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Geographic predictors of primary multidrug-resistant tuberculosis cases in an endemic area of Lima, Peru

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dc.contributor.author Shah, L.
dc.contributor.author Choi, H. W.
dc.contributor.author Berrang-Ford, L.
dc.contributor.author Henostroza, G.
dc.contributor.author Krapp, F.
dc.contributor.author Zamudio, C.
dc.contributor.author Heymann, S. J.
dc.contributor.author Kaufman, J. S.
dc.contributor.author Ciampi, A.
dc.contributor.author Seas, C.
dc.contributor.author Gotuzzo, E.
dc.contributor.author Brewer, T. F.
dc.date.accessioned 2020-06-10T18:11:30Z
dc.date.available 2020-06-10T18:11:30Z
dc.date.issued 2014
dc.identifier.uri https://hdl.handle.net/20.500.12866/7962
dc.description.abstract SETTING: Peru reports among the highest multidrug-resistant tuberculosis (MDR-TB) rates in the Americas, with a growing proportion in previously untreated tuberculosis (TB) cases. The identification of clusters of primary MDR-TB compared with drug-susceptible TB (DS-TB) could help prioritize interventions. OBJECTIVE: To examine the clustering of primary MDR-TB case residences and their proximity to high-risk locations in San Juan de Lurigancho District, Lima, Peru. DESIGN: Enrolled primary MDR-TB and primary DS-TB cases were interviewed and their primary residence was recorded using handheld Global Positioning System devices. Kuldorff's spatial scan statistic was used for cluster detection (SaTScan(TM), v. 9.1.1). Identified clusters were visualized in Quantum Geographic Information Systems software (v1.8.0). The following cluster centers were tested: a health centre with the highest TB and MDR-TB rates (Clinic X), a hospital and two prisons. Using regression analyses, we examined predictors of primary MDR-TB cases. RESULTS: A statistically significant cluster of primary en_US
dc.language.iso eng
dc.publisher International Union Against Tuberculosis and Lung Disease
dc.relation.ispartof urn:issn:1815-7920
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Adolescent en_US
dc.subject Adult en_US
dc.subject Aged en_US
dc.subject Cluster Analysis en_US
dc.subject Female en_US
dc.subject Geographic Information Systems en_US
dc.subject Humans en_US
dc.subject Male en_US
dc.subject Middle Aged en_US
dc.subject Mycobacterium tuberculosis/isolation & purification en_US
dc.subject Peru/epidemiology en_US
dc.subject Regression Analysis en_US
dc.subject Tuberculosis, Multidrug-Resistant/epidemiology/microbiology en_US
dc.subject Young Adult en_US
dc.title Geographic predictors of primary multidrug-resistant tuberculosis cases in an endemic area of Lima, Peru en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.5588/ijtld.14.0011
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.00 es_PE
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.08
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.07

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