Tendência temporal da incidência de tuberculose e sua distribuição espacial em Macapá-AP

Giacomet, Clóvis Luciano; Santos, Márcio Souza dos; Berra, Thaís Zamboni; Alves, Yan Mathias; Alves, Luana Seles; Costa, Fernanda Bruzadelli Paulino da; Ramos, Antônio Carlos Vieira; Crispim, Juliane de Almeida; Monroe, Aline Aparecida; Pinto, Ione Carvalho; Fiorati, Regina Célia; Arcoverde, Marcos Augusto Moraes; Gomes, Dulce; Freitas, Giselle Lima de; Yamamura, Mellina; Arcêncio, Ricardo Alexandre

doi:10.11606/s1518-8787.2021055003431

Cited by 13 publications

(10 citation statements)

References 11 publications

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“…Essa influência também foi identificada em estudo realizado em Macapá (AP) 8 . Tal fato fortalece a hipótese de que esse método facilitou e acelerou a detecção dos casos desse agravo 31 .…”

Section: Discussionunclassified

“…A sazonalidade avaliada neste estudo não esteve presente nos modelos estimados. Algumas pesquisas nacionais 8,34 e em países como Índia 35 e China 36 identificaram a presença de sazonalidade nas taxas de incidência de tuberculose. Sergipe está situado, segundo a classificação de Koppen 37 , como de clima quente com chuva de inverno.…”

Section: Discussionunclassified

“…A instituição dessa ferramenta no Sistema Único de Saúde (SUS) foi um grande avanço para a detecção precoce dos casos, o que pode impactar os indicadores de tratamento adequado e reduzir a interrupção do tratamento, bem como o número de óbitos 7,8 .…”

Section: Introductionunclassified

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Série temporal dos casos e dos desfechos do tratamento contra tuberculose em Sergipe, 2012–2021

Batista,

Santos,

Jesus

et al. 2023

Rev. bras. epidemiol.

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RESUMO Objetivo: Os objetivos deste estudo são, no estado de Sergipe: (1) analisar a tendência temporal da tuberculose e os desfechos do tratamento; (2) identificar a existência de sazonalidade da tuberculose; (3) verificar a influência do teste rápido molecular (TRM-TB) na série temporal da tuberculose e seus desfechos de tratamento; e (4) verificar os desfechos do tratamento. Métodos: Estudo ecológico sobre tuberculose e três desfechos do tratamento (cura, interrupção do tratamento e óbito) extraídos do Datasus. Foram calculadas as taxas de incidência e de mortalidade para as ocorrências brutas de casos e as proporções de cura e interrupção do tratamento (%). A série temporal foi analisada pela regressão de Prais-Winsten no período de janeiro de 2012 a dezembro de 2021. Resultados: A taxa de incidência total foi de 36,35 casos por 100 mil habitantes, com aumento de 0,44% ao mês (IC95% 0,35; 0,54). A proporção de cura foi de 64,0%, com tendência estacionária (p>0,05). O percentual de interrupção do tratamento foi de 13,3%, com redução de 0,73% ao mês (IC95% −1,11; −0,34). A taxa de mortalidade total foi de 1,92 morte por100 mil habitantes, com tendência estacionária. Posteriormente à implementação do TRM-TB, a taxa de incidência cresceu 0,65% ao mês. A sazonalidade não foi identificada em nenhuma das análises realizadas (p>0,05). Conclusão: Cresceram as taxas de incidência, redução da interrupção do tratamento e mortalidade no estado de Sergipe. Não foi identificado sazonalidade. O teste rápido molecular apresentou efeito de crescimento na taxa de incidência.

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Section: Discussionunclassified

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Série temporal dos casos e dos desfechos do tratamento contra tuberculose em Sergipe, 2012–2021

Batista,

Santos,

Jesus

et al. 2023

Rev. bras. epidemiol.

