Active and latent tuberculosis in Brazilian correctional facilities: a cross-sectional study

Detalhes bibliográficos
Autor(a) principal: Carbone, Andrea da Silva Santos
Data de Publicação: 2015
Outros Autores: Guimarães Paião, Dayse Sanchez, Sgarbi, Renata Viebrantz Enne, Lemos, Everton Ferreira, Cazanti, Renato Fernando, Ota, Marcos Massaki, Laranjeira Junior, Alexandre, Bampi, José Victor Bortolotto, Elias, Vanessa Perreira Fayad, Simionatto, Simone, Castro, Ana Rita Coimbra Motta, Pompílio, Maurício Antonio, Oliveira, Sandra Maria do Valle de, Ko, Albert Icksang, Andrews, Jason R, Croda, Julio
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/14799
Resumo: Federal University of Grande Dourados. University Hospital. Dourados, MS, Brasil
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spelling Carbone, Andrea da Silva SantosGuimarães Paião, Dayse SanchezSgarbi, Renata Viebrantz EnneLemos, Everton FerreiraCazanti, Renato FernandoOta, Marcos MassakiLaranjeira Junior, AlexandreBampi, José Victor BortolottoElias, Vanessa Perreira FayadSimionatto, SimoneCastro, Ana Rita Coimbra MottaPompílio, Maurício AntonioOliveira, Sandra Maria do Valle deKo, Albert IcksangAndrews, Jason RCroda, Julio2016-07-06T17:33:37Z2016-07-07T19:04:21Z2016-07-06T17:33:37Z2016-07-07T19:04:21Z2015CARBONE, A. S. S. et al. Active and latent tuberculosis in Brazilian correctional facilities: a cross-sectional study. BMC Infectious Diseases, v. 15, p. 24-31, 2015.1471-2334https://www.arca.fiocruz.br/handle/icict/1479910.1186/s12879-015-0764-8engBioMed CentralActive and latent tuberculosis in Brazilian correctional facilities: a cross-sectional studyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFederal University of Grande Dourados. University Hospital. Dourados, MS, BrasilFederal University of Grande Dourados. University Hospital. Dourados, MS, BrasilFederal University of Grande Dourados. University Hospital. Dourados, MS, BrasilFederal University of Grande Dourados. Faculty of Health Sciences.Federal University of Grande Dourados. Faculty of Health Sciences.Federal University of Grande Dourados. Faculty of Health Sciences.Federal University of Grande Dourados. Faculty of Health Sciences.Federal University of Grande Dourados. Faculty of Health Sciences.Federal University of Grande Dourados. Faculty of Health Sciences.Federal University of Grande Dourados. Faculty of Ambiental and Biological Sciences. Dourados, MS, BrasilFederal University of Mato Grosso do Sul. Department of Biochemical Pharmacy. Campo Grande, MS, Brasil / Fundação Oswaldo Cruz. Campo Grande, MS, BrasilFederal University of Mato Grosso do Sul. Faculty of Medicine. Campo Grande, MS, BrasilFederal University of Mato Grosso do Sul. University Hospital. Campo Grande, MS, BrasilFundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil / Yale School of Public Health. Department of Epidemiology of Microbial Disease. New Haven, CT, USA.Stanford University School of Medicine. Division of Infectious Diseases and Geographic Medicine. Stanford, CA, USAFederal University of Grande Dourados. Faculty of Health Sciences. Dourados, MS, Brasil / Fundação Oswaldo Cruz. Campo Grande, MS, BrasilBackground: Tuberculosis (TB) rates among prisoners are more than 20 times that of the general population in Brazil, yet there are limited data available to facilitate the development of effective interventions in this high-transmission setting. We aimed to assess risk factors for TB infection and evaluate the yield of mass screening for active disease among inmates. Methods: We administered a questionnaire and tuberculin skin test (TST) to a population-based sample of inmates from 12 prisons in Central-West Brazil and collected sera for HIV testing and two sputum samples for smear microscopy and culture from participants reporting a cough of any duration. Hierarchical Poisson regression models were used to evaluate factors associated with latent tuberculosis infection (LTBI). Results: We recruited 3,380 inmates, of which 2,861 (84.6%) were males from 8 prisons, and 519 (15.4%) were females from 4 prisons. Among the 1,020 (30%) subjects who reported a cough, we obtained sputum from 691 (68%) and identified 31 cases of active TB for a point prevalence of 917 (95% CI, 623–1302) per 100,000 prisoners. Evaluation of the two sputum smear samples failed to identify 74% of the TB cases, and 29% of the cases reported less than 2 weeks of symptoms. Obtaining a second culture identified an additional 7 (24%) cases. The prevalences of LTBI were 22.5% and 11.7% for male and female prisoners, respectively and duration of incarceration (in years) was associated with LTBI in male and female in the multivariable model (1.04, 95% CI, 1.01-1.07 and 1.34, 95% CI, 1.06-1.70, respectively). The prevalence of LTBI is 8.6% among newly incarcerated inmates, among