Epidemiología de la Leptospirosis en el Departamento del Tolima, Colombia, 2009 – 2011

ABSTRACT: To describe the epidemiological behavior of patients with presumptive diagnosis of leptospirosis in the department of Tolima (Colombia), between 2009 and 2011. Methodology: a cross sectional study was conducted, and the epidemiological, clinical, and laboratory findings of 243 patients wit...

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Autores:
Escobar G., Diego F.
García T., William F.
Sandoval M., Luis A.
Tibaquira C., Luis E.
Grisales Romero, Hugo de Jesús
Tipo de recurso:
Article of investigation
Fecha de publicación:
2013
Institución:
Universidad de Antioquia
Repositorio:
Repositorio UdeA
Idioma:
spa
OAI Identifier:
oai:bibliotecadigital.udea.edu.co:10495/5089
Acceso en línea:
http://hdl.handle.net/10495/5089
Palabra clave:
Leptospirosis
Tolima (Colombia)
Rights
openAccess
License
Atribución-NoComercial-CompartirIgual 2.5 Colombia (CC BY-NC-SA 2.5 CO)
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repository_id_str
dc.title.spa.fl_str_mv Epidemiología de la Leptospirosis en el Departamento del Tolima, Colombia, 2009 – 2011
dc.title.alternative.spa.fl_str_mv Epidemiology of leptospirosis in Tolima Deparment - Colombia, 2009 - 2011
title Epidemiología de la Leptospirosis en el Departamento del Tolima, Colombia, 2009 – 2011
spellingShingle Epidemiología de la Leptospirosis en el Departamento del Tolima, Colombia, 2009 – 2011
Leptospirosis
Tolima (Colombia)
title_short Epidemiología de la Leptospirosis en el Departamento del Tolima, Colombia, 2009 – 2011
title_full Epidemiología de la Leptospirosis en el Departamento del Tolima, Colombia, 2009 – 2011
title_fullStr Epidemiología de la Leptospirosis en el Departamento del Tolima, Colombia, 2009 – 2011
title_full_unstemmed Epidemiología de la Leptospirosis en el Departamento del Tolima, Colombia, 2009 – 2011
title_sort Epidemiología de la Leptospirosis en el Departamento del Tolima, Colombia, 2009 – 2011
dc.creator.fl_str_mv Escobar G., Diego F.
García T., William F.
Sandoval M., Luis A.
Tibaquira C., Luis E.
Grisales Romero, Hugo de Jesús
dc.contributor.author.none.fl_str_mv Escobar G., Diego F.
García T., William F.
Sandoval M., Luis A.
Tibaquira C., Luis E.
Grisales Romero, Hugo de Jesús
dc.subject.none.fl_str_mv Leptospirosis
Tolima (Colombia)
topic Leptospirosis
Tolima (Colombia)
description ABSTRACT: To describe the epidemiological behavior of patients with presumptive diagnosis of leptospirosis in the department of Tolima (Colombia), between 2009 and 2011. Methodology: a cross sectional study was conducted, and the epidemiological, clinical, and laboratory findings of 243 patients with presumptive leptospirosis were analyzed using the modified faine criteria. Results: there were 48 cases with positive presumptive diagnosis of leptospirosis (19.8%), 87 negative cases (35.8%), and 108 inconclusive cases (44%). Icterohaemorrhagiae was the most common serovar among presumptively positive patients. Most of the affected patients were male (87%), their mean age was 38 years (sd = 18,4), and they resided in urban areas with poor public services (80.9%). Additionally, hospital treatment was required by 87.6% of the patients, and there were acute cases of the disease (91%), cases with hepatic impairment (65.9%), and a mortality rate of 19%. Conclusions: Leptospirosis is a disease with different demographic and clinical characteristics; moreover, its diagnosis is difficult and sometimes late. Therefore, if an adequate record of some of its features were available, a presumptive diagnosis could be made a priori. Finally, presumptive diagnosis of leptospirosis was associated with outdoor labor, inhabiting places with unsanitary conditions, and having calf pain and fever.
publishDate 2013
dc.date.issued.none.fl_str_mv 2013
dc.date.accessioned.none.fl_str_mv 2016-10-27T16:06:59Z
dc.date.available.none.fl_str_mv 2016-10-27T16:06:59Z
dc.type.spa.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.citation.spa.fl_str_mv Escobar DF, García WF, Sandoval LA, Tibaquirá LE, Grisales H. Epidemiología de la Leptospirosis en Tolima - Colombia, 2009 – 2011. Rev. Fac. Nac. Salud Pública 2013; 31(1): 48-57.
dc.identifier.issn.none.fl_str_mv 0120-386X
dc.identifier.uri.none.fl_str_mv http://hdl.handle.net/10495/5089
dc.identifier.eissn.none.fl_str_mv 2256-3334
identifier_str_mv Escobar DF, García WF, Sandoval LA, Tibaquirá LE, Grisales H. Epidemiología de la Leptospirosis en Tolima - Colombia, 2009 – 2011. Rev. Fac. Nac. Salud Pública 2013; 31(1): 48-57.
