Spatial analysis of Tuberculosis patient flow in a neglected region of Northern Brazil
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , , , , |
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 |
Resumo: | 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. |
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Mesquita, Cristal RibeiroConceição, Marília Lima daOliveira, Rafael Aleixo Coelho deConceição, Emilyn CostaGarcez, Juliana Conceição DiasSousa, Ianny Ferreira RaiolLima, Luana Nepomuceno Gondim CostaLima, Karla Valéria BatistaGuimarães, Ricardo José de Paula Souza e2023-09-08T13:57:30Z2023-09-08T13:57:30Z2023MESQUITA, Cristal Ribeiro et al. Spatial analysis of Tuberculosis patient flow in a neglected region of Northern Brazil. Tropical Medicine and Infectious Disease, v. 8, n. 8, p. 1-12, 2023. DOI: https://doi.org/10.3390/tropicalmed8080397.2414-6366https://patua.iec.gov.br/handle/iec/693210.3390/tropicalmed8080397Tuberculosis (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.CAPES Foundation (Coordenação de Aperfeiçoamento de Pessoal de Nível Superior), which operates under the Brazilian Ministry of Education and was granted with the number 1660892.State University of Pará. Program in Parasitic Biology in the Amazon Region. Belém, PA, Brazil / Ministério da Saúde. Secretaria de Vigilância em Saúde e Ambiente. Instituto Evandro Chagas. Ananindeua, PA, Brasil.Ministério da Saúde. Secretaria de Vigilância em Saúde e Ambiente. Instituto Evandro Chagas. Ananindeua, PA, Brasil.Federal University of Pará. Graduate Program in Health, Environment and Society. Belém, PA, Brazil.Stellenbosch University. Faculty of Medicine and Health Sciences. Division of Molecular Biology and Human Genetics. SAMRC Centre for Tuberculosis Research. DSI-NRF Centre of Excellence for Biomedical Tuberculosis Research. South AfricaState University of Pará. Program in Parasitic Biology in the Amazon Region. Belém, PA, Brazil.State University of Pará. Program in Parasitic Biology in the Amazon Region. Belém, PA, Brazil.State University of Pará. Program in Parasitic Biology in the Amazon Region. Belém, PA, Brazil / Ministério da Saúde. Secretaria de Vigilância em Saúde e Ambiente. Instituto Evandro Chagas. Ananindeua, PA, Brasil /Ministério da Saúde. Secretaria de Vigilância em Saúde e Ambiente. Instituto Evandro Chagas. Programa de Epidemiologia e Vigilância em Saúde. Ananindeua, PA, Brasil.State University of Pará. Program in Parasitic Biology in the Amazon Region. Belém, PA, Brazil / Ministério da Saúde. Secretaria de Vigilância em Saúde e Ambiente. Instituto Evandro Chagas. Ananindeua, PA, Brasil /Ministério da Saúde. Secretaria de Vigilância em Saúde e Ambiente. Instituto Evandro Chagas. Programa de Epidemiologia e Vigilância em Saúde. Ananindeua, PA, Brasil.engMDPISpatial analysis of Tuberculosis patient flow in a neglected region of Northern Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleTuberculose / epidemiologiaTuberculose / transmissãoSistemas de Informação em SaúdeSistemas de Informação Geográfica / métodosCentros de saúdeIlha do Marajó (PA)info:eu-repo/semantics/openAccessreponame:Repositório Digital do Instituto Evandro Chagas (Patuá)instname:Instituto Evandro Chagas (IEC)instacron:IECORIGINALSpatial analysis of Tuberculosis patient flow in a neglected region of Northern Brazil.pdfSpatial analysis of Tuberculosis patient flow in a neglected region of Northern Brazil.pdfapplication/pdf1605087https://patua.iec.gov.br/bitstreams/63d34a8a-3172-47df-8911-51e92d397bc0/downloadd4e5f83a636f5f0eed14a73795e81c3cMD51LICENSElicense.txtlicense.txttext/plain; charset=utf-82182https://patua.iec.gov.br/bitstreams/9a4a4d4b-0b73-4d76-864d-211c84ac8326/download11832eea31b16df8613079d742d61793MD52TEXTSpatial analysis of Tuberculosis patient flow in a neglected region of Northern Brazil.pdf.txtSpatial analysis of Tuberculosis patient flow in a neglected region of Northern Brazil.pdf.txtExtracted