<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0864-2125</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina General Integral]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Med Gen Integr]]></abbrev-journal-title>
<issn>0864-2125</issn>
<publisher>
<publisher-name><![CDATA[ECIMED]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0864-21252021000100013</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Seguimiento de los contactos de casos de tuberculosis]]></article-title>
<article-title xml:lang="en"><![CDATA[Follow-up of Contacts of Tuberculosis Cases]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gámez Sánchez]]></surname>
<given-names><![CDATA[Donelia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gutiérrez Álvarez]]></surname>
<given-names><![CDATA[Yairlín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez Jiménez]]></surname>
<given-names><![CDATA[Dianellys]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Dueñas Moreira]]></surname>
<given-names><![CDATA[Odeite]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Álvarez Toste]]></surname>
<given-names><![CDATA[Mireya]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Higiene, Epidemiología y Microbiología  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2021</year>
</pub-date>
<volume>37</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0864-21252021000100013&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0864-21252021000100013&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0864-21252021000100013&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La tuberculosis constituye la principal causa de muerte en el mundo por enfermedad infecciosa.  Objetivo:  Verificar el cumplimiento de las acciones de control de foco de los contactos de casos de tuberculosis.  Métodos:  Estudio descriptivo, transversal. Universo constituido por los 338 contactos identificados de 10 casos de tuberculosis. Los datos procedieron de encuestas epidemiológicas, base de datos de morbilidad y tarjetas de notificación de la unidad municipal de higiene y epidemiologia del municipio Boyeros. Se utilizaron las variables: edad, sexo, nivel educacional y ocupación. Se identificaron los factores de vulnerabilidad en los contactos y se verificó cumplimiento del examen médico, los complementarios, realización y resultado de prueba de tuberculina, quimioprofilaxis y seguimiento.  Resultados:  Prevaleció el sexo masculino (64,2 %) y los mayores de 65 años (46,7 %). Los grupos vulnerables más frecuentes fueron los contactos en unidades de salud con internamiento prolongado y más de 60 años (87,2 % y 62,1 %, respectivamente). No se detectó el número real de contactos y convivientes ni fue investigado el 100 %. Las pruebas de tuberculina realizadas arrojaron el mayor porciento de no reactores, el 90 % de los contactos recibieron quimiprofilaxis y su seguimiento fue deficiente.  Conclusiones:  La no detección oportuna de los contactos y convivientes de casos de tuberculosis y los incumplimientos de su estudio constituyeron las principales deficiencias de los controles de foco realizados. El seguimiento de los contactos fue inadecuado, lo que pudiera propiciar la aparición de nuevos casos de tuberculosis en el municipio.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Tuberculosis is worldwide the main cause of death due to infectious disease.  Objective:  To verify compliance with outbreak control actions associated with contacts of tuberculosis cases.  Methods:  Descriptive and cross-sectional study. The universe was made up of the 338 contacts identified from ten cases of tuberculosis. The data came from epidemiological surveys, morbidity database and notification cards of the municipal hygiene and epidemiology unit of Boyeros Municipality. The following variables were used: age, sex, educational level and occupation. The vulnerability factors in the contacts were identified, as well as compliance with medical examination, complementary tests, performance and result of tuberculin test, chemoprophylaxis and follow-up.  Results:  The male sex (64.2%) and people over 65 years of age (46.7%) prevailed. The most frequent vulnerable groups were contacts in health units with prolonged hospitalization and aged over 60 years (87.2% and 62.1%, respectively). The actual number of contacts and partners was not detected, nor 100% of them were investigated. The tuberculin tests carried out showed the highest percentage of non-reactors. 90% of the contacts received chemoprophylaxis and their follow-up was poor.  Conclusions:  There was no timely detection of the contacts and cohabitants of tuberculosis cases and no compliance with their study, which constituted the main deficiencies of the outbreak controls carried out. The follow-up of the contacts was inadequate, which could lead to the appearance of new cases of tuberculosis in the municipality.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[tuberculosis]]></kwd>
<kwd lng="es"><![CDATA[vulnerabilidad]]></kwd>
<kwd lng="es"><![CDATA[factores]]></kwd>
<kwd lng="es"><![CDATA[contactos]]></kwd>
<kwd lng="es"><![CDATA[enfermedad infecciosa]]></kwd>
<kwd lng="en"><![CDATA[tuberculosis]]></kwd>
<kwd lng="en"><![CDATA[vulnerability]]></kwd>
<kwd lng="en"><![CDATA[factors]]></kwd>
<kwd lng="en"><![CDATA[contacts]]></kwd>
<kwd lng="en"><![CDATA[infections disease]]></kwd>
</kwd-group>
</article-meta>
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