la tuberculosis mi ensayo

8/18/2019 La Tuberculosis Mi Ensayo

1/19

UNIVERSIDAD NACIONAL AUTÓNOMA DE HONDURASFACULTAD DE CIENCIAS MÉDICAS

DEPARTAMENTO DE SALUD PÚBLICAMAESTRÍA EN EPIDEMIOLOGÍA

INFORME EJECUTIVO SOBRE CASOS DE TUBERCULOSIS DE LAREGION METROPOLITANA FRANCISCO MORAZAN 2013

Pr!"#$%& '&r(DRA( MICHELLE LOPEZ SANTISTEBAN

T)*+,)$-'$. M.D.C. A/r,- 201

1


2/19

CONTENIDORESUMEN.......................................................................................................3

INTRODUCCION..............................................................................................4

ESTRUCTURA ADMINISTRATIVA PARA EL CONTROL DE LA TB.........................5

PLANTEAMIENTO DELPROBLEMA…………………………………………………………………………………………….7

DESCRIPCION DEMOGRAFICA DE LA POBLACION...........................................7

METODOLOGIA…………………………………………………………………………………………………………………………8

ANALISIS DE LOS RESULTADOS.......................................................................9

CONCLUSIONES:...........................................................................................15

BIBLIOGRAFIA............................................................................................... 16

ANEXOS........................................................................................................ 17


3/19

RESUMEN(

L$ OMS !#$/-+ $ -$ T*/r+*-&!,! +&& *" 'r&/-$ *"%,$- * !, /," $#",%& $4$"+! " +&"#r&- " !* 5'$"!,6" $*" r'r!"#$ *" r#& % !$-*% '$r$-&! '$7!! " 47$! % %!$rr&--&. A*"$%& $ !#& '$#&-&)7$! +&& VIH ! $)r)$"+&& +$*!$ % $*"#& % -$! ,"+,%"+,$! " -&! 8-#,&! $9&!. L&! 'r&)r$$!N$+,&"$-! I"#r"$+,&"$-! ! "+*"#r$" /," :*"%$"#$%&! ; $" #",%&


4/19

INTRODUCCION

L$ Or)$",?$+,6" *"%,$- % -$ !$-*% $ !#$/-+,%& * -$ T*/r+*-&!,! +&"#,"*$!,"%& *"& % -&! 'r,"+,'$-! 'r&/-$! $ ",4- *"%,$-= !,'-"# " 200 !!#,6 * *" #r+,& % -$ '&/-$+,6" *"%,$- !#$/$ ,":+#$%$= 'r%&,"$"%& -&!

64"! 'r,"+,'$-"# % '$7!! " 47$! % %!$rr&--&= -$ 'r4$-"+,$ '&r #$"#&! $!+"%"# $ --)$r $ *" 4$-&r $'r&5,$%& % 1 ,--&"!= -$ ,"+,%"+,$ $.,--&"! 10100=000= ; -$ &r#$-,%$% $ 1. ,--&"! % 'r!&"$!2100=000 .

S !#,$ * " 2013 ! 'r&%*r&" = ,--&"! % "*4&! +$!&! 1 ; 1=,--&"! % %:*"+,&"! ,"+-*,%$! 30 000 %:*"+,&"! % 'r!&"$! VIH '&!,#,4&.

A !#& ! $)r)$" "*4&! r#&! & %!$:7&! '&r -$ +&,":++,&" +&" r$!":r%$%! +&& VIHTB +&" *"$ !#,$+,6" $'r&5,$%$ % 1.2 ,--&"! %'r!&"$! * *,4$- $ *" 1113 % -$ '&/-$+,6" '&r#$%&r$ % TB ; -$ TB*-#,%r&)&rr!,!#"# TBMDR= !#,$%$ " 0=000 'r!&"$! 1

