Determinants of losses in the latent tuberculosis infection cascade of care in Brazil

Detalhes bibliográficos
Autor(a) principal: Souza, Alexandra Brito
Data de Publicação: 2021
Outros Autores: Arriaga, María B., Amorim, Gustavo, Araújo-Pereira, Mariana, Nogueira, Betânia M. F., Queiroz, Artur T. L., Figueiredo, Marina C., Rocha, Michael S., Benjamin, Aline, Moreira, Adriana S. R., Oliveira, Jamile G., Rolla, Valeria, Durovni, Betina, Silva, José R. Lapa, Kritski, Afrânio L., Cavalcante, Solange, Sterling, Timothy, Andrade, Bruno B., Cordeiro-Santos, Marcelo, RePORT Brazil consortium
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/50268
Resumo: Fundação de Medicina Tropical Doutor Heitor Vieira Dourado. Manaus, AM, Brasil / Universidade do Estado do Amazonas. Programa de Pós-Graduação em Medicina Tropical. Manaus, AM, Brasil.
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spelling Souza, Alexandra BritoArriaga, María B.Amorim, GustavoAraújo-Pereira, MarianaNogueira, Betânia M. F.Queiroz, Artur T. L.Figueiredo, Marina C.Rocha, Michael S.Benjamin, AlineMoreira, Adriana S. R.Oliveira, Jamile G.Rolla, ValeriaDurovni, BetinaSilva, José R. LapaKritski, Afrânio L.Cavalcante, SolangeSterling, TimothyAndrade, Bruno B.Cordeiro-Santos, MarceloRePORT Brazil consortium2021-12-09T21:59:00Z2021-12-09T21:59:00Z2021SOUZA, Alexandra Brito et al. Determinants of losses in the latent tuberculosis infection cascade of care in Brazil. BMJ global health, v. 6, n. 9, p. 1-8,20212059-7908https://www.arca.fiocruz.br/handle/icict/5026810.1016/j.ijid.2020.02.015engElsevierDeterminants of losses in the latent tuberculosis infection cascade of care in Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação de Medicina Tropical Doutor Heitor Vieira Dourado. Manaus, AM, Brasil / Universidade do Estado do Amazonas. Programa de Pós-Graduação em Medicina Tropical. Manaus, AM, Brasil.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Laboratório de Inflamação e Biomarcadores. Salvador, BA, Brasil / Multinational Organization Network Sponsoring Translational and Epidemiological Research (MONSTER) Initiative. Salvador, BA, Brazil / Universidade Federal da Bahia. Faculdade de Medicina. Salvador, BA, Brasil.Vanderbilt University Medical Center. Department of Biostatistics. Nashville, TN, USA.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Laboratório de Inflamação e Biomarcadores. Salvador, BA, Brasil / Multinational Organization Network Sponsoring Translational and Epidemiological Research (MONSTER) Initiative. Salvador, BA, Brazil / Universidade Federal da Bahia. Faculdade de Medicina. Salvador, BA, Brasil.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Laboratório de Inflamação e Biomarcadores. Salvador, BA, Brasil / Multinational Organization Network Sponsoring Translational and Epidemiological Research (MONSTER) Initiative. Salvador, BA, Brazil / Universidade Federal da Bahia. Faculdade de Medicina. Salvador, BA, Brasil / Fundação José Silveira. Instituto Brasileiro para Investigação da Tuberculose. Salvador, BA, Brasil.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para Saúde. Salvador, BA, Brasil / Multinational Organization Network Sponsoring Translational and Epidemiological Research (MONSTER) Initiative. Salvador, BA, Brazil.Vanderbilt University School of Medicine. Division of Infectious Diseases, Department of Medicine. Nashville, TN, USA.Multinational Organization Network Sponsoring Translational and Epidemiological Research (MONSTER) Initiative. Salvador, BA, Brazil / Fundação José Silveira. Instituto Brasileiro para Investigação da Tuberculose. Salvador, BA, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Universidade Federal do Rio de Janeiro. Faculdade de Medicina. Programa Acadêmico de Tuberculose. Rio de Janeiro, RJ, Brasil.Secretaria Municipal de Saúde do Rio de Janeiro. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Secretaria Municipal de Saúde do Rio de Janeiro. Rio de Janeiro, RJ, Brasil.Universidade Federal do Rio de Janeiro. Faculdade de Medicina. Programa Acadêmico de Tuberculose. Rio de Janeiro, RJ, Brasil.Universidade Federal do Rio de Janeiro. Faculdade de Medicina. Programa Acadêmico de Tuberculose. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil / Secretaria Municipal de Saúde do Rio de Janeiro. Rio de Janeiro, RJ, Brasil.Vanderbilt University School of Medicine. Division of Infectious Diseases, Department of Medicine. Nashville, TN, USA.