Tuberculosis incidence and cure rates, Brazil, 2000-2004

Detalhes bibliográficos
Autor(a) principal: Bierrenbach, Ana Luiza
Data de Publicação: 2007
Outros Autores: Gomes, Adriana Bacelar Ferreira, Noronha, Elza Ferreira, Souza, Maria de Fátima Marinho de
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/32288
Resumo: OBJECTIVE: To describe the geographical distribution of tuberculosis incidence rates based on a set of epidemiological and operational indicators from information system database. METHODS: Data from the Sistema de Informação de Agravos de Notificação (Brazilian Information System for Tuberculosis Notification) were collected after removal of improper repeat records and record linkage. Tuberculosis incidence rates were estimated according to geographical unit, age group, sex, clinical manifestation and treatment schedule and standardized for population age group distribution based on 2000 Population Census. RESULTS: In 2004, in Brazil, tuberculosis incidence rate was 41 per 100,000 inhabitants and 74,540 new cases were notified. Of these, 52.8% were pulmonary tuberculosis with positive bacilloscopy, 24.1% were under supervised treatment, 63.5% were from state capitals or metropolitan areas, and 54.9% were cured cases (complete treatment). After records with missing outcome data were excluded, cure rates were 72.4% for new cases, 47% for new HIV-positive cases, 64.9% for relapses, 64.5% for transfers in/out, and 40% for returns after default. Cure rate for new cases under supervised treatment was 77.1%. A higher proportion of records with missing outcome information was seen in recent years. CONCLUSIONS: Different incidence rates and treatment outcomes were found in different Brazilian states. To reach the 85% cure goal for new cases and to increase cure in HIV-positive and defaults cases additional efforts are needed by the Brazilian National Tuberculosis Program, including scaling up the Directly Observed Therapy Strategy.
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spelling Tuberculosis incidence and cure rates, Brazil, 2000-2004 Incidência de tuberculose e taxa de cura, Brasil, 2000 a 2004 Tuberculose^i1^sepidemioloIncidênciaRegistros de doençasEpidemiologia descritivaBrasilTuberculosis^i2^sepidemiolIncidenceDiseases registriesEpidemiologydescriptiveBrazil OBJECTIVE: To describe the geographical distribution of tuberculosis incidence rates based on a set of epidemiological and operational indicators from information system database. METHODS: Data from the Sistema de Informação de Agravos de Notificação (Brazilian Information System for Tuberculosis Notification) were collected after removal of improper repeat records and record linkage. Tuberculosis incidence rates were estimated according to geographical unit, age group, sex, clinical manifestation and treatment schedule and standardized for population age group distribution based on 2000 Population Census. RESULTS: In 2004, in Brazil, tuberculosis incidence rate was 41 per 100,000 inhabitants and 74,540 new cases were notified. Of these, 52.8% were pulmonary tuberculosis with positive bacilloscopy, 24.1% were under supervised treatment, 63.5% were from state capitals or metropolitan areas, and 54.9% were cured cases (complete treatment). After records with missing outcome data were excluded, cure rates were 72.4% for new cases, 47% for new HIV-positive cases, 64.9% for relapses, 64.5% for transfers in/out, and 40% for returns after default. Cure rate for new cases under supervised treatment was 77.1%. A higher proportion of records with missing outcome information was seen in recent years. CONCLUSIONS: Different incidence rates and treatment outcomes were found in different Brazilian states. To reach the 85% cure goal for new cases and to increase cure in HIV-positive and defaults cases additional efforts are needed by the Brazilian National Tuberculosis Program, including scaling up the Directly Observed Therapy Strategy. OBJETIVO: Descrever a distribuição geográfica da incidência de tuberculose, a partir de um conjunto de indicadores epidemiológicos e operacionais de dados de notificação oficial. MÉTODOS: Dados sobre incidência de tuberculose foram coletados no Sistema de Informação de Agravos de Notificação, após processo de pareamento e depuração de registros repetidos. As taxas de incidência de tuberculose foram calculadas segundo unidade geográfica, grupo etário, sexo, forma clínica e regime de tratamento, e padronizadas para a distribuição etária da população com base no Censo de 2000. RESULTADOS: Em 2004, o Brasil apresentou taxa de incidência de 41/100.000 habitantes, com 74.540 casos novos notificados. Desses, 52,8% eram casos pulmonares com baciloscopia positiva, 24,1% estavam em tratamento supervisionado, 63,5% eram provenientes de capitais ou das regiões metropolitanas e 54,9% eram casos curados. Excluindo-se os registros sem preenchimento da variável de desfecho, a proporção de cura alcançou 72,4% para casos novos, 47% para casos novos HIV positivos, 64,9% para recidivas, 64,5% transferências e 40% para reingressos após abandono. A taxa de cura para os casos novos em tratamento supervisionado foi de 77,1%. A proporção de registros sem informação sobre desfecho foi maior em anos mais recentes. CONCLUSÕES: Houve extensas diferenças estaduais em relação à incidência e às categorias de desfecho. Para alcançar a meta de 85% de cura para casos novos e aumentar a cura dos casos HIV positivos e