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      Perfil epidemiológico dos casos de tuberculose multirresistente do Espírito Santo Translated title: Epidemiological profile of multidrug-resistent tuberculosis cases in Espiríto Santo

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          Abstract

          Estudo retrospectivo de perfil dos casos de TBMR do Espírito Santo, entre 2000 e 2004. Identificou-se 61 pacientes com TBMR, sendo a amostra composta por 57 casos, que tiveram seus prontuários revisados para obtenção das variáveis estudadas. Estimou-se como prevalência para a TBMR combinada 0,87% (0,66 - 1,13; IC95%). O teste anti-HIV foi feito em 78,9% dos casos, sendo 11,1% positivos. Investigando co-morbidades, destacaram-se etilismo e tabagismo. Encontrou-se 11 casos de resistência primária (RI) e 46 de resistência adquirida (RA), com média de 2,3 ± 1,3 tratamentos anteriores. Em 35,1% dos casos houve relato de contato prévio conhecido com doente de tuberculose, enquanto em 67,9% não houve ou nega-se ter havido. Dez pacientes (17,5%) foram tratados com o esquema de 1ª linha, 18 (31,6%) com o de 2ª linha e 27 (47,4%) com o de 3ª linha. Dezoito (31,6%) tiveram tratamento auto-administrado, e 39 (68,4%) supervisionado. Quanto ao desfecho, houve cura em 33 casos (71,7%), abandono em 7 (15,2%) e óbito em 5 (10,9%), 1 caso de falência e 11 (19,3%) estão em tratamento. Dos 10 casos encerrados de RI, 80% (8/10) foram curados, contra 69,4% (25/36) dos casos de RA. Concluímos que a prevalência de TBMR é baixa no ES. A cura foi alcançada em 70% dos casos. As co-morbidades podem ser importante fator interveniente para um desfecho satisfatório do tratamento. Os resultados enfatizam a necessidade de busca, diagnóstico e realização de TSA para identificação da RI e a supervisão do tratamento de todos os casos de tuberculose.

          Translated abstract

          This is a retrospective profile study of MRTB cases in Espírito Santo, between 2000 and 2004. Sixty-one patients were identified as MRTB, in a sample of 57 cases. All clinical charts of these cases were reviewed for the variables studied. The combined prevalence of MRTB was estimated as 0.87% (0.66 - 1.13; 95% CI). Anti-HIV tests were performed in 78.9% of cases, yielding 5 (11.1%) positive results. Regarding co-morbidity, alcoholism and smoking have a special importance. 11 cases (19.3%) of primary resistance (IR) were found, while 46 (80.7%) were cases of acquired resistance (AR), with an average of 2.3 ± 1.3 previous treatments. 35.1% of the cases informed a known previous contact with a person with tuberculosis, while for 67.9%, the contact was denied or was not the case. 10 patients (17.5%) had been treated with a 1st line regimen, 18 (31.6%) with a 2nd line one, and 27 (47.4%) with 3rd line. Eighteen (31.6%) had had self-administered treatment, while 39 (68.4%) had undergone supervised treatment. Outcome for 33 cases (71.7%) was cure, abandon for 7 (15.2%) and death for 5 (10.9%); there was one case of treatment failure and 11 (19.3%) were still in treatment. Of the 10 cases of IR with a defined outcome, 80% (8/10) were cured, against 69.4% (25/36) of AR cases. We concluded that the prevalence of MRTB is low in the state of Espírito Santo. Cure was reached in about 70% of all treatments. Associated co-morbidity can be a major drawback for satisfactory treatment outcome. Our results emphasize the need for case finding, search, diagnosis and performance of SAT for the identification of IR and implementation of supervised treatment for all tuberculosis cases.

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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                rbepid
                Revista Brasileira de Epidemiologia
                Rev. bras. epidemiol.
                Associação Brasileira de Pós -Graduação em Saúde Coletiva (São Paulo )
                1415-790X
                March 2007
                : 10
                : 1
                : 56-65
                Affiliations
                [1 ] UFES Brazil
                [2 ] UFES Brazil
                Article
                S1415-790X2007000100007
                10.1590/S1415-790X2007000100007
                78e064fe-8f14-43d2-a443-a9bb2f5cdf1a

                http://creativecommons.org/licenses/by/4.0/

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                SciELO Public Health

                Self URI (journal page): http://www.scielosp.org/scielo.php?script=sci_serial&pid=1415-790X&lng=en
                Categories
                Health Policy & Services

                Public health
                Epidemiological Surveillance,Epidemiological profiles,Tuberculose resistente a múltiplas drogas,Vigilância Epidemiológica,Perfis epidemiológicos,Multidrug-resistant tuberculosis

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