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Spatial Analysis of Tuberculosis Patient Flow in a Neglected Region of Northern Brazil
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...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10457907/ https://www.ncbi.nlm.nih.gov/pubmed/37624335 http://dx.doi.org/10.3390/tropicalmed8080397 |
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author | Mesquita, Cristal Ribeiro da Conceição, Marília Lima de Oliveira, Rafael Aleixo Coelho Conceição, Emilyn Costa Garcez, Juliana Conceição Dias Sousa, Ianny Ferreira Raiol Lima, Luana Nepomuceno Gondim Costa Lima, Karla Valéria Batista de Paula Souza e Guimarães, Ricardo José |
author_facet | Mesquita, Cristal Ribeiro da Conceição, Marília Lima de Oliveira, Rafael Aleixo Coelho Conceição, Emilyn Costa Garcez, Juliana Conceição Dias Sousa, Ianny Ferreira Raiol Lima, Luana Nepomuceno Gondim Costa Lima, Karla Valéria Batista de Paula Souza e Guimarães, Ricardo José |
author_sort | Mesquita, Cristal Ribeiro |
collection | PubMed |
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. |
format | Online Article Text |
id | pubmed-10457907 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-104579072023-08-27 Spatial Analysis of Tuberculosis Patient Flow in a Neglected Region of Northern Brazil Mesquita, Cristal Ribeiro da Conceição, Marília Lima de Oliveira, Rafael Aleixo Coelho Conceição, Emilyn Costa Garcez, Juliana Conceição Dias Sousa, Ianny Ferreira Raiol Lima, Luana Nepomuceno Gondim Costa Lima, Karla Valéria Batista de Paula Souza e Guimarães, Ricardo José Trop Med Infect Dis Article 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. MDPI 2023-08-02 /pmc/articles/PMC10457907/ /pubmed/37624335 http://dx.doi.org/10.3390/tropicalmed8080397 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Mesquita, Cristal Ribeiro da Conceição, Marília Lima de Oliveira, Rafael Aleixo Coelho Conceição, Emilyn Costa Garcez, Juliana Conceição Dias Sousa, Ianny Ferreira Raiol Lima, Luana Nepomuceno Gondim Costa Lima, Karla Valéria Batista de Paula Souza e Guimarães, Ricardo José 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 |
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_short | 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 |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10457907/ https://www.ncbi.nlm.nih.gov/pubmed/37624335 http://dx.doi.org/10.3390/tropicalmed8080397 |
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