دورية أكاديمية
Factors Associated with Tuberculosis Outcome in a Hyperendemic City in the North of Brazil.
| العنوان: | Factors Associated with Tuberculosis Outcome in a Hyperendemic City in the North of Brazil. |
|---|---|
| المؤلفون: | Costa GF; Program in Parasitic Biology in the Amazon Region (PPGBPA), State University of Pará (UEPA), Belém 66087-662, PA, Brazil., Garcez JCD; Program in Parasitic Biology in the Amazon Region (PPGBPA), State University of Pará (UEPA), Belém 66087-662, PA, Brazil., Marcos W; Program in Parasitic Biology in the Amazon Region (PPGBPA), State University of Pará (UEPA), Belém 66087-662, PA, Brazil., Ferreira ALDS; Program in Parasitic Biology in the Amazon Region (PPGBPA), State University of Pará (UEPA), Belém 66087-662, PA, Brazil., Andrade JAA; Department of Health of Pará State, EpiSUS Intermediário, Belém 66093-677, PA, Brazil., Rodrigues YC; Program in Epidemiology and Health Surveillance (PPGEVS), Evandro Chagas Institute (IEC), Ananindeua 67030-000, PA, Brazil., Lima LNGC; Program in Parasitic Biology in the Amazon Region (PPGBPA), State University of Pará (UEPA), Belém 66087-662, PA, Brazil.; Bacteriology and Mycology Section, Evandro Chagas Institute (SABMI/IEC), Ministry of Health of Brazil, Ananindeua 67030-000, PA, Brazil., Conceição EC; Division of Molecular Biology and Human Genetics, Faculty of Medicine and Health Sciences, Stellenbosch University, Stellenbosch 7602, South Africa., Lima KVB; Program in Parasitic Biology in the Amazon Region (PPGBPA), State University of Pará (UEPA), Belém 66087-662, PA, Brazil.; Bacteriology and Mycology Section, Evandro Chagas Institute (SABMI/IEC), Ministry of Health of Brazil, Ananindeua 67030-000, PA, Brazil. |
| المصدر: | Healthcare (Basel, Switzerland) [Healthcare (Basel)] 2023 Feb 09; Vol. 11 (4). Date of Electronic Publication: 2023 Feb 09. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: MDPI AG Country of Publication: Switzerland NLM ID: 101666525 Publication Model: Electronic Cited Medium: Print ISSN: 2227-9032 (Print) Linking ISSN: 22279032 NLM ISO Abbreviation: Healthcare (Basel) Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Basel, Switzerland : MDPI AG, [2013]- |
| مستخلص: | Ananindeua city, State of Pará, North of Brazil, is a hyperendemic area for tuberculosis (TB), with a cure rate below the recommendation by the Brazilian Ministry of Health. We aimed to describe: (I) the TB incidence coefficient of Ananindeua municipality comparatively against Brazilian data; (II) TB treatment outcomes; (III) to compare the socioeconomic and epidemiological characteristics of abandonment versus cure outcome; and (IV) to evaluate the risk factors associated with TB treatment abandonment in Ananindeua city, from 2017 to 2021. This is a retrospective, descriptive, and cross-sectional epidemiological study which used secondary TB entries. Data were analyzed by linear regression, descriptive statistics, and associations were made using the Chi-square test and G-test, followed by univariate and multivariate logistic regression analyses. Cure rates ranged from 28.7% to 70.1%, abandonment between 7.3% and 11.8%, deaths from the disease ranged from 0% to 1.6%, and drug-resistant tuberculosis (TB-DR) rates had frequencies from 0% to 0.9%. Patient transfer rates to other municipalities were between 4.9% and 12.5%. The multivariate analysis showed that alcohol is almost 2 times more likely to lead an individual to abandon treatment and use of illicit drugs was almost 3 times more likely. Individuals between 20 and 59 years of age were also more likely to abandon treatment almost twice as often. Finally, data obtained in the present report is of great relevance to strengthen epidemiological surveillance and minimize possible discrepancies between the information systems and the reality of public health in high endemicity areas. |
| References: | Epidemiol Serv Saude. 2017 Apr-Jun;26(2):369-378. (PMID: 28492778) J Bras Pneumol. 2022 Apr 20;48(2):e20220082. (PMID: 35475872) Curr Opin HIV AIDS. 2018 Nov;13(6):462-468. (PMID: 30113322) Lancet. 2007 Oct 20;370(9596):1453-7. (PMID: 18064739) Patient Prefer Adherence. 2020 Dec 03;14:2389-2397. (PMID: 33299305) Diabetes Metab Syndr. 2020 Sep - Oct;14(5):1439-1443. (PMID: 32755848) Epidemiol Serv Saude. 2022 Jun 29;31(spe1):e2021379. (PMID: 35792795) BMC Public Health. 2017 May 25;17(1):508. (PMID: 28545423) J Bras Pneumol. 2021 Sep 06;47(4):e20210018. (PMID: 34495173) Cien Saude Colet. 2022 Mar;27(3):825-836. (PMID: 35293461) Rev Esc Enferm USP. 2021 Jul 23;55:e03767. (PMID: 34320115) Cien Saude Colet. 2017 Oct;22(10):3307-3319. (PMID: 29069186) Rev Saude Publica. 2010 Jun;44(3):559-65. (PMID: 20549022) Trop Med Infect Dis. 2022 Aug 03;7(8):. (PMID: 36006257) J Bras Pneumol. 2013 Mar-Apr;39(2):221-5. (PMID: 23670508) Lancet HIV. 2019 Jul;6(7):e463-e474. (PMID: 31272663) Indian J Tuberc. 2020 Jul;67(3):295-311. (PMID: 32825856) Int J Tuberc Lung Dis. 2020 Jan 1;24(1):73-82. (PMID: 32005309) |
| معلومات مُعتمدة: | Edital 16/2022 Coordenação de Aperfeicoamento de Pessoal de Nível Superior; X Instituto Evandro Chagas |
| فهرسة مساهمة: | Keywords: Brazil; epidemiology; outcome; tuberculosis |
| تواريخ الأحداث: | Date Created: 20230225 Latest Revision: 20230228 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC9957009 |
| DOI: | 10.3390/healthcare11040508 |
| PMID: | 36833042 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder كن أول من يترك تعليقا!