Factors associated with tuberculosis in persons deprived of liberty in Espírito Santo

Detalhes bibliográficos
Autor(a) principal: Macedo, Laylla Ribeiro
Data de Publicação: 2020
Outros Autores: Maciel, Ethel Leonor Noia, Struchiner, Claudio Jose
Tipo de documento: Artigo
Idioma: eng
por
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/176820
Resumo: OBJECTIVES: To calculate the rate of tuberculosis cases per prison unit in Espírito Santo; present the individual, clinical, and institutional characteristics of the cases in persons deprived of liberty (PPL); and analyze the association between these characteristics and treatment outcome in this population. METHODS: The study included cases of tuberculosis in the PPL of Espírito Santo from 2014 to 2016. Rate calculation, descriptive analysis and hierarchical logistic regression were performed considering the individual, clinical and institutional levels. RESULTS: The rate of diagnosed cases per prison unit in the state ranged from 0 to 17.3 cases per 1,000 inmates. Of all reported cases, 218 (72.6%) healed, 21 (7.0%) dropped out, 1 (0.3%) died of tuberculosis, 2 (0.7%) died from other causes, 56 (18.7%) transferred the treatment site and 2 (0.7%) developed drug-resistant tuberculosis. The adjusted analysis showed that supervised treatment ensures success (CR = 0.29; 95%CI 0.01–0.76). CONCLUSIONS: The study highlighted the importance of knowing the TB treatment outcome in the PPL to implement measures to reduce failure, and the contribution of supervised treatment in this process.
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spelling Factors associated with tuberculosis in persons deprived of liberty in Espírito SantoFatores associados à tuberculose na população privada de liberdade no Espírito SantoPrisonersTuberculosis, epidemiologyTuberculosis, Multidrug-Resistant, epidemiologyPrisioneirosTuberculose, epidemiologiaTuberculose Resistente a Múltiplos Medicamentos, epidemiologiaOBJECTIVES: To calculate the rate of tuberculosis cases per prison unit in Espírito Santo; present the individual, clinical, and institutional characteristics of the cases in persons deprived of liberty (PPL); and analyze the association between these characteristics and treatment outcome in this population. METHODS: The study included cases of tuberculosis in the PPL of Espírito Santo from 2014 to 2016. Rate calculation, descriptive analysis and hierarchical logistic regression were performed considering the individual, clinical and institutional levels. RESULTS: The rate of diagnosed cases per prison unit in the state ranged from 0 to 17.3 cases per 1,000 inmates. Of all reported cases, 218 (72.6%) healed, 21 (7.0%) dropped out, 1 (0.3%) died of tuberculosis, 2 (0.7%) died from other causes, 56 (18.7%) transferred the treatment site and 2 (0.7%) developed drug-resistant tuberculosis. The adjusted analysis showed that supervised treatment ensures success (CR = 0.29; 95%CI 0.01–0.76). CONCLUSIONS: The study highlighted the importance of knowing the TB treatment outcome in the PPL to implement measures to reduce failure, and the contribution of supervised treatment in this process.OBJETIVOS: Calcular a taxa de casos diagnosticados com tuberculose por unidades prisionais do Espírito Santo, apresentar as características individuais, clínicas e institucionais dos casos na população privada de liberdade (PPL) do ES e analisar a associação entre essas características e o encerramento do tratamento da tuberculose nessa população. MÉTODOS: A população de estudo foram os casos de tuberculose na PPL do ES de 2014 a 2016. Realizou-se o cálculo de taxa, a análise descritiva e a regressão logística hierarquizada considerando os níveis individual, clínico e institucional. RESULTADOS: A taxa de casos diagnosticados por unidade prisional no estado variou de 0 a 17,3 casos por 1.000 presos. Do total de casos notificados, 218 (72,6%) se curaram, 21 (7,0%) abandonaram o tratamento, 1 (0,3%) morreu por tuberculose, 2 (0,7%) morreram por outras causas, 56 (18,7%) transferiram o local de tratamento e 2 (0,7%) desenvolveram tuberculose drogarresistente. A análise ajustada mostrou que o tratamento supervisionado é um fator protetor para o insucesso (RC = 0,29; IC95% 0,01–0,76). CONCLUSÕES: O estudo apontou a importância do conhecimento do desfecho do tratamento da TB na PPL visando à implementação de ações para a redução do insucesso, bem como a contribuição do tratamento supervisionado nesse processo. DESCRITORES: Prisioneiros. Tuberculose, epidemiologia. Tuberculose Resistente a Múltiplos Medicamentos, epidemiologia.Universidade de São Paulo. Faculdade de Saúde Pública2020-06-26info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdftext/xmlhttps://www.revistas.usp.br/rsp/article/view/17682010.11606/s1518-8787.2020054001818Revista de Saúde Pública; Vol. 54 (2020); 67Revista de Saúde Pública; Vol. 54 (2020); 67Revista de