whom LTBI prevalence significantly increased by 5% with each year of incarceration. Conclusions: Although the overall LTBI prevalence among inmates in Central-West Brazil is low, tuberculosis incidence is high (>1,800/100,00), likely due to the high force of infection among a largely susceptible inmate population. Efforts to reduce transmission in prisons may require mass screening for active TB, utilizing sputum culture in case-detection protocols.TuberculosisPrisonersTSTInfectionActive case detectionScreening cross-sectional studyBrazilEpidemiologyinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZTEXTCarbone ASS Active and latent tuberculosis....pdf.txtCarbone ASS Active and latent tuberculosis....pdf.txtExtracted texttext/plain35956https://www.arca.fiocruz.br/bitstream/icict/14799/4/Carbone%20ASS%20Active%20and%20latent%20tuberculosis....pdf.txtd6c018bc1eeed9eab1932d6ae359841dMD54ORIGINALCarbone ASS Active and latent 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dc.title.pt_BR.fl_str_mv Active and latent tuberculosis in Brazilian correctional facilities: a cross-sectional study
title Active and latent tuberculosis in Brazilian correctional facilities: a cross-sectional study
spellingShingle Active and latent tuberculosis in Brazilian correctional facilities: a cross-sectional study
Carbone, Andrea da Silva Santos
Tuberculosis
Prisoners
TST
Infection
Active case detection
Screening cross-sectional study
Brazil
Epidemiology
title_short Active and latent tuberculosis in Brazilian correctional facilities: a cross-sectional study
title_full Active and latent tuberculosis in Brazilian correctional facilities: a cross-sectional study
title_fullStr Active and latent tuberculosis in Brazilian correctional facilities: a cross-sectional study
title_full_unstemmed Active and latent tuberculosis in Brazilian correctional facilities: a cross-sectional study
title_sort Active and latent tuberculosis in Brazilian correctional facilities: a cross-sectional study
author Carbone, Andrea da Silva Santos
author_facet Carbone, Andrea da Silva Santos
Guimarães Paião, Dayse Sanchez
Sgarbi, Renata Viebrantz Enne
Lemos, Everton Ferreira
Cazanti, Renato Fernando
Ota, Marcos Massaki
Laranjeira Junior, Alexandre
Bampi, José Victor Bortolotto
Elias, Vanessa Perreira Fayad
Simionatto, Simone
Castro, Ana Rita Coimbra Motta
Pompílio, Maurício Antonio
Oliveira, Sandra Maria do Valle de
Ko, Albert Icksang
Andrews, Jason R
Croda, Julio
author_role author
author2 Guimarães Paião, Dayse Sanchez
Sgarbi, Renata Viebrantz Enne
Lemos, Everton Ferreira
Cazanti, Renato Fernando
Ota, Marcos Massaki
Laranjeira Junior, Alexandre
Bampi, José Victor Bortolotto
Elias, Vanessa Perreira Fayad
Simionatto, Simone
Castro, Ana Rita Coimbra Motta
Pompílio, Maurício Antonio
Oliveira, Sandra Maria do Valle de
Ko, Albert Icksang
Andrews, Jason R
Croda, Julio
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Carbone, Andrea da Silva Santos
Guimarães Paião, Dayse Sanchez
Sgarbi, Renata Viebrantz Enne
Lemos, Everton Ferreira
Cazanti, Renato Fernando
Ota, Marcos Massaki
Laranjeira Junior, Alexandre
Bampi, José Victor Bortolotto
Elias, Vanessa Perreira Fayad
Simionatto, Simone
Castro, Ana Rita Coimbra Motta
Pompílio, Maurício Antonio
Oliveira, Sandra Maria do Valle de
Ko, Albert Icksang
Andrews, Jason R
Croda, Julio
dc.subject.en.pt_BR.fl_str_mv Tuberculosis
Prisoners
TST
Infection
Active case detection
Screening cross-sectional study
Brazil
Epidemiology
topic Tuberculosis
Prisoners
TST
Infection
Active case detection
Screening cross-sectional study
Brazil
Epidemiology
description Federal University of Grande Dourados. University Hospital. Dourados, MS, Brasil
publishDate 2015
dc.date.issued.fl_str_mv 2015
dc.date.accessioned.fl_str_mv 2016-07-06T17:33:37Z
2016-07-07T19:04:21Z
dc.date.available.fl_str_mv 2016-07-06T17:33:37Z
2016-07-07T19:04:21Z
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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dc.identifier.citation.fl_str_mv CARBONE, A. S. S. et al. Active and latent tuberculosis in Brazilian correctional facilities: a cross-sectional study. BMC Infectious Diseases, v. 15, p. 24-31, 2015.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/14799
dc.identifier.issn.pt_BR.fl_str_mv 1471-2334
dc.identifier.doi.pt_BR.fl_str_mv 10.1186/s12879-015-0764-8
identifier_str_mv CARBONE, A. S. S. et al. Active and latent tuberculosis in Brazilian correctional facilities: a cross-sectional study. BMC Infectious Diseases, v. 15, p. 24-31, 2015.
1471-2334
10.1186/s12879-015-0764-8
url https://www.arca.fiocruz.br/handle/icict/14799
dc.language.iso.fl_str_mv eng
language eng
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dc.publisher.none.fl_str_mv BioMed Central
publisher.none.fl_str_mv BioMed Central
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