Spatial analysis of Tuberculosis patient flow in a neglected region of Northern Brazil

• Autor(a) principal: Mesquita, Cristal Ribeiro
• Data de Publicação: 2023
• Outros Autores: Conceição, Marília Lima da, Oliveira, Rafael Aleixo Coelho de, Conceição, Emilyn Costa, Garcez, Juliana Conceição Dias, Sousa, Ianny Ferreira Raiol, Lima, Luana Nepomuceno Gondim Costa, Lima, Karla Valéria Batista, Guimarães, Ricardo José de Paula Souza e
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Digital do Instituto Evandro Chagas (Patuá)
• Texto Completo: https://patua.iec.gov.br/handle/iec/6932
• topic: Tuberculose / epidemiologia; Tuberculose / transmissão; Sistemas de Informação em Saúde; Sistemas de Informação Geográfica / métodos; Centros de saúde; Ilha do Marajó (PA)

Tuberculosis (TB) is still considered a priority due to its high incidence rate in Brazil. In this context, we aimed to evaluate the flow of care between the municipalities of patients diagnosed with TB through notification forms of the Information System for Diseases and Notifications (SINAN) in a neglected region of Northern Brazil, Ilha do Marajó, state of Para. For this, we performed a descriptive, retrospective study on data obtained from the National Register of Health Establishments and SINAN from 2013 to 2018. We used Pearson’s Chi-square and G Test with p-value < 0.05 for descriptive statistics and spatial analysis technique on flow network analysis. Of the 749 cases, 16.5% were notified in another municipality that was not the patient’s residence. Regarding diagnostic methods, a positive bacterioscopy was adopted for 56% of the patients; culture was not performed for 82% of cases. Histopathological examination was not performed in 90% of the individuals. Rapid molecular test (RMT) was performed in only six (5%) cases. The region needs greater attention focused on diagnostic tests, suggesting that the introduction of RMT and culture by Ogawa-Kudoh could improve the region’s health network to minimise patient displacement and thus avoid the increase in the transmission chain of TB.