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“… 15 According to a Brazilian study, the notification rates of TB showed different trends between 2001 and 2017 which began with higher numbers, suffered a decrease, and ended in an increase. 16 The Singapore study reported that the notification rates of TB experienced a similar pattern during 1998-2008. 17 Previous studies had analyzed the epidemiological characteristics of PTB in Shandong.…”

Section: Introductionmentioning

confidence: 95%

Trends in the Notification Rates and Treatment Outcome of Tuberculosis in Shandong Province, China, 2005–2021

Han,

Li,

Liu

et al. 2024

IDR

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To analyze the time trends in the notification rates of registered tuberculosis (TB) and bacteriologically confirmed TB in Shandong Province. And analyze the changes in TB treatment outcomes during 2005-2021. Patients and Methods: The information of TB patients registered in the Shandong Information Center for Disease Control and Prevention (CDC) was collected during 2005-2021.We calculated the notification rates of registered TB and bacteriologically confirmed TB. Moreover, we calculated the year-to-year change rate of TB in treatment outcomes before and after COVID-19. The time trends were analyzed using the joinpoint regression method and illustrated as the annual percentage change (APC) of notification rates. Results: A total of 236,898 cases of TB were diagnosed during 2005-2021, of which 51.11% were bacteriologically confirmed cases. Since 2008, the notification rates of registered TB have declined. The notification rates of bacteriologically confirmed TB had been declining during 2005-2016, then remained stable after 2016. In subgroup, the notification rates of both registered TB and bacteriologically confirmed TB were higher among men, rural residents, and people aged ≥ 60 years. Compared with clinically confirmed TB, bacteriologically confirmed TB has shown higher rates of poor outcomes since 2008 and higher case fatality rate since 2005. The rate of poor outcomes remained stable during 2008-2019. However, after the COVID-19 outbreak, the rate of poor outcomes and case fatality rate of TB has risen significantly. Conclusion: After unremitting efforts to fight against TB, the notification rates of registered TB and bacteriologically confirmed TB declined in Shandong Province. The rate of poor outcomes remained stable during 2008-2019, then rise significantly after the COVID-19 outbreak. In the context of the long-term existence of COVID-19, further efforts should be made in TB diagnosis and treatment among high-risk population, especially with regard to males, rural residents and older adults.

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“…The institution of this tool in the Brazilian Unified Health System ( Sistema Único de Saúde – SUS) was a great advance for the early detection of cases, which can impact the indicators of adequate treatment and reduce the interruption of treatment, as well as the number of deaths 7 , 8 .…”

Section: Introductionmentioning

confidence: 99%

Time series of cases and treatment outcomes from tuberculosis in Sergipe, 2012–2021

Batista,

Santos,

Jesus

et al. 2023

Rev. bras. epidemiol.

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Objective: The objectives of this study were: (1) to analyze the temporal trend of tuberculosis treatment outcomes in the state of Sergipe; (2) to identify the existence of seasonality of tuberculosis; (3) to verify the influence of the rapid molecular test (MTB-RIF) in the time series of tuberculosis and its treatment outcomes in the state of Sergipe; and (4) to verify treatment outcomes. Methods: Ecological study on tuberculosis and three treatment outcomes (cure, interruption of treatment, and death) extracted from Datasus. Incidence and mortality rates were calculated for the crude occurrences of cases and deaths and the proportions of cure and interruption of treatment (%). The time series was analyzed using Prais-Winsten regression from Jan to Dec/2021. Results: The total incidence rate was 36.35 cases per 100,000 inhabitants, with an increase of 0.44% per month (95%CI 0.35; 0.54). The cure rate was 64.0% with a steady trend (p>0.05). The percentage of treatment interruption was 13.3%, with a reduction of −0.73%/month (95%CI −1.11; −0.34). The total mortality rate was 1.92 deaths/100,000 inhabitants with a stationary trend. After the implementation of the MTB-RIF, there was an increase in the incidence rate of 0.65% per month. Seasonality was not identified in any of the analyses performed (p>0.05). Conclusion: There was an increase in incidence rates, reduction in treatment interruption and mortality in the state of Sergipe. Seasonality was not identified. The rapid molecular test showed a growth effect on the incidence rate.

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Tendência temporal da incidência de tuberculose e sua distribuição espacial em Macapá-AP

Cited by 13 publications

References 11 publications

Série temporal dos casos e dos desfechos do tratamento contra tuberculose em Sergipe, 2012–2021

Série temporal dos casos e dos desfechos do tratamento contra tuberculose em Sergipe, 2012–2021

Trends in the Notification Rates and Treatment Outcome of Tuberculosis in Shandong Province, China, 2005–2021

Time series of cases and treatment outcomes from tuberculosis in Sergipe, 2012–2021

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