Contexto médico de tb/vih y propuesta de descentralización del tratamiento en la provincia de Esmeraldas
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2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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El contexto médico de TB/VIH y propuesta de descentralización del tratamiento en la provincia de Esmeraldas. Los objetivos de esta investigación son: Evaluar las bases de datos de la Clínica de VIH; SIVE ll del Hospital Delfina Torres de Concha; Analizar la coinfección y su incidencia en las muertes de los pacientes con VIH/SIDA; Diseñar procesos administrativos que permitan disminuir la muerte en pacientes con VIH. Metodología: La presente investigación se corresponde al tipo cuantitativo, descriptivo, retrospectiva, no experimental, longitudinal, analítico, Objetivo: Evidenciar la co-morbilidad TB/VIH en los pacientes de la clínica del VIH en la provincia de Esmeraldas para proponer mejorar en el proceso administrativo; Evaluar las bases de datos de la Clínica de VIH; SIVE ll del Hospital “Delfina Torres de Concha”; y Diseñar procesos administrativos que permitan disminuir la muerte en pacientes con VIH Resultados: De una muestra representativa (n= 290 pacientes) que es la base del presente estudio, se determinó el perfil del paciente promedio correspondiendo a los siguientes parámetros: Sexo: masculino (n= 151 / 52,07%); Grupo Etario: 30 a 39 años (n=137 / 47,24%); Ecuatoriano (n= 280 / 96,55%) Área de Salud donde acude: Área 2 (n=124 / 42,76%); Ocupación: Obrero (n= 99 / 34,14%); Estado Civil: Unión Libre (N= 164 / 56,55%); Autodeterminación Étnica: Mestiza (n=155 / 53,45%) Nivel de Escolaridad: Secundaria (n= 147 / 50,69%); Riesgo asociado por condición o conducta sexual: Heterosexual (n= 250 / 86,21%); Riesgo asociado por adicciones: Alcohol (n= 18 / 6,21%); Diagnostico al momento de la captación: SIDA (n=287 / 81,72) Frecuencia de Enfermedades Oportunistas: TB Pulmonar (n= 58 / 20,00%). La mayor frecuencia de sobrevida en pacientes luego de su Captación (Año) por el programa VIH/SIDA es de 96 pacientes con un tiempo de sobrevida de 7 años lo que corresponde al 33,10% del total de la muestra.
La mayor frecuencia de sobrevida en pacientes luego del Diagnóstico Confirmatorio (Año) fue de 78 pacientes con un tiempo de sobrevida de 8 años lo que corresponde al 26,90% del total de la muestra.
The medical context of TB / HIV and proposal of decentralization of treatment in the province of Esmeraldas. The objectives of this research are: To evaluate the databases of the HIV Clinic; SIVE ll of the Delfina Torres Concha Hospital; To analyze co-infection and its incidence in the deaths of patients with HIV / AIDS; To design administrative processes that allow to reduce the death in patients with HIV. Methodology: This research corresponds to the quantitative, descriptive, retrospective, non-experimental, longitudinal, analytical. Objective: To demonstrate TB / HIV co-morbidity in patients at the HIV clinic in the province of Esmeraldas to propose improvements in the administrative process; Evaluate the databases of the HIV Clinic; SIVE II of the Hospital "Delfina Torres de Concha"; And Design administrative processes to reduce death in patients with HIV Results: From a representative sample (n = 290 patients) that is the basis of the present study, the average patient profile was determined corresponding to the following parameters: Sex: male (n = 151 / 52.07%); Age group: 30 to 39 years old (n = 137 / 47.24%); Ecuador (n = 280 / 96,55%) Area of Health where it comes: Area 2 (n = 124 / 42.76%); Occupation: Worker (n = 99 / 34,14%); Civil Status: Free Union (N = 164 / 56.55%); Ethnic Self-Determination: Mestizo (n = 155 / 53.45%) Level of Education: Secondary (n = 147 / 50.69%); Associated risk due to sexual condition or behavior: Heterosexual (n = 250 / 86.21%); Risk associated with addictions: Alcohol (n = 18 / 6.21%); Diagnosis at the time of collection: AIDS (n = 287 / 81.72) Frequency of Opportunistic Diseases: Pulmonary TB (n = 58 / 20.00%). The highest frequency of survival in patients after their acquisition (Year) by the HIV / AIDS program is 96 patients with a survival time of 7 years corresponding to 33.10% of the total sample. The highest frequency of survival in patients after the Confirmatory Diagnosis (Year) was 78 patients with a survival time of 8 years corresponding to 26.90% of the total sample.
The medical context of TB / HIV and proposal of decentralization of treatment in the province of Esmeraldas. The objectives of this research are: To evaluate the databases of the HIV Clinic; SIVE ll of the Delfina Torres Concha Hospital; To analyze co-infection and its incidence in the deaths of patients with HIV / AIDS; To design administrative processes that allow to reduce the death in patients with HIV. Methodology: This research corresponds to the quantitative, descriptive, retrospective, non-experimental, longitudinal, analytical. Objective: To demonstrate TB / HIV co-morbidity in patients at the HIV clinic in the province of Esmeraldas to propose improvements in the administrative process; Evaluate the databases of the HIV Clinic; SIVE II of the Hospital "Delfina Torres de Concha"; And Design administrative processes to reduce death in patients with HIV Results: From a representative sample (n = 290 patients) that is the basis of the present study, the average patient profile was determined corresponding to the following parameters: Sex: male (n = 151 / 52.07%); Age group: 30 to 39 years old (n = 137 / 47.24%); Ecuador (n = 280 / 96,55%) Area of Health where it comes: Area 2 (n = 124 / 42.76%); Occupation: Worker (n = 99 / 34,14%); Civil Status: Free Union (N = 164 / 56.55%); Ethnic Self-Determination: Mestizo (n = 155 / 53.45%) Level of Education: Secondary (n = 147 / 50.69%); Associated risk due to sexual condition or behavior: Heterosexual (n = 250 / 86.21%); Risk associated with addictions: Alcohol (n = 18 / 6.21%); Diagnosis at the time of collection: AIDS (n = 287 / 81.72) Frequency of Opportunistic Diseases: Pulmonary TB (n = 58 / 20.00%). The highest frequency of survival in patients after their acquisition (Year) by the HIV / AIDS program is 96 patients with a survival time of 7 years corresponding to 33.10% of the total sample. The highest frequency of survival in patients after the Confirmatory Diagnosis (Year) was 78 patients with a survival time of 8 years corresponding to 26.90% of the total sample.
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TUBERCULOSIS, VIRUS DE INMUNODEFICIENCIA HUMANA, SOCIOLOGIA MEDICA, EPIDEMIOLOGIA DESCRIPTIVA, EPIDEMIOLOGIA ANALITICA, ESTUDIOS RETROSPECTIVOS, HOSPITAL GENERAL DELFINA TORRES DE CONCHA, PROVINCIA DE ESMERALDAS, ECUADOR