reingressos são necessários esforços adicionais por parte do Programa Nacional de Controle da Tuberculose, incluindo a expansão da estratégia de tratamento diretamente supervisionado. Universidade de São Paulo. Faculdade de Saúde Pública2007-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3228810.1590/S0034-89102007000800005Revista de Saúde Pública; Vol. 41 No. suppl.1 (2007); 24-33 Revista de Saúde Pública; Vol. 41 Núm. suppl.1 (2007); 24-33 Revista de Saúde Pública; v. 41 n. suppl.1 (2007); 24-33 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/rsp/article/view/32288/34436https://www.revistas.usp.br/rsp/article/view/32288/34437Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessBierrenbach, Ana LuizaGomes, Adriana Bacelar FerreiraNoronha, Elza FerreiraSouza, Maria de Fátima Marinho de2012-07-09T00:40:16Zoai:revistas.usp.br:article/32288Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-09T00:40:16Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Tuberculosis incidence and cure rates, Brazil, 2000-2004
Incidência de tuberculose e taxa de cura, Brasil, 2000 a 2004
title Tuberculosis incidence and cure rates, Brazil, 2000-2004
spellingShingle Tuberculosis incidence and cure rates, Brazil, 2000-2004
Bierrenbach, Ana Luiza
Tuberculose^i1^sepidemiolo
Incidência
Registros de doenças
Epidemiologia descritiva
Brasil
Tuberculosis^i2^sepidemiol
Incidence
Diseases registries
Epidemiology
descriptive
Brazil
title_short Tuberculosis incidence and cure rates, Brazil, 2000-2004
title_full Tuberculosis incidence and cure rates, Brazil, 2000-2004
title_fullStr Tuberculosis incidence and cure rates, Brazil, 2000-2004
title_full_unstemmed Tuberculosis incidence and cure rates, Brazil, 2000-2004
title_sort Tuberculosis incidence and cure rates, Brazil, 2000-2004
author Bierrenbach, Ana Luiza
author_facet Bierrenbach, Ana Luiza
Gomes, Adriana Bacelar Ferreira
Noronha, Elza Ferreira
Souza, Maria de Fátima Marinho de
author_role author
author2 Gomes, Adriana Bacelar Ferreira
Noronha, Elza Ferreira
Souza, Maria de Fátima Marinho de
author2_role author
author
author
dc.contributor.author.fl_str_mv Bierrenbach, Ana Luiza
Gomes, Adriana Bacelar Ferreira
Noronha, Elza Ferreira
Souza, Maria de Fátima Marinho de
dc.subject.por.fl_str_mv Tuberculose^i1^sepidemiolo
Incidência
Registros de doenças
Epidemiologia descritiva
Brasil
Tuberculosis^i2^sepidemiol
Incidence
Diseases registries
Epidemiology
descriptive
Brazil
topic Tuberculose^i1^sepidemiolo
Incidência
Registros de doenças
Epidemiologia descritiva
Brasil
Tuberculosis^i2^sepidemiol
Incidence
Diseases registries
Epidemiology
descriptive
Brazil
description OBJECTIVE: To describe the geographical distribution of tuberculosis incidence rates based on a set of epidemiological and operational indicators from information system database. METHODS: Data from the Sistema de Informação de Agravos de Notificação (Brazilian Information System for Tuberculosis Notification) were collected after removal of improper repeat records and record linkage. Tuberculosis incidence rates were estimated according to geographical unit, age group, sex, clinical manifestation and treatment schedule and standardized for population age group distribution based on 2000 Population Census. RESULTS: In 2004, in Brazil, tuberculosis incidence rate was 41 per 100,000 inhabitants and 74,540 new cases were notified. Of these, 52.8% were pulmonary tuberculosis with positive bacilloscopy, 24.1% were under supervised treatment, 63.5% were from state capitals or metropolitan areas, and 54.9% were cured cases (complete treatment). After records with missing outcome data were excluded, cure rates were 72.4% for new cases, 47% for new HIV-positive cases, 64.9% for relapses, 64.5% for transfers in/out, and 40% for returns after default. Cure rate for new cases under supervised treatment was 77.1%. A higher proportion of records with missing outcome information was seen in recent years. CONCLUSIONS: Different incidence rates and treatment outcomes were found in different Brazilian states. To reach the 85% cure goal for new cases and to increase cure in HIV-positive and defaults cases additional efforts are needed by the Brazilian National Tuberculosis Program, including scaling up the Directly Observed Therapy Strategy.
publishDate 2007
dc.date.none.fl_str_mv 2007-09-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
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status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rsp/article/view/32288
10.1590/S0034-89102007000800005
url https://www.revistas.usp.br/rsp/article/view/32288
identifier_str_mv 10.1590/S0034-89102007000800005
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/32288/34436
https://www.revistas.usp.br/rsp/article/view/32288/34437
dc.rights.driver.fl_str_mv Copyright (c) 2017 Revista de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2017 Revista de Saúde Pública
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
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. 41 No. suppl.1 (2007); 24-33
Revista de Saúde Pública; Vol. 41 Núm. suppl.1 (2007); 24-33
Revista de Saúde Pública; v. 41 n. suppl.1 (2007); 24-33
1518-8787
0034-8910
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instname_str Universidade de São Paulo (USP)
instacron_str USP
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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)
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