title: [Tuberculosis surveillance in the Balearic Islands and characteristics of unreported cases from 2005 to 2007].
abstract: We performed a descriptive study of tuberculosis cases detected by the Epidemiological Surveillance System in the Balearic Islands in the triennium 2005-2007. Our goal was to characterize underreported cases in sociodemographic terms and their contact with primary care. Overall, underreporting of tuberculosis was approximately 20%. Significant factors in multivariate analysis were social marginality (consisting of alcoholism, intravenous drug use or indigence) (aOR: 2.6 [1.2 to 5.3]), contact with primary care (aOR: 3.2 [1.4 to 7.1]), and extrapulmonary tuberculosis (aOR: 5.5[3.2-9.6]). We recommend strengthening notification by hospital specialists through the use of hospital electronic records. Our findings show that the information obtained from the primary care computerized history is helpful in improving the epidemiological surveillance of tuberculosis.
authors.affiliation: Centro Nacional de Epidemiología, Instituto de Salud Carlos III, Madrid, España. jaumegd@gmail.com
authors.forename: Jaume
authors.initials: J
authors.lastname: Giménez Duran
authors.forename: Antonia M
authors.initials: AM
authors.lastname: Galmés Truyols
authors.forename: Dionisio
authors.initials: D
authors.lastname: Herrera Guibert
authors.forename: Luis A
authors.initials: LA
authors.lastname: Bonilla Vargas
authors.forename: Miguel A
authors.initials: MA
authors.lastname: Luque Fernández
authors.forename: Catalina
authors.initials: C
authors.lastname: Bosch Isabel
authors.forename: Antoni
authors.initials: A
authors.lastname: Nicolau Riutort
authors.forename: Joan
authors.initials: J
authors.lastname: Caylà Buqueras
mesh_terms: D000328:Adult; D000437:Alcoholism / Q000453:epidemiology; D015897:Comorbidity; D018563:Disease Notification / Q000706:statistics & numerical data*; D057286:Electronic Health Records; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data; D005260:Female; D015658:HIV Infections / Q000453:epidemiology; D006779:Hospitals, Public / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D011159:Population Surveillance; D011203:Poverty; D011320:Primary Health Care / Q000706:statistics & numerical data; D012959:Socioeconomic Factors; D013030:Spain / Q000453:epidemiology; D015819:Substance Abuse, Intravenous / Q000453:epidemiology; D014376:Tuberculosis / Q000453:epidemiology*