Prevalência de sintomáticos respiratórios através da busca ativa, diagnóstico de tuberculose pulmonar entre pessoas privadas de liberdade e fatores associados em uma cadeia pública no município de carapicuíba, Brasil

Translated title of the contribution: 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

Amadeu A. Vieirai, Sandra A. Ribeiro, Ana M. de Siqueira, Vera M.N. Galesi, Laedi A.R. dos Santos, Jonathan E. Golub

Research output: Contribution to journalArticle

Abstract

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.

Original languagePortuguese
Pages (from-to)641-650
Number of pages10
JournalRevista Brasileira de Epidemiologia
Volume13
Issue number4
StatePublished - Dec 1 2010

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Keywords

  • Active case finding
  • Prevalence
  • Prisoners
  • Pulmonary tuberculosis
  • Respiratory symptomatic
  • Tuberculosis

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health

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