Prevalence and factors associated with latent tuberculosis infection in an indigenous population in the Brazilian Amazon
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista da Sociedade Brasileira de Medicina Tropical |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822016000400456 |
Resumo: | Abstract: INTRODUCTION Recent studies have shown a high incidence and prevalence of latent tuberculosis infection (LTBI) in indigenous populations around the World. We aimed to estimate the prevalence and annual risk of infection (ARI) as well as to identify factors associated with LTBI in an indigenous population from the Brazilian Amazon. METHODS We conducted a cross-sectional study in 2011. We performed tuberculin skin tests (TSTs), smears and cultures of sputum samples, and chest radiographs for individuals who reported cough for two or more weeks. Associations between LTBI (TST ≥5mm) and socio-demographic, clinical, and epidemiological characteristics were investigated using Poisson regression with robust variance. Prevalence ratio (PR) was used as the measure of association. RESULTS We examined 263 individuals. The prevalence of LTBI was 40.3%, and the ARI was 2.4%. Age ≥15 years [PR=5.5; 95% confidence interval (CI): 3.5-8.6], contact with tuberculosis (TB) patients (PR=3.8; 95% CI: 1.2-11.9), previous TB history (PR=1.4; 95% CI: 1.2-1.7), and presence of Bacillus Calmette-Guérin (BCG) scar (PR=1.9, 95% CI: 1.2-2.9) were associated with LTBI. CONCLUSIONS Although some adults may have been infected years prior, the high prevalence of infection and its strong association with age ≥15 years, history of TB, and recent contact with TB patients suggest that the TB transmission risk is high in the study area. |
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Prevalence and factors associated with latent tuberculosis infection in an indigenous population in the Brazilian AmazonEpidemiologyHealth services indigenousMycobacterium tuberculosisPublic health surveillanceSouth American IndiansAbstract: INTRODUCTION Recent studies have shown a high incidence and prevalence of latent tuberculosis infection (LTBI) in indigenous populations around the World. We aimed to estimate the prevalence and annual risk of infection (ARI) as well as to identify factors associated with LTBI in an indigenous population from the Brazilian Amazon. METHODS We conducted a cross-sectional study in 2011. We performed tuberculin skin tests (TSTs), smears and cultures of sputum samples, and chest radiographs for individuals who reported cough for two or more weeks. Associations between LTBI (TST ≥5mm) and socio-demographic, clinical, and epidemiological characteristics were investigated using Poisson regression with robust variance. Prevalence ratio (PR) was used as the measure of association. RESULTS We examined 263 individuals. The prevalence of LTBI was 40.3%, and the ARI was 2.4%. Age ≥15 years [PR=5.5; 95% confidence interval (CI): 3.5-8.6], contact with tuberculosis (TB) patients (PR=3.8; 95% CI: 1.2-11.9), previous TB history (PR=1.4; 95% CI: 1.2-1.7), and presence of Bacillus Calmette-Guérin (BCG) scar (PR=1.9, 95% CI: 1.2-2.9) were associated with LTBI. CONCLUSIONS Although some adults may have been infected years prior, the high prevalence of infection and its strong association with age ≥15 years, history of TB, and recent contact with TB patients suggest that the TB transmission risk is high in the study area.Sociedade Brasileira de Medicina Tropical - SBMT2016-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822016000400456Revista da Sociedade Brasileira de Medicina Tropical v.49 n.4 2016reponame:Revista da Sociedade Brasileira de Medicina Tropicalinstname:Sociedade Brasileira de Medicina Tropical (SBMT)instacron:SBMT10.1590/0037-8682-0220-2016info:eu-repo/semantics/openAccessMalacarne,JocieliRios,Diana Patricia GiraldoSilva,Cosme Marcelo Furtado Passos daBraga,José UeleresCamacho,Luiz Antonio BastosBasta,Paulo Cesareng2016-08-29T00:00:00Zoai:scielo:S0037-86822016000400456Revistahttps://www.sbmt.org.br/portal/revista/ONGhttps://old.scielo.br/oai/scielo-oai.php||dalmo@rsbmt.uftm.edu.br|| rsbmt@rsbmt.uftm.edu.br1678-98490037-8682opendoar:2016-08-29T00:00Revista da Sociedade Brasileira de Medicina Tropical - Sociedade Brasileira de Medicina Tropical (SBMT)false |
dc.title.none.fl_str_mv |
Prevalence and factors associated with latent tuberculosis infection in an indigenous population in the Brazilian Amazon |
title |
Prevalence and factors associated with latent tuberculosis infection in an indigenous population in the Brazilian Amazon |
