O impacto das condições de vida e da educação sobre a incidência de tuberculose no Brasil

Teixeira, Evandro Camargos; Costa, Jaqueline Severino da

doi:10.5380/re.v37i2.27241

Cited by 11 publications

(12 citation statements)

References 6 publications

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“…Although this result was not statistically significant (p>0.05), it was extremely beneficial for 42 patients because this allowed the early diagnosis of pulmonary TB and starting the treatment to interrupt the bacilli transmission. Most positive cultures were found in males of working age, which is consistent with the prevalence found in the population studied (Teixeira, Costa, 2011).…”

Section: Discussionsupporting

confidence: 77%

Use of the Ogawa-Kudoh method to isolate mycobacteria in a tuberculosis reference laboratory in northwestern Paraná, Brazil

Silva

Castilho

Maltempe

et al. 2013

Braz. J. Pharm. Sci.

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Culturing is the gold standard method for confirming a diagnosis of tuberculosis (TB). The Brazilian Ministry of Health recently proposed the use of the Ogawa-Kudoh method for sputa cultures to detect Mycobacterium tuberculosis. The aim of the present study was to evaluate 8 years of using the OgawaKudoh method in a TB reference laboratory in northwestern Paraná, Brazil. The present study consisted of a retrospective analysis of sputa cultures records for the detection of mycobacteria using the Ogawa-Kudoh method in the Laboratory of Medical Bacteriology, Laboratory of Teaching and Research in Clinical Analysis (LEPAC), State University of Maringá, from July 2003 to September 2011. The following variables were analyzed: Ziehl Neelsen (Z-N) smears and cultures results and the age and gender of the patients. Sputa samples from 3,231 patients with suspected TB were analyzed. Of these, 67.17% were male with an average age of 45.58 years. Of the total number of Z-N-negative samples (n=2,949), 42 (1.42%) were positive for M. tuberculosis (p >0.05). The Ogawa-Kudoh method is an excellent tool for diagnosing pulmonary TB. It is easy to perform, requires less biosafety equipment than the Petroff method, has a low cost, and has good sensitivity for detecting of M. tuberculosis.

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Section: Discussionsupporting

confidence: 77%

Use of the Ogawa-Kudoh method to isolate mycobacteria in a tuberculosis reference laboratory in northwestern Paraná, Brazil

Silva

Castilho

Maltempe

et al. 2013

Braz. J. Pharm. Sci.

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“…Level of education is related to a socioeconomic condition of an individual, which can affect the probability of having TB [21] and MM [12,13]. …”

Section: Discussionmentioning

confidence: 99%

Prevalence and patterns of multimorbidity among tuberculosis patients in Brazil: a cross-sectional study

Reis-Santos

Gomes

Macedo

et al. 2013

Int J Equity Health

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IntroductionThe number of subjects with tuberculosis (TB) presenting with co-occurrence of multiple chronic medical conditions, or multimorbidity (MM) is increasing in Brazil. This manuscript aimed to characterize subjects with TB, according to their MM status and to analyse factors associated with TB treatment outcomes.MethodsThis is a cross-sectional study that included 39,881 TB subjects reported in Brazil, in 2011. MM were defined as any (two or more) occurrence of chronic medical conditions in a TB patient (TB–MM). Data analysis was performed by hierarchical logistic regression models comparing TBMM with those with only TB.ResultsOf the reported TB cases in 2011, 454 (1.14%) had MM. The subjects in the age group 40–59 years (OR: 17.89; 95% CI, 5.71-56.03) and those ≥ 60 years (OR: 44.11; 95% CI, 14.09-138.06) were more likely to develop TB–MM. The TB–MM subjects were less likely to be male (OR: 0.63; 95% CI, 0.52-0.76), institutionalized (OR: 0.59; 95% CI, 0.23-0.80) and live in rural areas (OR: 0.63; 95% CI, 0.42-0.95). Death from causes other than TB was higher among TB–MM subjects (OR: 1.76; 95% CI, 1.36-2.28). Of 454 TB–MM subjects 302 (66.5%) were cured and 152 (33.5%) were not cured. The odds of not being cured was 1.55 (95% CI, 1.04-2.32) among males, 2.85 (95% CI, 1.12-7.28) among institutionalized subjects, and 3.93 (IC 95%, 1.86-8.30) among those who were infected with HIV. TB retreatment after previous abandonment (OR: 7.53; 95% CI, 2.58-21.97) and transfer from a treatment site (OR: 2.76; 95% CI, 1.20-6.38) were higher for subjects not cured compared to those who were cured.ConclusionsWhile TB is well recognized to be a disease engendered by social inequity, we found that even among TB patients, those who have MM have greater inequity in terms of socioeconomic status and adverse clinical outcomes. Addressing the problem of TB and TB–MM requires a multisectorial approach that includes health and social service organizations.