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Laboratório de Inflamação e Biomarcadores. Salvador, BA, Brasil / Multinational Organization Network Sponsoring Translational and Epidemiological Research (MONSTER) Initiative. Salvador, BA, Brazil / Universidade Federal da Bahia. Faculdade de Medicina. Salvador, BA, Brasil / Vanderbilt University School of Medicine. Division of Infectious Diseases, Department of Medicine. Nashville, TN, USA.Introduction: Factors associated with losses in the latent tuberculosis infection (LTBI) cascade of care in contacts of patients with tuberculosis (TB) were investigated in a multicentre prospective cohort from highly endemic regions in Brazil. Methods: Close contacts of 1187 patients with culture-confirmed pulmonary TB were prospectively studied between 2015 and 2019, with follow-up of 6-24 months. Data on TB screening by clinical investigation, radiographic examination and interferon-gamma release assay (IGRA) were collected. Multivariable regressions were used to identify determinants of losses in the LTBI cascade. Results: Among 4145 TB contacts initially identified, 1901 were examined (54% loss). Among those examined, 933 were people living with HIV, ≤5 years old and/or had positive IGRA results, and therefore had a recommendation to start TB preventive treatment (TPT). Of those, 454 (23%) initiated treatment, and 247 (54% of those initiating; 26% of those in whom treatment was recommended) completed TPT. Multivariable regression analysis revealed that living with HIV, illiteracy and black/pardo (brown) race were independently associated with losses in the cascade. Conclusion: There were losses at all LTBI cascade stages, but particularly at the initial screening and examination steps. Close contacts of low socioeconomic status and living with HIV were at heightened risk of not completing the LTBI cascade of care in Brazil.Cohort studyPublic healthTuberculosisinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83099https://www.arca.fiocruz.br/bitstream/icict/50268/1/license.txt586c046dcfeef936e32f0323bb9a47c0MD51ORIGINALDeterminants_Aline_Benjamin_etal_INI_2021.pdfDeterminants_Aline_Benjamin_etal_INI_2021.pdfapplication/pdf1702496https://www.arca.fiocruz.br/bitstream/icict/50268/2/Determinants_Aline_Benjamin_etal_INI_2021.pdf6ea4f44ab456cfc71e11ae40339b5d2dMD52icict/502682021-12-09 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dc.title.pt_BR.fl_str_mv Determinants of losses in the latent tuberculosis infection cascade of care in Brazil
title Determinants of losses in the latent tuberculosis infection cascade of care in Brazil
spellingShingle Determinants of losses in the latent tuberculosis infection cascade of care in Brazil
Souza, Alexandra Brito
Cohort study
Public health
Tuberculosis
title_short Determinants of losses in the latent tuberculosis infection cascade of care in Brazil
title_full Determinants of losses in the latent tuberculosis infection cascade of care in Brazil
title_fullStr Determinants of losses in the latent tuberculosis infection cascade of care in Brazil
title_full_unstemmed Determinants of losses in the latent tuberculosis infection cascade of care in Brazil
title_sort Determinants of losses in the latent tuberculosis infection cascade of care in Brazil
author Souza, Alexandra Brito
author_facet Souza, Alexandra Brito
Arriaga, María B.
Amorim, Gustavo
Araújo-Pereira, Mariana
Nogueira, Betânia M. F.
Queiroz, Artur T. L.
Figueiredo, Marina C.
Rocha, Michael S.
Benjamin, Aline
Moreira, Adriana S. R.
Oliveira, Jamile G.
Rolla, Valeria
Durovni, Betina
Silva, José R. Lapa
Kritski, Afrânio L.
Cavalcante, Solange
Sterling, Timothy
Andrade, Bruno B.
Cordeiro-Santos, Marcelo
RePORT Brazil consortium
author_role author
author2 Arriaga, María B.
Amorim, Gustavo
Araújo-Pereira, Mariana
Nogueira, Betânia M. F.
Queiroz, Artur T. L.
Figueiredo, Marina C.
Rocha, Michael S.
Benjamin, Aline
Moreira, Adriana S. R.
Oliveira, Jamile G.
Rolla, Valeria
Durovni, Betina
Silva, José R. Lapa
Kritski, Afrânio L.
Cavalcante, Solange
Sterling, Timothy
Andrade, Bruno B.
Cordeiro-Santos, Marcelo
RePORT Brazil consortium
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Souza, Alexandra Brito
Arriaga, María B.
Amorim, Gustavo
Araújo-Pereira, Mariana
Nogueira, Betânia M. F.
Queiroz, Artur T. L.
Figueiredo, Marina C.
Rocha, Michael S.
Benjamin, Aline
Moreira, Adriana S. R.
Oliveira, Jamile G.
Rolla, Valeria
Durovni, Betina
Silva, José R. Lapa
Kritski, Afrânio L.
Cavalcante, Solange
Sterling, Timothy
Andrade, Bruno B.
Cordeiro-Santos, Marcelo
RePORT Brazil consortium
dc.subject.en.pt_BR.fl_str_mv Cohort study
Public health
Tuberculosis
topic Cohort study
Public health
Tuberculosis
description Fundação de Medicina Tropical Doutor Heitor Vieira Dourado. Manaus, AM, Brasil / Universidade do Estado do Amazonas. Programa de Pós-Graduação em Medicina Tropical. Manaus, AM, Brasil.
publishDate 2021
dc.date.accessioned.fl_str_mv 2021-12-09T21:59:00Z
dc.date.available.fl_str_mv 2021-12-09T21:59:00Z
dc.date.issued.fl_str_mv 2021
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.citation.fl_str_mv SOUZA, Alexandra Brito et al. Determinants of losses in the latent tuberculosis infection cascade of care in Brazil. BMJ global health, v. 6, n. 9, p. 1-8,2021
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/50268
dc.identifier.issn.pt_BR.fl_str_mv 2059-7908
dc.identifier.doi.none.fl_str_mv 10.1016/j.ijid.2020.02.015
identifier_str_mv SOUZA, Alexandra Brito et al. Determinants of losses in the latent tuberculosis infection cascade of care in Brazil. BMJ global health, v. 6, n. 9, p. 1-8,2021
2059-7908
10.1016/j.ijid.2020.02.015
url https://www.arca.fiocruz.br/handle/icict/50268
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
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bitstream.url.fl_str_mv https://www.arca.fiocruz.br/bitstream/icict/50268/1/license.txt
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