Culqui Dante R, Trujillo Omar V, Cueva Neptalí, Aylas Rula, Salaverry Oswaldo, Bonilla César
Centro Nacional de Salud Intercultural, Instituto Nacional de Salud, Lima, Perú.
Rev Peru Med Exp Salud Publica. 2010 Mar;27(1):8-15. doi: 10.1590/s1726-46342010000100003.
To identify the indigenous inhabitants affected by tuberculosis (TB) in Peru during the year 2008.
Descriptive observational study, performed from August to December 2009, including all indigenous patients affected by tuberculosis that were including in the Control Program during the year 2008 in the 25 regions of Peru.
We identified 702 indigenous patients with tuberculosis. The ethnical groups that have most patients were the Quechua group (417/702; 59.4%) and the Amazonic indigenous (201/702, 28.6%). Out of the Amazonic, more than 60% belonged to the Ashaninka (Campas), Shipibo and Matsiguenga groups. In third place, we found the Aymara natives, who had 84/702 (11.97%) of cases of tuberculosis. It is important to mention that the distribution of the cases of multidrugresistant tuberculosis (MDR TB) involves five departments (nine cases of MDR TB), being the greater number of cases of MDR TB in patients previously treated (6/9), and only 3 cases were primary MDR TB, belonging to the quechua group.
High incidence rates of tuberculosis in indigenous population have been found, which raises the need of further research in order to guarantee the correct gathering of information in ethnic groups in order to have more and better evidence about the situation of tuberculosis in the indigenous population of Peru.
确定2008年秘鲁受结核病影响的原住民。
2009年8月至12月进行的描述性观察研究，纳入2008年秘鲁25个地区结核病控制项目中的所有受结核病影响的原住民患者。
我们确定了702名原住民结核病患者。患者最多的族群是克丘亚族（417/702；59.4%）和亚马逊原住民（201/702，28.6%）。在亚马逊原住民中，超过60%属于阿沙宁卡（坎帕斯）、希皮博和马齐根加族。排在第三位的是艾马拉原住民，他们有84/702（11.97%）的结核病病例。需要指出的是，耐多药结核病（MDR-TB）病例分布在五个部门（9例耐多药结核病），既往治疗患者中的耐多药结核病病例数较多（6/9），仅有3例原发性耐多药结核病，属于克丘亚族。
已发现原住民中结核病发病率较高，这就需要进一步开展研究，以确保正确收集各民族的信息，从而获得更多、更好的关于秘鲁原住民结核病情况的证据。
