Tuberculosis incidence and cure rates, Brazil, 2000-2004
Autor(a) principal: | |
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Data de Publicação: | 2007 |
Outros Autores: | , , |
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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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 |
format |
article |
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 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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1800221786752679936 |