Vol. 36 No. 6 (2019): Diciembre
Clinical Research

State of mental health as a predictor for the outcome in patients with tuberculosis in health centers with high incidence. Lima, Peru. 2015-2017

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  • Enrique Oswaldo Bedoya-Ismodes,
  • Maria Paula Requena-Herrera,
  • Jose Aymar Vitorino,
  • Alonso Ricardo Soto Tarazona
Enrique Oswaldo Bedoya-Ismodes
Universidad Peruana de Ciencias Aplicadas (UPC)
Bio
Maria Paula Requena-Herrera
Universidad Peruana de Ciencias Aplicadas
Bio
Jose Aymar Vitorino
1Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas, Lima, Perú
Bio
Alonso Ricardo Soto Tarazona
1 Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas, Lima, Perú 2 Departamento de Medicina, Hospital Nacional Hipólito Unanue, Lima, Perú
Bio

Published 2020-01-18

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How to Cite

1.
Bedoya-Ismodes EO, Requena-Herrera MP, Aymar Vitorino J, Soto Tarazona AR. State of mental health as a predictor for the outcome in patients with tuberculosis in health centers with high incidence. Lima, Peru. 2015-2017. Rev. Chilena. Infectol. [Internet]. 2020 Jan. 18 [cited 2026 Jun. 4];36(6). Available from: https://revinf.cl/index.php/revinf/article/view/306

Copyright (c) 2020 Enrique Oswaldo Bedoya-Ismodes, Maria Paula Requena-Herrera, Jose Aymar Vitorino, Alonso Ricardo Soto Tarazona

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This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Background: Mental health problems in people with tuberculosis (TB) have been associated with negative outcomes. Some health care centers in Peru use an evaluation of mental health status proposed by the Dirección de Prevención y Control de Tuberculosis (DPCTB). Aim: To evaluate the association between the mental health evaluation indicators at the beginning of treatment and the outcome of people treated with TB. Methods: A retrospective cohort study in three health care centers from the district San Juan de Miraflores. The outcome was considered positive (cured) and negative (failure, dropout, death or change of treatment scheme). Results: A significant association was found between the negative outcome and depressive symptoms (RR: 2.39, 95%CI: 1.19-4.78), substance abuse (RR: 2.58; 95%CI: 1.31-5.09) and unprotected sexual intercourse (p = 0.04). The multivariate analysis found association with depressive symptoms (RR: 2.19, 95%CI: 1.10-4.35) and substance abuse (RR: 2.19, 95%CI: 1.14-4.20). Conclusion: Depressive symptoms and drug consumption were associated with negative outcomes. Intervention studies focusing on these factors should be evaluated to improve treatment success.
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