0120-386X
2256-3334
url http://hdl.handle.net/10495/5089
dc.language.iso.spa.fl_str_mv spa
language spa
dc.relation.ispartofjournalabbrev.spa.fl_str_mv Rev. Fac. Nac. Salud Pública
dc.rights.*.fl_str_mv Atribución-NoComercial-CompartirIgual 2.5 Colombia (CC BY-NC-SA 2.5 CO)
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dc.publisher.spa.fl_str_mv Universidad de Antioquia, Facultad Nacional de Salud Pública
dc.publisher.group.spa.fl_str_mv Demografía y Salud
dc.publisher.place.spa.fl_str_mv Medellín, Colombia
institution Universidad de Antioquia
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spelling Escobar G., Diego F.García T., William F.Sandoval M., Luis A.Tibaquira C., Luis E.Grisales Romero, Hugo de Jesús2016-10-27T16:06:59Z2016-10-27T16:06:59Z2013Escobar DF, García WF, Sandoval LA, Tibaquirá LE, Grisales H. Epidemiología de la Leptospirosis en Tolima - Colombia, 2009 – 2011. Rev. Fac. Nac. Salud Pública 2013; 31(1): 48-57.0120-386Xhttp://hdl.handle.net/10495/50892256-3334ABSTRACT: To describe the epidemiological behavior of patients with presumptive diagnosis of leptospirosis in the department of Tolima (Colombia), between 2009 and 2011. Methodology: a cross sectional study was conducted, and the epidemiological, clinical, and laboratory findings of 243 patients with presumptive leptospirosis were analyzed using the modified faine criteria. Results: there were 48 cases with positive presumptive diagnosis of leptospirosis (19.8%), 87 negative cases (35.8%), and 108 inconclusive cases (44%). Icterohaemorrhagiae was the most common serovar among presumptively positive patients. Most of the affected patients were male (87%), their mean age was 38 years (sd = 18,4), and they resided in urban areas with poor public services (80.9%). Additionally, hospital treatment was required by 87.6% of the patients, and there were acute cases of the disease (91%), cases with hepatic impairment (65.9%), and a mortality rate of 19%. Conclusions: Leptospirosis is a disease with different demographic and clinical characteristics; moreover, its diagnosis is difficult and sometimes late. Therefore, if an adequate record of some of its features were available, a presumptive diagnosis could be made a priori. Finally, presumptive diagnosis of leptospirosis was associated with outdoor labor, inhabiting places with unsanitary conditions, and having calf pain and fever.RESUMEN: Describir el comportamiento epidemiológico de pacientes con diagnóstico presuntivo de leptospirosis en el departamento del Tolima (Colombia), entre 2009 y 2011. Metodología: estudio descriptivo transversal. Se analizaron variables epidemiológicas, clínicas y de laboratorio de 243 pacientes con diagnóstico presuntivo de leptospiroris, utilizando los criterios de faine modificados. Resultados: se encontraron 48 casos con diagnóstico presuntivo positivo (19,8%), 87 casos negativos (35,8%) y 108 casos no concluyentes (44%). El icterohemorrágico fue el serovar más frecuente entre los presuntamente positivos, con una edad promedio de aparición de la enfermedad de 38 años (de = 18,4) , se presentó principalmente en hombres (87%), residentes de zona urbana, con deficiencia de servicios públicos (80,9%). El tratamiento hospitalario fue necesario para el 87,6% de los pacientes, se encontraron casos en forma aguda (91%),conalteración hepática (65,9%); la mortalidad fue del 19%. Conclusiones: la leptospirosis es una patología con diferentes características demográficas y clínicas, con un diagnóstico difícil y en ocasiones tardío; si se tuviera un registro adecuado de algunas características en las fichas podría hacerse un diagnóstico presuntivo a priori. Se sugiere asociación entre el diagnóstico presuntivo de leptospiroris y laborar en ambiente abierto, residir en condiciones sanitarias deficientes, presentar dolor en las pantorrillas y presentar fiebre.COL00032498application/pdfspaUniversidad de Antioquia, Facultad Nacional de Salud PúblicaDemografía y SaludMedellín, Colombiainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://purl.org/coar/resource_type/c_2df8fbb1https://purl.org/redcol/resource_type/ARTArtículo de investigaciónhttp://purl.org/coar/version/c_970fb48d4fbd8a85Atribución-NoComercial-CompartirIgual 2.5 Colombia (CC BY-NC-SA 2.5 CO)info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/co/http://purl.org/coar/access_right/c_abf2https://creativecommons.org/licenses/by-nc-sa/4.0/LeptospirosisTolima (Colombia)Epidemiología de la Leptospirosis en el Departamento del Tolima, Colombia, 2009 – 2011Epidemiology of leptospirosis in Tolima Deparment - Colombia, 2009 - 2011Rev. Fac. Nac. Salud PúblicaRevista Facultad Nacional de Salud Pública7889311ORIGINALEscobarDiego_2013_Epidemiologia LeptospirosisTolima.pdfEscobarDiego_2013_Epidemiologia LeptospirosisTolima.pdfArtículo de investigaciónapplication/pdf495396http://bibliotecadigital.udea.edu.co/bitstream/10495/5089/1/EscobarDiego_2013_Epidemiologia%20LeptospirosisTolima.pdf9dc7c68aa8d81a01598d31eb86aa7881MD51CC-LICENSElicense_urllicense_urltext/plain; charset=utf-849http://bibliotecadigital.udea.edu.co/bitstream/10495/5089/2/license_url4afdbb8c545fd630ea7db775da747b2fMD52license_textlicense_texttext/html; charset=utf-80http://bibliotecadigital.udea.edu.co/bitstream/10495/5089/3/license_textd41d8cd98f00b204e9800998ecf8427eMD53license_rdflicense_rdfapplication/rdf+xml; charset=utf-80http://bibliotecadigital.udea.edu.co/bitstream/10495/5089/4/license_rdfd41d8cd98f00b204e9800998ecf8427eMD54LICENSElicense.txtlicense.txttext/plain; charset=utf-81748http://bibliotecadigital.udea.edu.co/bitstream/10495/5089/5/license.txt8a4605be74aa9ea9d79846c1fba20a33MD5510495/5089oai:bibliotecadigital.udea.edu.co:10495/50892021-09-01 12:27:47.445Repositorio Institucional Universidad de Antioquiaandres.perez@udea.edu.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