Clinical and epidemiological profile of tuberculosis in an urban area with high human development index in southeastern Brazil. Time series study
Autor(a) principal: | |
---|---|
Data de Publicação: | 2017 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | São Paulo medical journal (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802017000500413 |
Resumo: | ABSTRACT CONTEXT AND OBJECTIVE: In the twenty-first century, tuberculosis remains a serious public health problem in Brazil. The aim here was to characterize tuberculosis in a municipality with a high human development index (HDI), based on clinical and epidemiological variables. DESIGN AND SETTING: Epidemiological study with analysis of incidence that included 533 new cases of tuberculosis in the municipality of Araraquara, São Paulo, reported to the Brazilian Notifiable Diseases Information System (SINAN) between 2002 and 2011. METHODS: To identify trends, this period was divided into two five-year periods (2002-2006 and 2007-2011). The incidence rates were compared using ratios and confidence intervals. RESULTS: The incidence of tuberculosis was 26.82 cases per 100,000 inhabitants, and decreased by 22% between the two periods, which was statistically significant. Cases were more prevalent among men (72.61%) and among adults between 30 and 59 years of age with non-specialized professions and low education levels. There was a statistically significant reduction in cases among individuals over 50. The age group with highest incidence was 50-59 years in the first period and 30-39 years in the second. Total recovery occurred in more than 70%. There was a reduction in the number of diagnoses made within primary care and an increase within public hospital care between the two periods. The most common coinfections were AIDS and hepatitis C. CONCLUSIONS: The incidence of tuberculosis in this municipality was lower than the national incidence, with a declining trend and a high cure rate, and the main coinfections were AIDS and hepatitis C. |
id |
APM-1_892b019a33b96a14c7f5df6da9a31bbe |
---|---|
oai_identifier_str |
oai:scielo:S1516-31802017000500413 |
network_acronym_str |
APM-1 |
network_name_str |
São Paulo medical journal (Online) |
repository_id_str |
|
spelling |
Clinical and epidemiological profile of tuberculosis in an urban area with high human development index in southeastern Brazil. Time series studyTuberculosisHuman developmentEpidemiologyRisk factorsAcquired immunodeficiency syndromeABSTRACT CONTEXT AND OBJECTIVE: In the twenty-first century, tuberculosis remains a serious public health problem in Brazil. The aim here was to characterize tuberculosis in a municipality with a high human development index (HDI), based on clinical and epidemiological variables. DESIGN AND SETTING: Epidemiological study with analysis of incidence that included 533 new cases of tuberculosis in the municipality of Araraquara, São Paulo, reported to the Brazilian Notifiable Diseases Information System (SINAN) between 2002 and 2011. METHODS: To identify trends, this period was divided into two five-year periods (2002-2006 and 2007-2011). The incidence rates were compared using ratios and confidence intervals. RESULTS: The incidence of tuberculosis was 26.82 cases per 100,000 inhabitants, and decreased by 22% between the two periods, which was statistically significant. Cases were more prevalent among men (72.61%) and among adults between 30 and 59 years of age with non-specialized professions and low education levels. There was a statistically significant reduction in cases among individuals over 50. The age group with highest incidence was 50-59 years in the first period and 30-39 years in the second. Total recovery occurred in more than 70%. There was a reduction in the number of diagnoses made within primary care and an increase within public hospital care between the two periods. The most common coinfections were AIDS and hepatitis C. CONCLUSIONS: The incidence of tuberculosis in this municipality was lower than the national incidence, with a declining trend and a high cure rate, and the main coinfections were AIDS and hepatitis C.Associação Paulista de Medicina - APM2017-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802017000500413Sao Paulo Medical Journal v.135 n.5 2017reponame:São Paulo medical journal (Online)instname:Associação Paulista de Medicinainstacron:APM10.1590/1516-3180.2016.0260210317info:eu-repo/semantics/openAccessTelarolli Junior,RodolphoLoffredo,Leonor Castro MonteiroGasparetto,Rosangela Mariaeng2017-11-30T00:00:00Zoai:scielo:S1516-31802017000500413Revistahttp://www.scielo.br/spmjhttps://old.scielo.br/oai/scielo-oai.phprevistas@apm.org.br1806-94601516-3180opendoar:2017-11-30T00:00São Paulo medical journal (Online) - Associação Paulista de Medicinafalse |
