Abstract

CASTIBLANCO, César Augusto  and  LLERENA POLO, Claudia. Epidemiologic situation of tuberculosis in Colombia, 2006. Infect. [online]. 2008, vol.12, n.3, pp.159-173. ISSN 0123-9392.

Objective: To evaluate the tuberculosis situation in Colombia in 2006. To identifying tuberculosis present behavior, control advances during the last years and to acknowledge goals and actions to set priorities in the following years under the context of the global plan to stop tuberculosis and the strategic plan “Colombia free of tuberculosis, 2006-2015”. Materials and methods: Information reported to SIVIGILA and to the National Tuberculosis Program during 2006 was analyzed by descriptive methodology; tuberculosis incidence was analyzed according to percentage of unsatisfied basic need (UBN), ethnic group, gender, age, and TB/HIV co-infection. Outcomes: Colombia reported 10,696 new cases in 2006; incidence decrease is related mainly to low detection, however, there is an increase in extrapulmonary tuberculosis since 1999 (r2=0.59) and child pulmonary tuberculosis (6%). In the departments with the highest quintile of UBN there are 1.8 times more risk to become ill than in departments with the lowest NBI quintile. Indigenous and afro-Colombian population have double risk to become ill than other population. TB/HIV co-infection was 5.8%, during 2006, and cure for TB patients was 78.9% Discussion: Tuberculosis incidence is limited by political and normative aspects, search for respiratory symptomatic patients and norm application (like the baciloscopy application and use of cultures); TB/HIV co-infection has an important roll in the emergence of extrapulmonary tuberculosis. The National Tuberculosis Program has improved the cases followup; 90% of the cases registered in the 2005 cohort were evaluated in 2006, as opposed to 19% in the year 2000.

Keywords : tuberculosis; pulmonary tuberculosis; Mycobacterium tuberculosis; HIV.

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