L$! #$! % ,'$+#& !&" $-+$"?$r -&! O/#,4&! % D!$rr&--& %- M,-",& +*;$:,"$-,%$% ! -$ % %,!,"*,r $ -$ ,#$% -$ 'r4$-"+,$= -$ ,"+,%"+,$ ; -$ &r#$-,%$%+&" r!'+#& $ -&! %$#&! % 10 " !# !"#,%& $ !+$-$ )-&/$-= - "8r& %"*4&! +$!&! % #*/r+*-&!,! r),!#r$%&! +$%$ $9& $ ,%& %,!,"*;"%&-"#$"# %*r$"# *" %+",&= $!#$ $-+$"?$r -$ #$ C %- ODM = +&"!,!#"#" r%*+,r -$ 'r&'$)$+,6" % -$ ":r%$% '$r$ 201.

D!% 200@= -$! #$!$! % #r$#$,"#& +&"


5/19

000 $/,#$"#! $ #"r *"$ #$!$ % 32 +$!&! '&r +$%$ 100= 000 $/,#$"#! '$r$ -$9& 2012.

A*"* -$ ,"+,%"+,$ " H&"%*r$! ; " -&! '$7!! % -$! A" T)*+,)$-'$= C&r#! 'r4$-"# " 'r!&"$! $:+#$%$! '&r VIHSIDA= ;-$ ,":++,6" '&r VIH '*%= $ !* 4?= r$+#,4$r *"$ TB -$#"#. E!#& $ +&"#r,/*,%&$- $*"#& % +$!&! $+#,4&! ; "*4&! % TB " -&! 8-#,&! $9&!.

ESTRUCTURA ADMINISTRATIVA EN HONDURAS PARA EL CONTROL DE LATBE- Pr&)r$$ N$+,&"$- % T*/r+*-&!,! PNT % -$ S+r#$r,$ % S$-*% %H&"%*r$! &'r$ $ #r$4r$=

&!',#$-! r),&"$-!= 2 "$+,&"$-! H&!',#$- E!+*-$ I"!#,#*#& N$+,&"$-C$r%,&'*-&"$r= 2 H&!',#$-! %- I"!#,#*#& H&"%*r9& % S)*r,%$% S&+,$-. E-",4- -&+$- !#> "+$r)$%& % -$ %#++,6"= r+&-++,6" % *!#r$= r$-,?$+,6" %:r,!= -+#*r$ % /$+,-&!+&'7$! -&! * +*"#$" +&" #


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L$ )!#,6" ; !*,",!#r& % %,+$"#&! ! :+#*$%$ '&r -$ U",%$% %M%,+$"#&! %- PNT ; $%*,r,%& $ #r$4

$">-,!,! :+#*$%& !&/r - !,!#$ r'&r#$ * -$ ,":&r$+,6" ! r+,/,%$ " :&r$#$r%7$= "& ! +&"!,!#"#= "& 'r&'&r+,&"$ ,":&r$+,6" ,"%,4,%*$- $ ",4- +"#r$- ; !&'r$%& '&r *,'& &/!&-#&. Pr&/-$! ; %/,-,%$%! " +$%$ *"& % -&! -"#&! * +&":&r$" - TAES= $!7 +&& - r#r$!& " -$ ,"+&r'&r$+,6" % -$!"*4$! r+&"%$+,&"! '$r$ - +&"#r&- % -$ ":r%$%= +*!#,&"$" -$ +$-,%$%% -&! ,"%,+$%&r!.S," /$r)& - :&r#$-+,,"#& % -$ r% % -$/&r$#&r,&! '$r$ -$ &r$ %-%,$)"6!#,+& ; % -$ r!'*!#$ $ -&! "*4&! r#&! * '-$"#$ -$ !#r$#),$ A-#& TB$!, +&& &r$r -$ $'-,+$+,6" % -$ !#r$#),$ TAES $ ",4- ,"!#,#*+,&"$- $ :," %,"+r"#$r -$ %#++,6" % +$!&! ; -$ #$!$ % +*r$+,6" % -&! '$+,"#! TB !&"*"&! % -&! 'r&'6!,#&! ; +&'r&,!&! * #," - 'r&)r$$ +&" -$ !+r#$r,$ %!$-*%S," /$r)& #$/," ! ,'&r#$"# r!$-#$r -&! -&)r&! ; /":,+,&! * !#'r&)r$$ $ %$%& $- '$7! %"#r& % -&! +*$-! ! r!$-#$"(

