Evolución epidemiológica y factores relacionados a la incidencia y resistencia medicamentosa de tuberculosis en las provincias de Loja, El Oro y Zamora Chinchipe periodo 2018 – 2023

Tuberculosis (TB) remains a persistent public health threat, with increasing incidence in Ecuador, particularly affecting vulnerable populations. Beyond the rise in cases, growing drug resistance and TB/HIV coinfection complicate disease control. How has TB evolved in recent years? What factors are...

সম্পূর্ণ বিবরণ

সংরক্ষণ করুন:
গ্রন্থ-পঞ্জীর বিবরন
প্রধান লেখক: Salas Guerrero, Ronald Fabricio (author)
বিন্যাস: masterThesis
ভাষা:spa
প্রকাশিত: 2025
বিষয়গুলি:
অনলাইন ব্যবহার করুন:https://dspace.unl.edu.ec/jspui/handle/123456789/32157
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বিবরন
সংক্ষিপ্ত:Tuberculosis (TB) remains a persistent public health threat, with increasing incidence in Ecuador, particularly affecting vulnerable populations. Beyond the rise in cases, growing drug resistance and TB/HIV coinfection complicate disease control. How has TB evolved in recent years? What factors are driving its spread? This study analyzes TB epidemiology in Loja, El Oro, and Zamora Chinchipe provinces (2018-2023). El Oro showed the highest incidence, rising 93.3% from 44.95 to 86.87 cases per 100,000 inhabitants, while Loja (62.2%) and Zamora Chinchipe (51.8%) exhibited moderate increases. TB/HIV coinfection demonstrated a significant upward trend of 474.9%, predominantly affecting men, increasing from 2.19 to 12.59 cases per 100,000 inhabitants. Additionally, drug-resistant tuberculosis increased markedly, notably multidrug-resistant TB (MDR), peaking in 2022 (3.38 cases/100,000 inhabitants). Isoniazid resistance initially presented high incidence (24.87 cases/100,000 inhabitants in 2018), subsequently decreasing. These findings underscore the urgent need for strengthened epidemiological surveillance and targeted control strategies to mitigate the growing impact of TB in Zone 7.