dc.title.none.fl_str_mv |
Clinical and epidemiological profile of tuberculosis in an urban area with high human development index in southeastern Brazil. Time series study |
title |
Clinical and epidemiological profile of tuberculosis in an urban area with high human development index in southeastern Brazil. Time series study |
spellingShingle |
Clinical and epidemiological profile of tuberculosis in an urban area with high human development index in southeastern Brazil. Time series study Telarolli Junior,Rodolpho Tuberculosis Human development Epidemiology Risk factors Acquired immunodeficiency syndrome |
title_short |
Clinical and epidemiological profile of tuberculosis in an urban area with high human development index in southeastern Brazil. Time series study |
title_full |
Clinical and epidemiological profile of tuberculosis in an urban area with high human development index in southeastern Brazil. Time series study |
title_fullStr |
Clinical and epidemiological profile of tuberculosis in an urban area with high human development index in southeastern Brazil. Time series study |
title_full_unstemmed |
Clinical and epidemiological profile of tuberculosis in an urban area with high human development index in southeastern Brazil. Time series study |
title_sort |
Clinical and epidemiological profile of tuberculosis in an urban area with high human development index in southeastern Brazil. Time series study |
author |
Telarolli Junior,Rodolpho |
author_facet |
Telarolli Junior,Rodolpho Loffredo,Leonor Castro Monteiro Gasparetto,Rosangela Maria |
author_role |
author |
author2 |
Loffredo,Leonor Castro Monteiro Gasparetto,Rosangela Maria |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Telarolli Junior,Rodolpho Loffredo,Leonor Castro Monteiro Gasparetto,Rosangela Maria |
dc.subject.por.fl_str_mv |
Tuberculosis Human development Epidemiology Risk factors Acquired immunodeficiency syndrome |
topic |
Tuberculosis Human development Epidemiology Risk factors Acquired immunodeficiency syndrome |
description |
ABSTRACT CONTEXT AND OBJECTIVE: In the twenty-first century, tuberculosis remains a serious public health problem in Brazil. The aim here was to characterize tuberculosis in a municipality with a high human development index (HDI), based on clinical and epidemiological variables. DESIGN AND SETTING: Epidemiological study with analysis of incidence that included 533 new cases of tuberculosis in the municipality of Araraquara, São Paulo, reported to the Brazilian Notifiable Diseases Information System (SINAN) between 2002 and 2011. METHODS: To identify trends, this period was divided into two five-year periods (2002-2006 and 2007-2011). The incidence rates were compared using ratios and confidence intervals. RESULTS: The incidence of tuberculosis was 26.82 cases per 100,000 inhabitants, and decreased by 22% between the two periods, which was statistically significant. Cases were more prevalent among men (72.61%) and among adults between 30 and 59 years of age with non-specialized professions and low education levels. There was a statistically significant reduction in cases among individuals over 50. The age group with highest incidence was 50-59 years in the first period and 30-39 years in the second. Total recovery occurred in more than 70%. There was a reduction in the number of diagnoses made within primary care and an increase within public hospital care between the two periods. The most common coinfections were AIDS and hepatitis C. CONCLUSIONS: The incidence of tuberculosis in this municipality was lower than the national incidence, with a declining trend and a high cure rate, and the main coinfections were AIDS and hepatitis C. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-10-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802017000500413 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802017000500413 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1516-3180.2016.0260210317 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Paulista de Medicina - APM |
publisher.none.fl_str_mv |
Associação Paulista de Medicina - APM |
dc.source.none.fl_str_mv |
Sao Paulo Medical Journal v.135 n.5 2017 reponame:São Paulo medical journal (Online) instname:Associação Paulista de Medicina instacron:APM |
instname_str |
Associação Paulista de Medicina |
instacron_str |
APM |
institution |
APM |
reponame_str |
São Paulo medical journal (Online) |
collection |
São Paulo medical journal (Online) |
repository.name.fl_str_mv |
São Paulo medical journal (Online) - Associação Paulista de Medicina |
repository.mail.fl_str_mv |
revistas@apm.org.br |
_version_ |
1754209265776590848 |