Tuberculosis Recurrence: Associated Factors in an Epidemiological Surveillance Group of São Paulo

Authors

  • Isabela Cristina Rodrigues São Paulo State Epidemiological Surveillance Group
  • Silvia Helena Figueiredo Vendramini Medical School of São José do Rio Preto
  • Maria Amélia Zanon Ponce The Health Department of São José do Rio Preto
  • Antônio Ruffino-Neto University of São Paulo, Medical School of Ribeirão Preto
  • Nilza Gomes de Souza The State Health Department of São Paulo
  • Francisco Chiaravalloti Neto University of São Paulo, Public Health School
  • Maria de Lourdes Sperli Geraldes Santos Medical School of São José do Rio Preto
  • Anneliese Domingues Wysocki Federal University of Mato Grosso do Sul

DOI:

https://doi.org/10.5216/ree.v19.42694

Keywords:

Tuberculosis, Recurrence, Therapeutics, Case-Control Studies

Abstract

Analyze the factors related to cases of tuberculosis (TB) recurrence in reports of the Epidemiological Surveillance Group XXIX/São José do Rio Preto/SP. This is a case-control study that analyzes pulmonary TB reports in the period between 1996 and 2014. Cases were reports of “Recurrence" and control: reports classified as "New" case and with "Healed" outcome. Odds ratio and multivariate analysis with 95% confidence interval were used to analyze the data. The variables of gender and adverse outcome in the 7th month remained significantly associated with recurrence. Males showed 1.8 times greater risk (p = 0.0551) and individuals who obtained an adverse outcome in the 7th month of treatment were 4.6 times more likely to recur (p = 0.0000). We found two factors associated with recurrence: male gender and adverse treatment outcome, which shows the need to assess the quality of the care provided.

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Author Biographies

Isabela Cristina Rodrigues, São Paulo State Epidemiological Surveillance Group

Nurse, Master in Nursing. Nurse for the São Paulo State Epidemiological Surveillance Group São Paulo, SP, Brazil. Email: isabela_famerp@yahoo.com.br.

Silvia Helena Figueiredo Vendramini, Medical School of São José do Rio Preto

Nurse, Doctor in Public Health Nursing. Assistant Professor of the Medical School of São José do Rio Preto. São José do Rio Preto, SP, Brazil. Email: silviahve@gmail.com.

Maria Amélia Zanon Ponce, The Health Department of São José do Rio Preto

Nurse, Doctor in Public Health Nursing. Manager in STD/Aids of the Health Department of São José do Rio Preto. São José do Rio Preto, SP, Brazil. Email: amelinha_famerp@yahoo.com.br.

Antônio Ruffino-Neto, University of São Paulo, Medical School of Ribeirão Preto

Doctor. Doctor in Community Health. Professor at the Medical School of Ribeirão Preto of the University of São Paulo. Ribeirão Preto, SP, Brazil. Email: aruffino@fmrp.usp.br.

Nilza Gomes de Souza, The State Health Department of São Paulo

Nurse, Master in Nursing. Nurse of the State Health Department of São Paulo. Neves Paulista, SP, Brazil. Email: gve29-tbmonitor@saude.sp.gov.br.

Francisco Chiaravalloti Neto, University of São Paulo, Public Health School

Civil Engineer, Doctor in Public Health. Assistant Professor at the Public Health School of the University of São Paulo. São Paulo, SP, Brazil. Email: franciscochiar@usp.br.

Maria de Lourdes Sperli Geraldes Santos, Medical School of São José do Rio Preto

Nurse, Doctor in Nursing. Assistant Professor of the Medical School of São José do Rio Preto. São José do Rio Preto, SP, Brazil. Email: mlsperli@gmail.com.

Anneliese Domingues Wysocki, Federal University of Mato Grosso do Sul

Nurse, Doctor in Health Sciences. Professor at the Federal University of Mato Grosso do Sul. Três Lagoas, MS, Brazil. Email: lilisew@yahoo.com.br.

Published

2017-05-03

Issue

Section

Original Article