S -&)r6 'r!"#$r *"$ Pr&'*!#$ '$r$ $'&;& :,"$"+,r$ $"# - F&"%& M*"%,$-

'$r$ $9&!= -$ +*$- :* $'r&/$%$ +*#>"%&! -$ 'r,r$ :$! $ '$r#,r % *-,&%- 2011 $ %,+,/r %- 2013= $+#*$-"# :* 'r&/$%$ -$ !)*"%$ :$! $:,"$-,?$r " - 201.

R+&"&+,,"#& '&r '$r# % OPSKHO " - -,%r$?)& %- 'r&)r$$ " -

+&"#r&- % -$ #*/r+*-&!,!= +&"

A+#*$-"# ! !#> ,'-"#$"%& %- P-$" N$+,&"$- '$r$ - C&"#r&- %

I":++,&"! " TB. A4$"+! " - +&"#r&- % TB " '&/-$+,6" M,)r$"# +&" *" ,"+r"#& " -$

#$!$ % +*r$+,6" % 2 " - 200 $ @0 " - 2012. I'-"#$+,6" %- P-$" % E5'$"!,6" %- $"& C-7",+& ; 'r&)r$>#,+& % -$

TBMDR.

6


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PLANTEAMIENTO DEL PROBLEMA

E- Pr&)r$$ N$+,&"$- % C&"#r&- % -$ T*/r+*-&!,! " H&"%*r$! #," +&&'r&'6!,#& :*"%$"#$- +&"#r,/*,r $ -4$r - ",4- % !$-*% % -$ '&/-$+,6"

%,$"# $++,&"! % 'r&&+,6"= 'r4"+,6"= #r$#$,"#& ; r+*'r$+,6" %-'$+,"# +&" #*/r+*-&!,!= +*#$%$! '&r - S,!#$ N$+,&"$- % S$-*% "+&&r%,"$+,6" +&" -&! %>! !+#&r! )*/r"$"#$-!= )&/,r"&! -&+$-! ;+&*",%$% " )"r$-= '$r$ -&)r$r $ %,$"& ; -$r)& '-$?& - +&"#r&- % -$":r%$%

E- $">-,!,! % !# ,":&r 'r,#,r> +&"&+r - +&'&r#$,"#& ; -$!+$r$+#r7!#,+$! ',%,&-6),+$! % -$ T*/r+*-&!,! !)8" -&! %$#&! r+$/$%&! '&r - !,!#$ % 4,),-$"+,$ % -$ r),6" #r&'&-,#$"$ %- DC * $/$r+$ -&! $9&!2012201. E- ,":&r * ! 'r!"#$ !r> % %$#&! 5#r$7%&! %- 2013

DESCRIPCION DEMOGRAFICA DE LA POBLACION DE ESTUDIO

S)8" - +"!& % '&/-$+,6" ; 4,4,"%$ % 2013 Fr$"+,!+& M&r$?$" +*"#$ +&"

2.110.00 $/,#$"#! % -&! +*$-! @0.@0 !&" &/r! ; .0 *r!= -&!

* $/,#$" " *"$ 5#"!,6" #rr,#&r,$- % 1 +&" *"$ %"!,%$% '&/-$+,&"$-

% 13@ $/. . E! - %'$r#$"#& * #," - I"%,+ % D!$rr&--&

H*$"& >! $-#& " H&"%*r$!

