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Factors associated with tuberculosis in persons deprived of liberty in Espírito Santo
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 po...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Faculdade de Saúde Pública da Universidade de São Paulo
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319498/ https://www.ncbi.nlm.nih.gov/pubmed/32638882 http://dx.doi.org/10.11606/s1518-8787.2020054001818 |
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author | Macedo, Laylla Ribeiro Maciel, Ethel Leonor Noia Struchiner, Claudio Jose |
author_facet | Macedo, Laylla Ribeiro Maciel, Ethel Leonor Noia Struchiner, Claudio Jose |
author_sort | Macedo, Laylla Ribeiro |
collection | PubMed |
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. |
format | Online Article Text |
id | pubmed-7319498 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Faculdade de Saúde Pública da Universidade de São Paulo |
record_format | MEDLINE/PubMed |
spelling | pubmed-73194982020-07-06 Factors associated with tuberculosis in persons deprived of liberty in Espírito Santo Macedo, Laylla Ribeiro Maciel, Ethel Leonor Noia Struchiner, Claudio Jose Rev Saude Publica Original Article 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. Faculdade de Saúde Pública da Universidade de São Paulo 2020-06-26 /pmc/articles/PMC7319498/ /pubmed/32638882 http://dx.doi.org/10.11606/s1518-8787.2020054001818 Text en https://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Macedo, Laylla Ribeiro Maciel, Ethel Leonor Noia Struchiner, Claudio Jose Factors associated with tuberculosis in persons deprived of liberty in Espírito Santo |
title | 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_short | 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 |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319498/ https://www.ncbi.nlm.nih.gov/pubmed/32638882 http://dx.doi.org/10.11606/s1518-8787.2020054001818 |
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