Saúde Pública; v. 54 (2020); 671518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPengporhttps://www.revistas.usp.br/rsp/article/view/176820/164155https://www.revistas.usp.br/rsp/article/view/176820/164154https://www.revistas.usp.br/rsp/article/view/176820/171045Copyright (c) 2020 Laylla Ribeiro Macedo, Ethel Leonor Noia Maciel, Claudio Jose Struchinerhttp://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessMacedo, Laylla Ribeiro Maciel, Ethel Leonor Noia Struchiner, Claudio Jose2020-10-28T15:33:49Zoai:revistas.usp.br:article/176820Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2020-10-28T15:33:49Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Factors associated with tuberculosis in persons deprived of liberty in Espírito Santo
Fatores associados à tuberculose na população privada de liberdade no Espírito Santo
title Factors associated with tuberculosis in persons deprived of liberty in Espírito Santo
spellingShingle Factors associated with tuberculosis in persons deprived of liberty in Espírito Santo
Macedo, Laylla Ribeiro
Prisoners
Tuberculosis, epidemiology
Tuberculosis, Multidrug-Resistant, epidemiology
Prisioneiros
Tuberculose, epidemiologia
Tuberculose Resistente a Múltiplos Medicamentos, epidemiologia
title_short Factors associated with tuberculosis in persons deprived of liberty in Espírito Santo
title_full Factors associated with tuberculosis in persons deprived of liberty in Espírito Santo
title_fullStr Factors associated with tuberculosis in persons deprived of liberty in Espírito Santo
title_full_unstemmed Factors associated with tuberculosis in persons deprived of liberty in Espírito Santo
title_sort Factors associated with tuberculosis in persons deprived of liberty in Espírito Santo
author Macedo, Laylla Ribeiro
author_facet Macedo, Laylla Ribeiro
Maciel, Ethel Leonor Noia
Struchiner, Claudio Jose
author_role author
author2 Maciel, Ethel Leonor Noia
Struchiner, Claudio Jose
author2_role author
author
dc.contributor.author.fl_str_mv Macedo, Laylla Ribeiro
Maciel, Ethel Leonor Noia
Struchiner, Claudio Jose
dc.subject.por.fl_str_mv Prisoners
Tuberculosis, epidemiology
Tuberculosis, Multidrug-Resistant, epidemiology
Prisioneiros
Tuberculose, epidemiologia
Tuberculose Resistente a Múltiplos Medicamentos, epidemiologia
topic Prisoners
Tuberculosis, epidemiology
Tuberculosis, Multidrug-Resistant, epidemiology
Prisioneiros
Tuberculose, epidemiologia
Tuberculose Resistente a Múltiplos Medicamentos, epidemiologia
description OBJECTIVES: To calculate the rate of tuberculosis cases per prison unit in Espírito Santo; present the individual, clinical, and institutional characteristics of the cases in persons deprived of liberty (PPL); and analyze the association between these characteristics and treatment outcome in this population. METHODS: The study included cases of tuberculosis in the PPL of Espírito Santo from 2014 to 2016. Rate calculation, descriptive analysis and hierarchical logistic regression were performed considering the individual, clinical and institutional levels. RESULTS: The rate of diagnosed cases per prison unit in the state ranged from 0 to 17.3 cases per 1,000 inmates. Of all reported cases, 218 (72.6%) healed, 21 (7.0%) dropped out, 1 (0.3%) died of tuberculosis, 2 (0.7%) died from other causes, 56 (18.7%) transferred the treatment site and 2 (0.7%) developed drug-resistant tuberculosis. The adjusted analysis showed that supervised treatment ensures success (CR = 0.29; 95%CI 0.01–0.76). CONCLUSIONS: The study highlighted the importance of knowing the TB treatment outcome in the PPL to implement measures to reduce failure, and the contribution of supervised treatment in this process.
publishDate 2020
dc.date.none.fl_str_mv 2020-06-26
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rsp/article/view/176820
10.11606/s1518-8787.2020054001818
url https://www.revistas.usp.br/rsp/article/view/176820
identifier_str_mv 10.11606/s1518-8787.2020054001818
dc.language.iso.fl_str_mv eng
por
language eng
por
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/176820/164155
https://www.revistas.usp.br/rsp/article/view/176820/164154
https://www.revistas.usp.br/rsp/article/view/176820/171045
dc.rights.driver.fl_str_mv Copyright (c) 2020 Laylla Ribeiro Macedo, Ethel Leonor Noia Maciel, Claudio Jose Struchiner
http://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2020 Laylla Ribeiro Macedo, Ethel Leonor Noia Maciel, Claudio Jose Struchiner
http://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
text/xml
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
dc.source.none.fl_str_mv Revista de Saúde Pública; Vol. 54 (2020); 67
Revista de Saúde Pública; Vol. 54 (2020); 67
Revista de Saúde Pública; v. 54 (2020); 67
1518-8787
0034-8910
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
repository.mail.fl_str_mv revsp@org.usp.br||revsp1@usp.br
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