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“…The disease is presently regarded as one of the most serious threats to human health (WORLD HEALTH ORGANIZATION, 2016). A deep relationship exists between TB prevalence and the social development of a country, because of factors connected with situations of poverty, misery, and social exclusion, mainly in the urban peripheries and slums (TEIXEIRA;COSTA, 2011;BARBOSA;COSME, 2013;ACOSTA;BASSANESI, 2014). TB also constitutes a serious problem of health in native Indian (ESCOBAR et al, 2001) and imprisoned populations (OLIVEIRA; CARDOSO, 2004;SÁNCHEZ et al, 2007) in Brazil.…”

Section: Introductionmentioning

confidence: 99%

Spatial Distribution of Pulmonary Tuberculosis in Urban Areas: A Case From Belém, Brazil

2016

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The precise location of areas with high incidence of pulmonary tuberculosis (TB) is important to improve public health actions. Official data records of the addresses and neighborhoods where the infected people live allow the mapping of the disease on this spatial scale. However, great socioeconomic diversity often exists inside neighborhoods, wherein highand low-income families reside. This situation hampers the location of those areas that require close attention. Objective: This study aimed to estimate the risk of pulmonary TB infections in census tracts in Belém City (Brazil) from data on neighborhoods. Methods: A partial leastsquares regression model was constructed in the scale of neighborhoods based on the record of addresses of TB-infected people and socioeconomic data from official sources. The model was then slightly modified and used to estimate the risk of TB prevalence in urban census tracts. The results were mapped using a geographical information system. Results: The percentages of explained variance of the set of independent variables and dependent variable were 86.4% and 30.2%, respectively. These values indicated that the model is acceptable for its purpose. Conclusion: The model's results were consistent with the spatial distribution of socioeconomic and environmental characteristics of Belém City.Keywords: Tuberculosis Pulmonary; Urban Population; Public Health. RESUMOA localização precisa das áreas com alta incidência de tuberculose pulmonar (TB) é importante para melhorar as ações de saúde pública. Os dados oficiais registram endereços e bairros onde moram pessoas infectadas, permitindo o mapeamento da enfermidade nesta escala espacial. Comumente, porém, há grande diversidade socioeconômica no interior dos bairros, onde coexistem áreas com famílias de alta e baixa renda. Isso dificulta a localização das áreas prioritárias para ação. Objetivo: estimar o risco de infecções por tuberculose pulmonar (TB) nos setores censitários na cidade de Belém (PA), a partir de dados por bairros. Métodos: construção de um modelo de regressão múltipla de mínimos quadrados parciais, na escala dos bairros, com base no cadastro de endereços de pessoas infectadas e dados socioeconômicos de fontes oficiais. O modelo, com uma pequena modificação, foi então usado para estimar o risco de incidência de TB nos setores censitários urbanos. Em seguida, os resultados foram mapeados por meio de um sistema de informações geográficas. Resultados: o percentual de variância explicada do conjunto de variáveis independentes foi de 86,4% e o da variável dependente, 30,2%; valores que tornam o modelo aceitável para o fim proposto. Conclusão: o modelo mostrou resultados coerentes com a distribuição espacial das características socioeconômicas e ambientais da cidade de Belém.

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O impacto das condições de vida e da educação sobre a incidência de tuberculose no Brasil

Cited by 11 publications

References 6 publications

Use of the Ogawa-Kudoh method to isolate mycobacteria in a tuberculosis reference laboratory in northwestern Paraná, Brazil

Use of the Ogawa-Kudoh method to isolate mycobacteria in a tuberculosis reference laboratory in northwestern Paraná, Brazil

Prevalence and patterns of multimorbidity among tuberculosis patients in Brazil: a cross-sectional study

Spatial Distribution of Pulmonary Tuberculosis in Urban Areas: A Case From Belém, Brazil

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