<?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>0001-6002</journal-id>
<journal-title><![CDATA[Acta Médica Costarricense]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. costarric]]></abbrev-journal-title>
<issn>0001-6002</issn>
<publisher>
<publisher-name><![CDATA[Colegio de Médicos y Cirujanos de Costa Rica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0001-60022023000400221</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Historia del manejo de la tuberculosis en Costa Rica]]></article-title>
<article-title xml:lang="en"><![CDATA[History of tuberculosis management in Costa Rica]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mata Azofeifa]]></surname>
<given-names><![CDATA[Zeidy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López Odio]]></surname>
<given-names><![CDATA[Georgina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Caja Costarricense Seguro Social Subárea Vigilancia Epidemiológica ]]></institution>
<addr-line><![CDATA[San José ]]></addr-line>
<country>Costa Rica</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,aff2  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<volume>65</volume>
<numero>4</numero>
<fpage>221</fpage>
<lpage>224</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S0001-60022023000400221&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S0001-60022023000400221&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S0001-60022023000400221&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La tuberculosis ha sido una de las primeras enfermedades en afectar al ser humano, por ende, es considerada un mal infeccioso causante de una importante morbilidad y mortalidad en el mundo. La lucha contra esta enfermedad inició en nuestro país a principios del siglo XX con un abordaje sanatorial y, posteriormente, con la puesta en marcha de diferentes estrategias propuestas por la Organización Mundial de la Salud para avanzar hacia su eliminación. El objetivo del presente informe es brindar información sobre el enfoque de la tuberculosis en Costa Rica. Métodos: estudio descriptivo cualitativo. Incluyó la revisión de artículos en revistas científicas como Scielo, revisiones sistemáticas en: LILACS, PubMed, Cochrane y del historial de datos recopilados en la Subárea de Vigilancia Epidemiológica de la Caja Costarricense Seguro Social. Resultados: la lucha contra la tuberculosis inició en nuestro país en el siglo XX a través de la puesta en marcha del Sanatorio Durán. Con el descubrimiento del bacilo de Koch y de medicamentos para su tratamiento, se pasó de un abordaje sanatorial a la implementación de diferentes estrategias sugeridas por la Organización Mundial de la Salud dirigidas a fortalecer el diagnóstico y el tratamiento oportunos, así como la vigilancia de la coinfección tuberculosis /virus inmunodeficiencia humana, la resistencia a medicamentos, la infección latente y la búsqueda intensificada de casos en poblaciones vulnerables. Conclusiones: El Ministerio de Salud y la Caja Costarricense de Seguro Social han venido apoyando la lucha contra la tuberculosis, sin embargo, para el logro de las metas propuestas por la Organización Mundial de la Salud se requiere que las autoridades de salud continúen priorizando la lucha contra esta enfermedad, cuya finalidad es brindar todos los recursos e insumos de punta requeridos para su diagnóstico y oportunos tratamientos. Solo de esta forma lograremos avanzar hacia su eliminación.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Tuberculosis is one of the first diseases that affected humans, it is considered an infectious diseasecausing significant morbidity and mortality in the world. The fight against this disease began in our country at the beginning of the 20th century with a sanatorium approach and later with the implementation of different strategies proposed by the World Health Organization to move towards its elimination. The aim of this report is to provide information on the approach to tuberculosis in Costa Rica. Methods: A descriptive and qualitative study. It included reviews of articles in scientific journals such as Scielo, as well as systematic reviews in: LILACS, PubMed, Cochrane, and a review of the history of data collected in the Epidemiological Surveillance Subarea of the Costa Rican Social Security Fund. Results: The fight against tuberculosis began in our country in the 20th century, through the launch of the Durán Sanatorium. With the discovery of Koch&#8217;s bacillus and medications for its treatment, we moved from a sanatorium approach to the implementation of different strategies suggested by the World Health Organization aimed at strengthening timely diagnosis and treatment, as well as surveillance of tuberculosis /Human Immuno- deficiency Virus (HIV) coinfection, drug resistance, latent infection and intensified case finding in vulnerable populations. Conclusions: The Ministry of health and the Social Security System of Costa Rica have been supporting the fight against tuberculosis, however, to achieve the goals proposed by the World Health Organization, health authorities are required to continue prioritizing the fight against this disease, providing all the recommended resources and supplies required for timely diagnosis and treatment. Only in this way will we be able to move towards its elimination.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[tuberculosis]]></kwd>
<kwd lng="es"><![CDATA[epidemiología]]></kwd>
<kwd lng="es"><![CDATA[historia]]></kwd>
<kwd lng="es"><![CDATA[estrategia.]]></kwd>
<kwd lng="en"><![CDATA[Tuberculosis]]></kwd>
<kwd lng="en"><![CDATA[epidemiology]]></kwd>
<kwd lng="en"><![CDATA[history]]></kwd>
<kwd lng="en"><![CDATA[strategy.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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