Conglomerado de casos de tuberculosis multidrogorresistente en un colegio del distrito de Ica, Perú

Julio Torres; Victoria Sardón; Mirtha G. Soto; Rolado Anicama; César V. Munayco; César V. Munayco

doi:10.17843/rpmesp.2011.283.529

Authors

Julio Torres Hospital Regional Docente de Ica. Ica, Perú. Médico Neumólogo.
Victoria Sardón Centro de Salud. Sr. de Luren, DIRESA Ica. Ica, Perú. Médico Cirujano.
Mirtha G. Soto Grupo Temático de Tuberculosis y Lepra. Dirección General de Epidemiología del Ministerio de Salud. Ica, Perú. Médico Cirujano.
Rolado Anicama Oficina de Epidemiología. Dirección Regional de Salud de Ica. Médico Cirujano.
César V. Munayco Facultad de Medicina, Universidad Nacional San Luis Gonzaga. Ica, Perú. Médico Cirujano.
César V. Munayco Grupo Temático de Tuberculosis y Lepra. Dirección General de Epidemiología del Ministerio de Salud. Ica, Perú. Médico Epidemiólogo

DOI:

https://doi.org/10.17843/rpmesp.2011.283.529

Keywords:

Tuberculosis, Multidrug-resistant tuberculosis, Disease outbreaks, Schools, Children, Peru

Abstract

We describe the evolution and features of a cluster of Multidrug-resistant tuberculosis (MDR TB) cases that occurred in 2001, in a school located in a sub-urban area of the district of Ica, Peru. We identified 15 students related before becoming infected with tuberculosis. The mean age of the cluster was 15 years. A total of 12 students were MDR-TB cases and 7 were drug-resistant to 5 first-line drugs (RHEZS). Five out of the 15 cases received at least 3 different anti-tuberculosis treatment schemes. The average treatment duration was 37 months (minimum 21 and maximum 59 months). A total of 13 cases recovered and 2 died. This study describes a cluster of MDR -TB cases in an educational facility, which due to the epidemiological link and time presentation, is probably an outbreak of MDR TB with a satisfactory outcome after prolonged treatment.