E- %'$r#$"#& ! %,4,% " 2 *",+,',&!( D,!#r,#& C"#r$-= A-*/$r


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S$"#$ L*+7$= T$-$")$= T$#*/-$= V$-- % ")-!= V$--+,--&. E- $">-,!,! % -$ /$!

% %$#&! 'r&'&r+,&"$%$ ! "+*"#r$ :&+$-,?$%$ " - D,!#r,#& C"#r$- % -$

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METODOLOGIA

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9/19

ANALISIS DE LOS RESULTADOS

E" - $9& 2013 ! r),!#r$r&" *" #$- % 30@ +$!&! '&!,#,4&! % #*/r+*-&!,! #$!$2.@100=000. E- !#r$#& % %$% >! $:+#$%& ! "+*"#r$ " -&! 64"!"#r 20 $9&! +&" *" #$- % 133 +$!&! 3. !)*,%& %- )r*'& %$;&r! % 0 $9&! * +&rr!'&"% $ @ '$+,"#! 2. ; '&r *-#,& 32'$+,"#! ! "+*"#r$" " - r$")& % %$% "#r 0 $9&! r'r!"#$"%& *"10. % -$ '&/-$+,6" !#*%,$%$. E!#& +&rr&/&r$ -& * -&! $">-,!,! !#$%7!#,+&!

% $9&! $"#r,&r! $/7$" !#$/-+,%&= -$ '&/-$+,6" &4" ! -$ $;&r"#$:+#$%$ '&r -$ ":r%$%. E!# !#*%,& #$/," "#r -&! '$+,"#! $;&r! % 0 $9&! ; :,"$-"# 21 '$+,"#!" r$")&! % %$% % 0 $ $9&!. 4r )r$:,+& 1

! A1 1 A 4 5 A 9 1! A 14 15 A 19 ! A 49 5! A 59 6! " MAS NC TOTAL!

5!

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15!

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35!

1 5 1!

147

38

9!

1

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T#$%# & '(#)*+ 1: D,-(,$/*,0 2 (+ 2 *#-+- 2 TB +( '(/+ #(+R',0 M(++%,## F(#*,-*+ M+(# !13.

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10/19

C&" r!'+#& $ -$ +&"%,+,6" ',%,&-6),+$ ; !* r-$+,6" +&" -&! r$")&! % %$%"*4$"# &/!r4$&! * -&! +$!&! "*4&! ! "+*"#r$ " -$ '&/-$+,6"$%*-#$ &4" !)*,%$ % -$ '&/-$+,6" $%*-#$ $;&r " %$%! !*'r,&r! $ 0$9&!= ! % --$$r -$ $#"+,6" * 11 '$+,"#! "& #,"" +&"!,)"$%& !* !#$#*!%"#r& % -$ !#$%7!#,+$= ! %+,r "& !$/&! !, ! ,"+,%"+,$ & 'r4$-"+,$ ; !#&

'*% )"r$r !!)&! *; ,'&r#$"#! " - 'r&+!$,"#& % -$ ,":&r$+,6"

CONDICIONEPIDEMIOLOGICA

RANGO DEEDAD

!1M 1 A 4 5 A 91! A14

15 A19 ! A 49

5! A59

6! OMAS NC TOTAL

ABANDONORECUPERACION ! 6 1 7

N ! 1 1

NC 1 4 5 39 16 36 1! 115NUEVOS ! 1 5 9! 1 5! 1 168

RECAIDAS ! 1 1 15

OTROS 1 1

TOTAL 1 5 1! 147 38 9! 1 3!7

T#$%# : C+2,*,0 ,2,+%0',*# & (#'+- 2 2#2 2 #*,- *+ TB.R',0 M(++%,## F(#*,-*+ M+(# !13.

