Aspects related to the outcomes of the treatment, in international borders, of cases of tuberculosis as associated to comorbidities

Author:

Souza Débora Christina Santos1ORCID,Oliveira Keurilene Sutil de1ORCID,Andrade Rubia Laine de Paula2ORCID,Scatena Lucia Marina3ORCID,Silva-Sobrinho Reinaldo Antonio1ORCID

Affiliation:

1. Universidade Estadual do Oeste do Paraná (Unioeste), Brazil

2. Universidade de São Paulo (USP), Brazil

3. Universidade Federal do Triângulo Mineiro (UFTM), Brazil

Abstract

Abstract Objective: analyzing the aspects associated with case outcomes and the international border situation when it comes to patients with tuberculosis (TB) associated with comorbidities. Method: exploratory descriptive epidemiological study, analyzing all new cases of TB with comorbidities reported in 2013 on SISNAN in the cities at the border of the state of Paraná and Paraguay. The variables used were: sociodemographic, clinical and operational. To analyze the data, descriptive analysis and the chi-square test were applied. Results: 227 cases of tuberculosis associated with comorbidities were reported and 70.9% were from cities bordering Paraguay. Alcoholism (22.0%) and AIDS (13.7%) were the most common comorbidities. The chi-square test presented a statistical association of border cities with negative outcomes and not performing directly observed treatments. Conclusion: Through the study, it was possible to find that the location of border cities can be determinant for a negative outcome.

Publisher

FapUNIFESP (SciELO)

Subject

General Medicine

Reference20 articles.

1. Global Tuberculosis Report 2018;WHO,2018

2. Effectiveness in the diagnosis of tuberculosis in Foz do Iguaçu, the triple-border area of Brazil, Paraguay and Argentina;Silva-Sobrinho RA;Rev Esc Enferm USP,2013

3. Perfil epidemiológico da tuberculose em Pelotas, Rio Grande do Sul;Vasconcellos FC;Rev Bras Ciênc Saúde,2008

4. Transmissão da tuberculose na tríplice fronteira entre Brasil, Paraguai e Argentina;Braga JU;Cad Saude Publica,2011

5. Saúde na Fronteira: estudo epidemiológico e operacional da tuberculose. 1 ed;Barrosso SP,2015

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