Prevalence of patients with respiratory symptoms through active case finding and diagnosis of pulmonary tuberculosis among prisoners and related predictors in a jail in the city of Carapicuíba, Brazil

Revista Brasileira de Epidemiologia

Siqueira, Ana M. de¹  Ribeiro, Sandra A.⁴  Santos, Laedi A. R. dos³  Golub, Jonathan E.²  Vieira, Amadeu A.¹  Galesi, Vera M. N.³ 

[1] municipality of Carapicuíba, Brazil;Johns Hopkins School of Medicine, Baltimore, USA;São Paulo State Health Deparment, São Paulo, Brazil;Universidade Federal de São Paulo

关键词: Prevalence;    Tuberculosis;    Pulmonary tuberculosis;    Respiratory symptomatic;    Active case finding;    Prisoners;   

DOI  :  10.1590/S1415-790X2010000400009

学科分类：过敏症与临床免疫学

来源: SciELO

【 摘 要 】

BACKGROUND:Prisons offer a fertile setting for the transmission of tuberculosis due tothe presence of many classic risk factors for both infection and disease: overcrowding,poor ventilation, and little sunlight. Prisoners are often malnourished andhave poor hygiene and are more likely to have a background of alcohol and drugabuse.
OBJECTIVES: To determine the prevalence of prisoners with respiratorysymptoms and pulmonary tuberculosis (PTB) through active case finding in a prisonerpopulation of the county jail of Carapicuíba, and to study possible relatedvariables.
METHODS: This was a cross-sectional study, and respiratory symptomaticindividuals (RSI) were detected through active case finding. Socio-demographicdata were collected from inmates' judicial history using a specific questionnaire.The RSI provided sputum specimens for detection of acid fast bacilli and culturefor mycobacterium identification.
RESULTS: Among the 397 prisoners studied, 154 reported respiratory symptomsfor more than three weeks, and were considered RSI; the variables associatedwith RSI were: having already been tried and incarcerated for more than sixmonths and seven were diagnosed as PTB (1,763 cases/ 100,000 inhabitants).
CONCLUSIONS: The prevalence of RSI and PTB cases were respectively 39and 35 times greater than the general population.

【 授权许可】

CC BY