<?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>1561-3003</journal-id>
<journal-title><![CDATA[Revista Cubana de Higiene y Epidemiología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. cuba. hig. epidemiol.]]></abbrev-journal-title>
<issn>1561-3003</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1561-30032024000100010</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Patrones genéticos, sublinajes y dinámica de transmisión de tuberculosis en Cuba, país de baja carga]]></article-title>
<article-title xml:lang="en"><![CDATA[Genetic patterns, sublineages and dynamics of tuberculosis transmission in Cuba, a low burden country]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Rodríguez]]></surname>
<given-names><![CDATA[Ileana Margarita]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A1"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Herrera-Avila]]></surname>
<given-names><![CDATA[Yoslany Mercedes]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gozá-Valdés]]></surname>
<given-names><![CDATA[Roxana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez-Bertheau]]></surname>
<given-names><![CDATA[Andrea María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz-Rodríguez]]></surname>
<given-names><![CDATA[Raúl]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de las Fuerzas Armadas Revolucionarias (FAR) Departamento de Especialidades Médicas ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Las Américas (UDLA) Facultad de Medicina ]]></institution>
<addr-line><![CDATA[ Quito]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital General Docente &#8220;Enrique Cabrera&#8221; Departamento de Microbiología ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de Ciencias Médicas de La Habana  ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Instituto de Medicina Tropical &#8220;Pedro Kourí&#8221; (IPK)  ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<volume>61</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1561-30032024000100010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1561-30032024000100010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1561-30032024000100010&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  En Cuba, país con baja incidencia de tuberculosis (TB), no existe información sobre la dinámica de transmisión de la enfermedad desde hace dos décadas.  Objetivo:  Determinar los patrones genéticos y sublinajes de los aislados del complejo Mycobacterium tuberculosis (MTBC) circulantes en el año 2009 y su relación con los datos clínico-epidemiológicos de los pacientes.  Métodos:  Se realizó un estudio descriptivo retrospectivo en Cuba con 178 aislamientos de MTBC. Se realizó el espoligotipaje y el tipaje con unidades repetitivas intercaladas de micobacterias con repetición en tándem de número variable (MIRU-VNTR) con 24loci. Para el análisis estadístico, se utilizaron métodos no paramétricos, análisis de varianza y prueba de homogeneidad.  Resultados: El espoligotipaje produjo 39 espoligotipos, prevaleciendo los sublinajes S, Beijing, LAM y Haarlem. El rango de agrupamiento fue del 75,84 % y el índice discriminatorio de Hunter-Gaston (HGDI): 0,8734. El tipaje por MIRU-VNTR con 24loci definió 154 patrones genéticos: seis agruparon 30 aislados y 148 mostraron patrones únicos. El rango de agrupamiento fue del 14,60 % y el HGDI: 0,9926. Hubo predominio de los sublinajes por región: S, Beijing y LAM en Occidente, Centro y Este, respectivamente.  Conclusiones:  Se reporta la dinámica de transmisión de la TB en Cuba en el año 2009, infiriéndose que esta ocurre de manera limitada y la pertenencia a grupos de riesgo no favorece la transmisión. Sirve para evaluar un megaproyecto del Fondo Mundial para reducir la transmisión de la TB en este país. La estructura genética poblacional de MTBC se asemeja a la de un país iberoamericano, con la excepción de la alta frecuencia de los sublinajes Beijing y S.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  In Cuba, a country with a low incidence of tuberculosis (TB), there is no information about of the dynamics of transmission of the disease for two decades.  Objective:  Determine the genetic patterns and sublineages of Mycobacterium tuberculosis complex (MTBC) isolates circulating in 2009 and their relationship with the epidemiological data of the patients.  Methods:  A retrospective descriptive study was carried out in Cuba with 178 MTBC isolates. Spoligotyping and mycobacterial interspersed repetitive-unit-variable-number tandem-repeat (MIRU-VNTR) typing with 24loci were performed. For statistical analysis, non-parametric methods, analysis of variance and homogeneity test, were used.  Results:  Spoligotyping produced 39 spoligotypes. The S, Beijing, LAM and Haarlem sublineages prevailed. The clustering rate was 75.84% and the Hunter-Gaston discriminatory index (HGDI): 0.8734. MIRU-VNTR typing with 24-loci defined 154 genetic patterns: six grouped 30 isolates and 148 showed unique patterns. The clustering rate was 14.60% and the HGDI: 0.9926. There was a predominance of sublineages by region: S, Beijing and LAM in the West, Center and East, respectively. Conclusions: The dynamics of TB transmission in Cuba in 2009 is reported, inferring that this occurs in a limited manner and belonging to risk groups does not favor transmission. It serves to evaluate a megaproject of the Global Fund to reduce the transmission of TB in this country. The population genetic structure of MTBC resembles that of an Ibero-American country, with the exception of the high frequency of the Beijing and S sublineages.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Mycobacterium tuberculosis]]></kwd>
<kwd lng="es"><![CDATA[tipaje molecular]]></kwd>
<kwd lng="es"><![CDATA[Cuba]]></kwd>
<kwd lng="es"><![CDATA[tuberculosis]]></kwd>
<kwd lng="es"><![CDATA[biología molecular]]></kwd>
<kwd lng="es"><![CDATA[transmisión]]></kwd>
<kwd lng="es"><![CDATA[epidemiología molecular]]></kwd>
<kwd lng="es"><![CDATA[caracterización molecular.]]></kwd>
<kwd lng="en"><![CDATA[Mycobacterium tuberculosis]]></kwd>
<kwd lng="en"><![CDATA[molecular typing]]></kwd>
<kwd lng="en"><![CDATA[Cuba]]></kwd>
<kwd lng="en"><![CDATA[tuberculosis]]></kwd>
<kwd lng="en"><![CDATA[molecular biology]]></kwd>
<kwd lng="en"><![CDATA[Mycobacterium tuberculosis/transmission]]></kwd>
<kwd lng="en"><![CDATA[molecular epidemiology]]></kwd>
<kwd lng="en"><![CDATA[Molecular characterization]]></kwd>
</kwd-group>
</article-meta>
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</article>