D"#r& % -$ %,!#r,/*+,6" '&r !5& !# !#*%,& *!#r$ * 1@ .+&rr!'&"%" $- !5& $!+*-,"& ; 133 3.32 $- !5& :","&. L$ r-$+,6"&/r H&/r( M*r ! % 1. $ 1. ! "+&"#r$r&" #$!$! $;&r! %'r!"#$+,6" % -$ ":r%$% " &/r! $ '$r#,r % -&! 20 $9&!. )r$:,+& 2

1!


11/19

F M TOTAL!

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35!

133174

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DISTRIBUCION POR SEXO M.D.C 2013

Gr$:,+& 2( D,!#r,/*+,6" '&r !5& % '$+,"#! +&" TB. R),6" M#r&'&-,#$"$ Fr$"+,!+& M&r$?>"

2013

U" $">-,!,! >! 'r&:*"%& % -$! ,"+,%"+,$! %&!#r6 * 13 '$+,"#! #,""TB '*-&"$r= ! %+,r !&" /$+,-,:r&! '&!,#,4&! & !,"#&>#,+&! r!',r$#&r,&!= 3+$!&! 'r!"#$r&" $-)*"$ % -$! :&r$! % #*/r+*-&!,! 5#r$'*-&"$r ;"*4$"# 4&! * *" '&r+"#$ ,'&r#$"# % '$+,"#! 11@ "& +&"!,)"$"-$ +$r$+#r7!#,+$ +-7",+$ & - #,'& % #*/r+*-&!,!= +&"%,+,6" -"#$- '$r$ '-$"#$r $-#r"$#,4$! % #r$#$,"#& :,+$+!= 1 '$+,"#! ! r:,r" !&-& +&& r+$7%$! &$/$"%&"& % #r$#$,"#& 'r& "& !'+,:,+$" #$'&+& - #,'& % #*/r+*-&!,!'r,$r,$ * 'r!"#$r&". B*!+$"%& *"$ 5'-,+$+,6" $- "8r& % '$+,"#! *"& #,"" +&"!,)"$%& - #,'& % #*/r+*-&!,!= #$- 4? ! %/$ $ :$--&! " -'r&+!$,"#& * &/#"+,6" % -$ *!#r$ ;$ * $*"* H&"%*r$! +*"#$ +&"10 -$/&r$#&r,&! " -&! +*$-! +,"+& #,"" +$'$+,%$% '$r$ r$-,?$r +*-#,4&! '&r ,+&/$+#r,$! ; !#>" */,+$%&! " T)*+,)$-'$= S$" P%r& S*-$ ; " -$ C,/$ ;* !#$ 'r&'&r+,6" ! $%+*$%$ '$r$ -$ '&/-$+,6" % $+*r%& $ -&! !#>"%$r!,"#r"$+,&"$-! !," /$r)& 5,!#" ,"*,%$%! " -$ %,!#r,/*+,6" % %$+,6" %r+*r!& *$"& +$'$+,#$%& ,":r$!#r*+#*r$ '$r$ - %,$)"6!#,+& &'&r#*"& % -$":r%$% L$ *#,-,?$+,6" %- +*-#,4& ; 'r*/$! % !"!,/,-,%$% '$r$ -$ 4,),-$"+,$ %-$ r!,!#"+,$ ! !*/6'#,$. L$ "&r$#,4$ % r$-,?$r +*-#,4& ; PSD " '$+,"#!+&" :r$+$!& $ -&! r)7"!= $/$"%&"&!= 'r!&"$! 'r,4$%$! % -,/r#$% ;

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$+*r%& $ !#& ! ,'&r#$"# #&$r %,%$! " - !)*,,"#& % !#&! )r*'&!% $-#& r,!)& ; 4*-"r$/,-,%$% %/,%& $- $-#& 7"%,+ % ,":+#& +&"#$),&!,%$%= ;$* $+#*$-"# -$ ,"+,%"+,$ % +$!&! !#> >! r-$+,&"$%$ $ !#&! :$+#&r! %r,!)&.

