was also made. Multiple logistic regression was used for multivariate analysis.
Results:
9.1% of the cases and 4% of the controls had diabetes, with OR 2.48 (95% CI 0.68 - 8.47) and without significant differences. In the multivariate analysis, diabetes was statistically significant, increasing the OR to 3.40 (95% CI 1.01 - 11.49; p= 0.01).
Conclusion:
Diabetes was associated with an increased risk of drug-resistant tuberculosis in patients of the Tuberculosis Prevention and Control Program at a level II-2 Peruvian hospital.
Palavras-chave : pulmonary tuberculosis; diabetes mellitus; multidrug resistant tuberculosis; extensively multidrug resistant tuberculosis..