[Effectiveness (accessibility and compliance) of a program of early diagnosis of pulmonary tuberculosis in a penitentiary population].
The aim of the study was to determine the effectiveness of a pulmonary tuberculosis detection Program in a Spanish prison (280-320 inmates) with a high turn-over rate (500 entries annually). 754 prisoners without antituberculous chemotherapic or chemoprophylaxis were included. 642 (85.1%) had access to the Program; the highest percentage of access was obtained when tuberculin test was performed at the entrance (96.4%) versus 80.5% when it was differed (P < 0.000001). The compliance observed was 82.2%, with no evidence that a greater accessibility was influential al all. The effectiveness was 70%, greater when tuberculin test was performed at the entrance in prison (76.7%) versus 66.8% when it was differed (P < 0.000001). We conclude that since pulmonary tuberculosis rates in prisons are so high and since it is possible to obtain a high effectiveness in detection programs, if were generalize these programs in concurrence with an adequate treatment of tuberculosis cases we shall obtain high efficiency rates.
Martín Sánchez
V
V
Centro Penitenciario de León.
Alvarez Guisasola
F
F
Alvarez Fernández
J L
JL
Martínez Cordero
M B
MB
D000293:Adolescent; D000328:Adult; D017598:Efficiency, Organizational; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D011329:Prisoners; D012621:Seasons; D013030:Spain / Q000453:epidemiology; D013997:Time Factors; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis* / Q000453:epidemiology
Efectividad (accesibilidad y adherencia) de un programa de detección precoz de tuberculosis pulmonar en población reclusa.