spellingShingle |
Prevalence and factors associated with latent tuberculosis infection in an indigenous population in the Brazilian Amazon Malacarne,Jocieli Epidemiology Health services indigenous Mycobacterium tuberculosis Public health surveillance South American Indians |
title_short |
Prevalence and factors associated with latent tuberculosis infection in an indigenous population in the Brazilian Amazon |
title_full |
Prevalence and factors associated with latent tuberculosis infection in an indigenous population in the Brazilian Amazon |
title_fullStr |
Prevalence and factors associated with latent tuberculosis infection in an indigenous population in the Brazilian Amazon |
title_full_unstemmed |
Prevalence and factors associated with latent tuberculosis infection in an indigenous population in the Brazilian Amazon |
title_sort |
Prevalence and factors associated with latent tuberculosis infection in an indigenous population in the Brazilian Amazon |
author |
Malacarne,Jocieli |
author_facet |
Malacarne,Jocieli Rios,Diana Patricia Giraldo Silva,Cosme Marcelo Furtado Passos da Braga,José Ueleres Camacho,Luiz Antonio Bastos Basta,Paulo Cesar |
author_role |
author |
author2 |
Rios,Diana Patricia Giraldo Silva,Cosme Marcelo Furtado Passos da Braga,José Ueleres Camacho,Luiz Antonio Bastos Basta,Paulo Cesar |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Malacarne,Jocieli Rios,Diana Patricia Giraldo Silva,Cosme Marcelo Furtado Passos da Braga,José Ueleres Camacho,Luiz Antonio Bastos Basta,Paulo Cesar |
dc.subject.por.fl_str_mv |
Epidemiology Health services indigenous Mycobacterium tuberculosis Public health surveillance South American Indians |
topic |
Epidemiology Health services indigenous Mycobacterium tuberculosis Public health surveillance South American Indians |
description |
Abstract: INTRODUCTION Recent studies have shown a high incidence and prevalence of latent tuberculosis infection (LTBI) in indigenous populations around the World. We aimed to estimate the prevalence and annual risk of infection (ARI) as well as to identify factors associated with LTBI in an indigenous population from the Brazilian Amazon. METHODS We conducted a cross-sectional study in 2011. We performed tuberculin skin tests (TSTs), smears and cultures of sputum samples, and chest radiographs for individuals who reported cough for two or more weeks. Associations between LTBI (TST ≥5mm) and socio-demographic, clinical, and epidemiological characteristics were investigated using Poisson regression with robust variance. Prevalence ratio (PR) was used as the measure of association. RESULTS We examined 263 individuals. The prevalence of LTBI was 40.3%, and the ARI was 2.4%. Age ≥15 years [PR=5.5; 95% confidence interval (CI): 3.5-8.6], contact with tuberculosis (TB) patients (PR=3.8; 95% CI: 1.2-11.9), previous TB history (PR=1.4; 95% CI: 1.2-1.7), and presence of Bacillus Calmette-Guérin (BCG) scar (PR=1.9, 95% CI: 1.2-2.9) were associated with LTBI. CONCLUSIONS Although some adults may have been infected years prior, the high prevalence of infection and its strong association with age ≥15 years, history of TB, and recent contact with TB patients suggest that the TB transmission risk is high in the study area. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-08-01 |
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=S0037-86822016000400456 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822016000400456 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0037-8682-0220-2016 |
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 |
Sociedade Brasileira de Medicina Tropical - SBMT |
publisher.none.fl_str_mv |
Sociedade Brasileira de Medicina Tropical - SBMT |
dc.source.none.fl_str_mv |
Revista da Sociedade Brasileira de Medicina Tropical v.49 n.4 2016 reponame:Revista da Sociedade Brasileira de Medicina Tropical instname:Sociedade Brasileira de Medicina Tropical (SBMT) instacron:SBMT |
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Sociedade Brasileira de Medicina Tropical (SBMT) |
instacron_str |
SBMT |
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SBMT |
reponame_str |
Revista da Sociedade Brasileira de Medicina Tropical |
collection |
Revista da Sociedade Brasileira de Medicina Tropical |
repository.name.fl_str_mv |
Revista da Sociedade Brasileira de Medicina Tropical - Sociedade Brasileira de Medicina Tropical (SBMT) |
repository.mail.fl_str_mv |
||dalmo@rsbmt.uftm.edu.br|| rsbmt@rsbmt.uftm.edu.br |
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