PRIVADOS DE LIBERTAD; 3<

TBVI=; 14<

ALCO=OLISMO " DROGAS; 4<

OTROS; 1!<

NC; 69<

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M&r$?>" 2013.

E- Pr&)r$$ N$+,&"$- % T*/r+*-&!,! r$-,?$ 4,),-$"+,$ r*#,"$r,$ % -$ C&,":++,6"" - '$+,"# TB= 'r& $-+$"?$ "&! %- 0 % 5>"! "#r -&! '$+,"#!TB. A*" "& ! $" ,'-"#$%& -$! %&+ $+#,4,%$%! %- $"& % -$+&,":++,6" r+&"%$%$! '&r - P-$" R),&"$- A-#& $ -$ TB. E" !# !#*%,& -"8r& #$- % '$+,"#! * 'r!"#$r&" 'r*/$! !r&-6),+$! '&!,#,4$! '$r$ VIH:*r&" = ! "+&"#r6 *"$ :r+*"+,$ % 3 +$!&! * 'r!"#$" TB $!&+,$%$ $VIH * r'r!"#$ *" % -$ '&/-$+,6" #$- !#*%,$%$= +$!&! #,"" VIH 'r& "&'r!"#$" TB.

METODOS DIAGNOSTICOS

B$!$%&! " -&! r!*-#$%&! $"#r,&r! !#$/-+&! * -


13/19

; " - 1.2 * +&rr!'&"% $ +$!&! ! *#,-,?6

D"#r& % -&! !*$! % #r$#$,"#& >! *#,-,?$%&! "+&"#r$&! * *" 0% -&! '$+,"#! *#,-,?$r&" !*$ />!,+& I ; *" 3 *#,-,?& />!,+& II. #$/-$

R!'+#& $ -$ TB r!,!#"# $ %,+$"#&! TB MDR ; TBMDR= " - 200 !,",+,6 *" !#*%,& % +&&r# '$r$ 4$-*$r - #r$#$,"#& % -$ TBMDR +&" 0'$+,"#! $'r&/$%& '&r - C&,#< % L*? Vr% % -$ OMS :,"$"+,$%& +&" -F&"%& G-&/$-. S $%,",!#r6 %r&)$! % !)*"%$ -7"$ $ '$+,"#! 'r& !&-& "3 ! +&":,r6 TBMDR. L&! r!*-#$%&! % !#$ 'r,r$ +&&r# $" !,%&%!$-"#$%&r! '&r -$! $-#$! #$!$! % $/$"%&"& +*r$+,6" % = :$--+,,"#& %1= :r$+$!& $- #r$#$,"#& % = $/$"%&"& % ; $*" " #r$#$,"#& %12. L$ $-#$ #$!$ % $/$"%&"& $- #r$#$,"#& ! $#r,/*;6 $ -$ :$-#$ % *" ":&*

13


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*-#,%,!+,'-,"$r,& " -$ $#"+,6" %- '$+,"# $!7 +&& $ 'r&-&")$%& 'r7&%& %&!',#$-,?$+,6". L$ !,#*$+,6" % -$ DR "& ! +&"&+,%$ " - '$7!= !," /$r)&= -$'r!"+,$ % :r$+$!&! $- #r$#$,"#& +&" %r&)$! % !)*"%$ -7"$ '*% !r *","%,+$%&r % 5,!#"+,$ % +$!&! DR.

F,"$-"# ! !#$/-+,6 * " ! $9& ! r'&r#$r&" -$! *r#! % 1'$+,"#! * r'r!"#$ - .= #$!$ 1.1@5100 000= ; " ! ,!& $9& -$!*'r4,4"+,$ :* % 13 '$+,"#! . -& * ,"%,+$ * -$! %,%$! %%#++,6"= 'r4"+,6"= +&"#r&- ; #r$#$,"#& % -$ ":r%$% $!7 +&& !*!+&'-,+$+,&"! " 2013 !&" $%+*$%$! ; :,+$+! '$r$ $"#"r - 7"%,+ %!*'r4,4"+,$ % -$ '&/-$+,6" !#*%,$%$.

