Castañeda-Martínez Fernando Cain, Valdespino-Padilla María Guadalupe, Cazares-Montero Silvia, Martínez-Lemus Mario Alberto
Instituto Mexicano del Seguro Social, Delegación Michoacán, Jefatura de los Servicios de Prestaciones Médicas. Morelia, Michoacán, México
Rev Med Inst Mex Seguro Soc. 2019 Jul 1;57(4):232-240.
Tuberculosis (TB) is an infectious and curable disease caused by Mycobacterium tuberculosis complex; it affects both men and women at any age.
To characterize cases of TB presented at the Michoacán Local Office of IMSS (Mexican Institute of Social Security), from 2015 to 2018.
Cross-sectional, observational and analytical study. Cases with a clinical file with complete information and registered in the Epidemiological Surveillance Information System, from 2015 to 2018, at the Michoacán Local Office were included. Descriptive statistics, frequency and association measures were obtained by using XMH and chi squared.
328 cases of TB were found, 56% were male; the most affected age group was the one of 65 years and above with 20%; 28% were housewives; 32% had primary education; 30% were from Lazaro Cardenas jurisdiction; 70% presented pulmonary TB; 88% got cured; 25% were associated with diabetes. The association of pulmonary TB with some risk factors was 1.24 times greater in retired: XMH = 2.02, OR = 2.74, chi squared: p = 0.03 (95% CI, 1.03 7.30); 1.15 times greater in males: XMH = 1.97, OR = 1.61, chi-squared: p = 0.04 (95% CI, 1.00 2.60), and 1.21 times greater in the age group of 65 years and above: XMH = 2.34, OR = 2. 21, chi-squared: p = 0.01 (95% CI: 1.12 4.35).
The results of this study are a starting point to prevent, diagnose, control and follow up TB cases at the local office level at IMSS.
结核病（TB）是一种由结核分枝杆菌复合群引起的可治愈传染病；它可影响任何年龄段的男性和女性。
对2015年至2018年在米却肯州社会保障局（IMSS）地方办事处出现的结核病病例进行特征描述。
横断面、观察性和分析性研究。纳入2015年至2018年在米却肯州地方办事处有完整信息且登记在流行病学监测信息系统中的临床档案病例。使用XMH和卡方检验获得描述性统计、频率和关联度量。
发现328例结核病病例，56%为男性；受影响最严重的年龄组是65岁及以上组，占20%；28%为家庭主妇；32%接受过小学教育；30%来自拉萨罗·卡德纳斯辖区；70%患肺结核；88%治愈；25%与糖尿病有关。肺结核与某些危险因素的关联在退休人员中高1.24倍：XMH = 2.02，OR = 2.74，卡方检验：p = 0.03（95%CI，1.03 7.30）；在男性中高1.15倍：XMH = 1.97，OR = 1.61，卡方检验：p = 0.04（95%CI，1.00 2.60），在65岁及以上年龄组中高1.21倍：XMH = 2.34，OR = 2.21，卡方检验：p = 0.01（95%CI：1.12 4.35）。
本研究结果是在IMSS地方办事处层面预防、诊断、控制和随访结核病病例的起点。
