Frecuencia de parásitos intestinales y evaluación de métodos para su diagnóstico en una comunidad marginal de Medellín, Colombia

ABSTRACT: Intestinal parasitism is still a public health problem. It has not been thoroughly studied in Medellin, Colombia. Objective: To determine the prevalence of intestinal parasites in residents of a marginal community in Medellin and to evaluate the validity, efficiency and reliability of dire...

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Autores:
Cardona Arias, Jaiberth Antonio
Bedoya Urrego, Katherine
Tipo de recurso:
Article of investigation
Fecha de publicación:
2013
Institución:
Universidad de Antioquia
Repositorio:
Repositorio UdeA
Idioma:
spa
OAI Identifier:
oai:bibliotecadigital.udea.edu.co:10495/12996
Acceso en línea:
http://hdl.handle.net/10495/12996
https://revistas.udea.edu.co/index.php/iatreia/article/view/14286
Palabra clave:
Ascaris Lumbricoides
Coprológico Directo
Geohelmintiasis
Kato-Katz
Ritchie
Sensibilidad
Trichuris trichiura
Uncinaria
Rights
openAccess
License
https://creativecommons.org/licenses/by-nc-sa/2.5/co/
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dc.title.spa.fl_str_mv Frecuencia de parásitos intestinales y evaluación de métodos para su diagnóstico en una comunidad marginal de Medellín, Colombia
dc.title.translated.spa.fl_str_mv Frequency of intestinal parasites and evaluation of methods for their diagnosis in a marginal community of Medellin, Colombia
title Frecuencia de parásitos intestinales y evaluación de métodos para su diagnóstico en una comunidad marginal de Medellín, Colombia
spellingShingle Frecuencia de parásitos intestinales y evaluación de métodos para su diagnóstico en una comunidad marginal de Medellín, Colombia
Ascaris Lumbricoides
Coprológico Directo
Geohelmintiasis
Kato-Katz
Ritchie
Sensibilidad
Trichuris trichiura
Uncinaria
title_short Frecuencia de parásitos intestinales y evaluación de métodos para su diagnóstico en una comunidad marginal de Medellín, Colombia
title_full Frecuencia de parásitos intestinales y evaluación de métodos para su diagnóstico en una comunidad marginal de Medellín, Colombia
title_fullStr Frecuencia de parásitos intestinales y evaluación de métodos para su diagnóstico en una comunidad marginal de Medellín, Colombia
title_full_unstemmed Frecuencia de parásitos intestinales y evaluación de métodos para su diagnóstico en una comunidad marginal de Medellín, Colombia
title_sort Frecuencia de parásitos intestinales y evaluación de métodos para su diagnóstico en una comunidad marginal de Medellín, Colombia
dc.creator.fl_str_mv Cardona Arias, Jaiberth Antonio
Bedoya Urrego, Katherine
dc.contributor.author.none.fl_str_mv Cardona Arias, Jaiberth Antonio
Bedoya Urrego, Katherine
dc.contributor.researchgroup.spa.fl_str_mv Salud y Sostenibilidad
dc.subject.none.fl_str_mv Ascaris Lumbricoides
Coprológico Directo
Geohelmintiasis
Kato-Katz
Ritchie
Sensibilidad
Trichuris trichiura
Uncinaria
topic Ascaris Lumbricoides
Coprológico Directo
Geohelmintiasis
Kato-Katz
Ritchie
Sensibilidad
Trichuris trichiura
Uncinaria
description ABSTRACT: Intestinal parasitism is still a public health problem. It has not been thoroughly studied in Medellin, Colombia. Objective: To determine the prevalence of intestinal parasites in residents of a marginal community in Medellin and to evaluate the validity, efficiency and reliability of direct examination in its diagnosis. Methods: Cross-sectional study and evaluation of diagnostic tests. Data were collected from a primary information source. Proportions with their confidence intervals were calculated; non-parametric statistical tests and analysis of sensitivity, specificity, predictive values, negative likelihood ratio and kappa were done. Results: Prevalence of parasites, according to the results of the concentration test, was 74.4%. Evaluation was done for intestinal parasites in general and for the following categories: protozoa, helminthes, commensals and pathogens. Sensitivity war over 68%, specificity and positive predictive value were 100%, negative predictive value was over 74%, negative likelihood ratio was less than 0.32, kappa was greater than 0.77 and efficiency was over 90%. Conclusion: Prevalence of intestinal parasitism is as high as it was three decades ago; its solution needs prompt and effective intervention of health authorities. The tests available for its study, including direct examination of stools, are of high diagnostic value.
publishDate 2013
dc.date.issued.none.fl_str_mv 2013
dc.date.accessioned.none.fl_str_mv 2020-01-10T19:33:30Z
dc.date.available.none.fl_str_mv 2020-01-10T19:33:30Z
dc.type.spa.fl_str_mv Artículo de investigación
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dc.identifier.citation.spa.fl_str_mv Cardona Arias JA, Bedoya Urrego K. Frecuencia de parásitos intestinales y evaluación de métodos para su diagnóstico en una comunidad marginal de Medellín, Colombia. Iatreia. 2013 Jul-Sep;26(3):257-268.
dc.identifier.issn.none.fl_str_mv 0121-0793
dc.identifier.uri.none.fl_str_mv http://hdl.handle.net/10495/12996
dc.identifier.eissn.none.fl_str_mv 2011-7965
dc.identifier.url.spa.fl_str_mv https://revistas.udea.edu.co/index.php/iatreia/article/view/14286
identifier_str_mv Cardona Arias JA, Bedoya Urrego K. Frecuencia de parásitos intestinales y evaluación de métodos para su diagnóstico en una comunidad marginal de Medellín, Colombia. Iatreia. 2013 Jul-Sep;26(3):257-268.