FALLECIDOS VIVOS!

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15!

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5!

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35!

14

93

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condicion de egreso

Gr$:,+& . C&"%,+,&" % )r!& % '$+,"#! +&" TB " D,!#r,#& C"#r$-. Fr$"+,!+& M&r$?>" 2013

14


15/19

CONCLUSIONES.

P$r$ &r$r -$ +$-,%$% ; 5'$"!,6" % TAES ! "+!,#$ &r$r -$ )!#,6" %-'r&)r$$ +$'$+,#$"%& $- 'r!&"$- "+$r)$%& $ %,:r"#! ",4-!= +&" *"$%+*$%& '-$" % %*+$+,6" +&"#,"*$ ; +&"+,"#,?$+,6" %- 'r!&"$- % !$-*%= %-4&-*"#$r,$%& ; %- '$+,"# ; % -$ +&*",%$%. U"$ $+#,4,%$% *; ,'&r#$"# ! -$$+#*$-,?$+,6" % -$! "&r$! $ :," % * ! ,"+-*;$" -&! $!'+#&! r:r"#! $":r"#$r -&! "*4&! r#&! % -$ -*+$ $"#,#*/r+*-&!$. L$ &r$ % -$ +$-,%$% %TAES r*,r $%>! % *"$ $%+*$%$ )!#,6" ; !*,",!#r& % ,"!*&! %-$/&r$#&r,& '$r$ - %,$)"6!#,+& &'&r#*"& ; % %,+$"#&! % 'r,r$ ; !)*"%$-7"$ $ :," % &:r+r $#"+,6" $ -&! ":r&! % TB= +"#r$%$ " !*! "+!,%$%!=" - #r$#$,"#& "&r$%&= $%,",!#r$%& +&" !*'r4,!,6" !#r,+#$ '&r 'r!&"$- %!$-*% & +&" - $'&;& % 'r!&"$- +&*",#$r,& +$'$+,#$%& 3031 S $ :+#*$%&%,$)"6!#,+& %- !,!#$ % )!#,6" ; !*,",!#r&! % %,+$"#&! ; %- !,!#$% ,":&r$+,6"= +*;& $">-,!,! ; r+&"%$+,&"! $" !r4,%& % /$! '$r$&r$r - !,!#$ % '-$",:,+$+,6"= +&'r$= %,!#r,/*+,6" ; $-$+"$ %%,+$"#&! ; r&! ,"!*&! ,"+-*;"%& - -$/&r$#&r,&. S," /$r)&= 5,!#"%:,+,"+,$! " %,:r"#! $!'+#&! % -$ )!#,6" ; !*,",!#r&! " ",4-!,"#r%,&! ; -&+$-! #$"#& '$r$ %,+$"#&! ,"!*&! % -$/&r$#&r,& *%/" !r $#"%,%&!. D ,)*$- $"r$ '$r$ * - S,!#$ % M&",#&r& ;

E4$-*$+,6" MQE 'r,#$ - $%+*$%& !)*,,"#&= 4$-*$+,6" ; %,+,6" %-,'$+#& % -$! $++,&"! '*"#*$-! '$r$ - +&"#r&- ; '&!#r,&r rr$%,+$+,6" % -$":r%$% * ! #," $ :*#*r& +&& #$ %- ,-",&.

E- PNT 'r!"#$ *" r!*" +&" -&! 11 &/#,4&! ; 'r,"+,'$-! $++,&"! * !%/" ,'-"#$r '$r$ -&)r$r #$!$! ,":r,&r! $ 20100=000 ; '&%r %+,r * !$ -&)r$%& - +&"#r&- % -$ ":r%$% $- 201. E!# !#*%,& $ ",4- % D,!#r,#&C"#r$- *!#r$ * " - 2013 ! --)6 $ -$ #$ &/#","%& #$!$! % ,"+,%"+,$% 1.1100=000.

