Perinatal commitment of pregnant with tuberculosis, Hospital Universitario "Dr. José Eleuterio González", en Monterrey, Nuevo León, México 2004-2012
Compromiso perinatal en gestantes con tuberculosis, Hospital Universitario "Dr. José Eleuterio González", en Monterrey, Nuevo León, México 2004-2012
##plugins.themes.bootstrap3.article.main##
The aim of the present study was to investigate the maternal and perinatal outcomes of pregnancies associated with tuberculosis and compared with pregnant women unaffected by tuberculosis. Materials and methods. A retrospective, observational, comparative and prevalence study took place at the Hospital Universitario "Dr. José Eleuterio González", in Monterrey, Nuevo León, Mexico. A review of clinical history of pregnant women with tuberculosis in a 8-year period, from December 2004 to October 2012 was made. Both maternal and perinatal results were compared with those of pregnant women unaffected by tuberculosis, undergoing the same parity and of the same age. Results. The prevalence of pregnant women with tuberculosis was 0.26%. A statistically significant correlation was found in patients with tuberculosis and premature birth (Rho= -0.395, p=0.034), weight decrease in newborns (Rho=-0.301, p=0.007) and a tendency to present a APGAR decrease at 1 minute, with poor recovery at 5 minutes (Rho= -0.233, p=0.04); the aforementioned results were obtained by using Spearman correlation (IC95%).The maternal mortality in pregnant women with tuberculosis was 11.5% (Fisher=0.032). Conclusion. Tuberculosis during pregnancy is related to adverse perinatal outcomes. In this study it was associated with preterm birth, intrauterine growth restriction, low APGAR and increases in maternal deaths.
Downloads
##plugins.themes.bootstrap3.article.details##
Simmons CP, Farrar JJ, Nguyen vV, Wills B. Dengue. N Engl J Med. 2012;366(15):1423-32.
World Health Organization. First WHO report on Neglected Tropical Diseases. Working to Overcome the Global Impact of Neglected Tropical Diseases. Geneva, Switzerland: WHO; 2010.
República de Colombia. Ministerio de la Protección Social. Dirección General de Salud Pública. Instituto Nacional de Salud. Guía de Atención Clínica Integral del Paciente con Dengue. Bogotá: Organización Panamericana de la Salud OPS/ OMS; 2010.
República de Colombia. Instituto Nacional de Salud. Subdirección de Vigilancia y Control en Salud Pública. Protocolo de vigilancia y control de Dengue INTR02.002.4020 V00. P 1-18.
De la Mora A, Jiménez F, Treviño SM. Distribución geoespacial y detección del virus del dengue en mosquitos Aedes (Stegomya) aegypti de Ciudad Juárez, Chihuahua, México. Salud Pública Méx. 2010; 52 (2):127-133.
Salgado D, Rodríguez J, Vega R. Dengue hemorrágico emergencia pediátrica en el Huila. Pediatría. 1997; 34:78-83.
Hernández M. Epidemiologia, diseño y análisis de estudios. Mexico: Edit. Panamericana; 2007. [Consultado: 1 abril 2013].
Boletines Epidemiológicos INS. Colombia: Sivigila. 2013. [Consultado 1 julio 2013]. Disponible en:http://www.ins.gov.co/lineas-deaccion/Subdireccion-Vigilancia/sivigila/Paginas/vigilancia-rutinaria.aspx.
Boletines epidemiológicos. Neiva: Secretaria de Salud Departamental.2013. [Consultado 1 julio 2013]. Disponible en: http://www.huila.gov.co/index.php?option=com_phocadownload&view=category&id=135:boletines-informe-situacin-edengue&Itemid=397.
Laughlin CA, Morens DM, Cassetti MC,Costero - Saint DA, San Martin J L, Whitehead SS, et al. Dengue research opportunities in the Ameritas. J Infect Dis. 2012;206(7):1121-7.