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

Amadeu A. Vieira¹  Sandra A. Ribeiro²  Ana M. De Siqueira¹  Vera M. N. Galesi²  Laedi A. R. Dos Santos²  Jonathan E. Golub² 

[1] ,municipality of Carapicuíba Health and Preventive Medicine Department Tuberculosis Control Program,Brazil

关键词: Prevalence;    Tuberculosis;    Pulmonary tuberculosis;    Respiratory symptomatic;    Active case finding;    Prisoners;    Prevalência;    Tuberculose;    Tuberculose pulmonar;    Sintomático respiratório;    Busca ativa;    População privada de liberdade;   

DOI  :  10.1590/S1415-790X2010000400009

来源: SciELO

【 摘 要 】

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

【 授权许可】

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