texttext/plain45514https://patua.iec.gov.br/bitstreams/fd95be2e-99c4-45f6-832a-6dd4ec10e4bc/download33221e996bf2214586c7476693a5b939MD53THUMBNAILSpatial analysis of Tuberculosis patient flow in a neglected region of Northern Brazil.pdf.jpgSpatial analysis of Tuberculosis patient flow in a neglected region of Northern Brazil.pdf.jpgGenerated Thumbnailimage/jpeg5725https://patua.iec.gov.br/bitstreams/9c9db981-a5ca-49ff-be2c-6b5c6f2f808f/downloadce8f5850277871da0999b20cff648829MD54iec/69322023-09-08 14:23:03.264oai:patua.iec.gov.br:iec/6932https://patua.iec.gov.brRepositório InstitucionalPUBhttps://patua.iec.gov.br/oai/requestclariceneta@iec.gov.br || Biblioteca@iec.gov.bropendoar:2023-09-08T14:23:03Repositório Digital do Instituto Evandro Chagas (Patuá) - Instituto Evandro Chagas (IEC)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 |
dc.title. pt_BR.fl_str_mv |
Spatial analysis of Tuberculosis patient flow in a neglected region of Northern Brazil |
title |
Spatial analysis of Tuberculosis patient flow in a neglected region of Northern Brazil |
spellingShingle |
Spatial analysis of Tuberculosis patient flow in a neglected region of Northern Brazil Mesquita, Cristal Ribeiro Tuberculose / epidemiologia Tuberculose / transmissão Sistemas de Informação em Saúde Sistemas de Informação Geográfica / métodos Centros de saúde Ilha do Marajó (PA) |
title_short |
Spatial analysis of Tuberculosis patient flow in a neglected region of Northern Brazil |
title_full |
Spatial analysis of Tuberculosis patient flow in a neglected region of Northern Brazil |
title_fullStr |
Spatial analysis of Tuberculosis patient flow in a neglected region of Northern Brazil |
title_full_unstemmed |
Spatial analysis of Tuberculosis patient flow in a neglected region of Northern Brazil |
title_sort |
Spatial analysis of Tuberculosis patient flow in a neglected region of Northern Brazil |
author |
Mesquita, Cristal Ribeiro |
author_facet |
Mesquita, Cristal Ribeiro 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 |
author_role |
author |
author2 |
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 |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Mesquita, Cristal Ribeiro 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 |
dc.subject.decsPrimary.pt_BR.fl_str_mv |
Tuberculose / epidemiologia Tuberculose / transmissão Sistemas de Informação em Saúde Sistemas de Informação Geográfica / métodos Centros de saúde Ilha do Marajó (PA) |
topic |
Tuberculose / epidemiologia Tuberculose / transmissão Sistemas de Informação em Saúde Sistemas de Informação Geográfica / métodos Centros de saúde Ilha do Marajó (PA) |
description |
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. |
publishDate |
2023 |
dc.date.accessioned.fl_str_mv |
2023-09-08T13:57:30Z |
dc.date.available.fl_str_mv |
2023-09-08T13:57:30Z |
dc.date.issued.fl_str_mv |
2023 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
MESQUITA, Cristal Ribeiro et al. Spatial analysis of Tuberculosis patient flow in a neglected region of Northern Brazil. Tropical Medicine and Infectious Disease, v. 8, n. 8, p. 1-12, 2023. DOI: https://doi.org/10.3390/tropicalmed8080397. |
dc.identifier.uri.fl_str_mv |
https://patua.iec.gov.br/handle/iec/6932 |
dc.identifier.issn.-.fl_str_mv |
2414-6366 |
dc.identifier.doi.pt_BR.fl_str_mv |
10.3390/tropicalmed8080397 |
identifier_str_mv |
MESQUITA, Cristal Ribeiro et al. Spatial analysis of Tuberculosis patient flow in a neglected region of Northern Brazil. Tropical Medicine and Infectious Disease, v. 8, n. 8, p. 1-12, 2023. DOI: https://doi.org/10.3390/tropicalmed8080397. 2414-6366 10.3390/tropicalmed8080397 |
url |
https://patua.iec.gov.br/handle/iec/6932 |
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eng |
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eng |
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MDPI |
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MDPI |
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