15


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BIBLIOGRAFIA

1 INE H&"%*r$! E"+*!#$ N$+,&"$- % D&)r$:7$ ; S$-*%= Pr&;++,&"! %P&/-$+,6"= T)*+,)$-'$ MDC.

2 SESAL= I":&r %- D'$r#$"#& % A#"+,6" Pr,$r,$ " S$-*%IMPLEMENTANDO LA ATENCION PRIMARIA DE SALUD EN HONDURAS EN ELMARCO DEL MODELO NACIONAL DE SALUD &+#*/r 2013 T)*+,)$-'$.

3 V$r-$M$r#7"? C. H,!#&r,$ % -$ -*+$ $"#,#*/r+*-&!$ " H&"%*r$!. R4 M%H&"%*r.200 @3( 3

OMS. G-&/$- R'&r# TB %$#$ +&"#r&- 201. E" L7"$. .&.,"##/%$#$. OMS.G-&/$- R'&r# TB D$#$ C&"#r&- 201. E" .&.,"##/%$#$.

S+r#$r,$ % !$-*% 'r&)r$$ "$+,&"$- % +&"#r&- % -$ #*/r+*-&!,! !,#*$+,6"',%,&-6),+$ ; &'r$+,&"$- %- +&"#r&- % -$ #*/r+*-&!,! H&"%*r$!.

C+,-,$ V$r-$M$r#7"?= A""$ R;!= S$r$ B&r$! Strategic plan for the control of tuberculosis PENTB 2009-2015. Summar. R4 M% H&"%*r9$ V&- @(1 '' . 3.

@ C$,"r& J. G*7$ % T*/r+*-&!,! '$r$ !'+,$-,!#$!. UICTER. P$r,!. 200@.

http://www.who.int/tb/datahttp://www.who.int/tb/data


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ANEXOS

T#$%# 1. D,!#r,/*+,6" '&r r$")&! % %$% " '$+,"#! +&" TB " D,!#r,#& C"#r$-. Fr$"+,!+&M&r$?>" 2013

RANGO EDADFRECUENCIA

<

! A1 A>O !.651 A 4 1 !.35 A 9 !.651! A 14 5 1?63

15 A 19 1! 3.6! A 49 147 485! A 59 38 1.46! " MAS 9! 9.4NC 11 3.59

TOTAL 3!6 98.7

T#$%# 3 & 4 C$r$+#r7!#,+$!


18/19

Gr$:,+& . M"2013.

E!*$ T :r+*"+,$ $+*

BASICO I 13 . .

BASICO II 2.3 2.@@

INDIVIDUALIZADO 1 0.33 3.0

NC 1 .1 100.00

T$- 30@ 100.00 100.00

T$/-$ . C&"%,+,6" % )r!& % '$+,"#! +&" TB " D,!#r,#& C"#r$-. Fr$"+,!+& M&r$?>" 2013

GLOSARIO.

T*/r+*-&!,! TB

M*-#,%r&)&r!,!#"#. TBMDR=

H$/,#$"#! .

TAES Tr$#$,"#& A+&r#$%& E!#r,+#$"# S*'r4,!$%&

METODODIAGNOSTICO

FRECUENCIA <

BAAR 1!6 34.5BAAR " OTROS 3 1!.4

DIFERENTES A BAAR 59 19.NC 11! 35.8 TOTAL 3!7 1!!

T#$%# 5. E-/#- 2(##,+ 2 TBMDC !13CONDICION EGRESO FRECUENCIA <

FALLECIDOS 14 4.56VIVOS 96 95.44


19/19

PNT P-$" N$+,&"$- % C&"#r&- % -$ T*/r+*-&!,!

DR Dr&)&r!,!#"#

la tuberculosis mi ensayo

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