0121-0793
2011-7965
url http://hdl.handle.net/10495/12996
https://revistas.udea.edu.co/index.php/iatreia/article/view/14286
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dc.publisher.spa.fl_str_mv Universidad de Antioquia, Facultad de Medicina
dc.publisher.place.spa.fl_str_mv Medellín, Colombia
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spelling Cardona Arias, Jaiberth AntonioBedoya Urrego, KatherineSalud y Sostenibilidad2020-01-10T19:33:30Z2020-01-10T19:33:30Z2013Cardona Arias JA, Bedoya Urrego K. Frecuencia de parásitos intestinales y evaluación de métodos para su diagnóstico en una comunidad marginal de Medellín, Colombia. Iatreia. 2013 Jul-Sep;26(3):257-268.0121-0793http://hdl.handle.net/10495/129962011-7965https://revistas.udea.edu.co/index.php/iatreia/article/view/14286ABSTRACT: Intestinal parasitism is still a public health problem. It has not been thoroughly studied in Medellin, Colombia. Objective: To determine the prevalence of intestinal parasites in residents of a marginal community in Medellin and to evaluate the validity, efficiency and reliability of direct examination in its diagnosis. Methods: Cross-sectional study and evaluation of diagnostic tests. Data were collected from a primary information source. Proportions with their confidence intervals were calculated; non-parametric statistical tests and analysis of sensitivity, specificity, predictive values, negative likelihood ratio and kappa were done. Results: Prevalence of parasites, according to the results of the concentration test, was 74.4%. Evaluation was done for intestinal parasites in general and for the following categories: protozoa, helminthes, commensals and pathogens. Sensitivity war over 68%, specificity and positive predictive value were 100%, negative predictive value was over 74%, negative likelihood ratio was less than 0.32, kappa was greater than 0.77 and efficiency was over 90%. Conclusion: Prevalence of intestinal parasitism is as high as it was three decades ago; its solution needs prompt and effective intervention of health authorities. The tests available for its study, including direct examination of stools, are of high diagnostic value.RESUMEN: Las parasitosis intestinales siguen siendo un problema de salud pública, que ha sido poco estudiado en Medellín, Colombia. Objetivo: determinar la frecuencia de parasitismo intestinal en habitantes de una comunidad marginal de Medellín y evaluar la validez, el desempeño, la eficiencia y la confiabilidad del examen directo en su diagnóstico. Materiales y métodos: estudio transversal y de evaluación de pruebas diagnósticas con fuente de información primaria. Se calcularon las proporciones con su intervalo de confianza y se hicieron pruebas de estadística no paramétrica y análisis de sensibilidad, especificidad, valores predictivos, razón de verosimilitud negativa y kappa. Resultados: la frecuencia global de parásitos, según el examen por concentración, fue 74,4%; la evaluación se hizo para parasitismo general y para las categorías protozoos, helmintos, comensales y patógenos; se hallaron sensibilidad superior al 68%, especificidad y valor predictivo positivo del 100%, valor predictivo negativo mayor de 74%, razón de verosimilitud negativa menor de 0,32, kappa superior a 0,77 y eficiencia superior al 90%. Conclusión: el problema del parasitismo intestinal amerita una pronta intervención por parte de las autoridades sanitarias dado que su frecuencia sigue siendo tan elevada como hace tres décadas y las pruebas disponibles para estudiarlo, incluyendo el examen directo de la materia fecal, tienen alto valor diagnóstico.COL008888111application/pdfspaUniversidad de Antioquia, Facultad de MedicinaMedellín, Colombiahttps://creativecommons.org/licenses/by-nc-sa/2.5/co/https://creativecommons.org/licenses/by-nc-sa/4.0/Atribución-NoComercial-CompartirIgual 2.5 Colombia (CC BY-NC-SA 2.5 CO)info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Ascaris LumbricoidesCoprológico DirectoGeohelmintiasisKato-KatzRitchieSensibilidadTrichuris trichiuraUncinariaFrecuencia de parásitos intestinales y evaluación de métodos para su diagnóstico en una comunidad marginal de Medellín, ColombiaFrequency of intestinal parasites and evaluation of methods for their diagnosis in a marginal community of Medellin, ColombiaArtículo de investigaciónhttp://purl.org/coar/resource_type/c_2df8fbb1https://purl.org/redcol/resource_type/ARThttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionIatreia268325726IatreiaPublicationCC-LICENSElicense_urllicense_urltext/plain; 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