Cargando…

Epidemiological characteristics of cases of death from tuberculosis and vulnerable territories

OBJECTIVE: to characterize the differences in the clinical and epidemiological profile of cases of death that had tuberculosis as an immediate or associated cause, and to analyze the spatial distribution of the cases of death from tuberculosis within the territories of Ribeirão Preto, Brazil. METHOD...

Descripción completa

Detalles Bibliográficos
Autores principales: Yamamura, Mellina, Santos-Neto, Marcelino, dos Santos, Rebeca Augusto Neman, Garcia, Maria Concebida da Cunha, Nogueira, Jordana de Almeida, Arcêncio, Ricardo Alexandre
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4660414/
https://www.ncbi.nlm.nih.gov/pubmed/26487142
http://dx.doi.org/10.1590/0104-1169.0450.2631
Descripción
Sumario:OBJECTIVE: to characterize the differences in the clinical and epidemiological profile of cases of death that had tuberculosis as an immediate or associated cause, and to analyze the spatial distribution of the cases of death from tuberculosis within the territories of Ribeirão Preto, Brazil. METHOD: an ecological study, in which the population consisted of 114 cases of death from tuberculosis. Bivariate analysis was carried out, as well as point density analysis, defined with the Kernel estimate. RESULTS: of the cases of death from tuberculosis, 50 were the immediate cause and 64 an associated cause. Age (p=.008) and sector responsible for the death certificate (p=.003) were the variables that presented statistically significant associations with the cause of death. The spatial distribution, in both events, did not occur randomly, forming clusters in areas of the municipality. CONCLUSION: the difference in the profiles of the cases of death from tuberculosis, as a basic cause and as an associated cause, was governed by the age and the sector responsible for the completion of the death certificate. The non-randomness of the spatial distribution of the cases suggests areas that are vulnerable to these events. Knowing these areas can contribute to the choice of disease control strategies.