Avaliação dos casos novos de tuberculose no Rio Grande do Sul, 2001 a 2011

Abstract

The high incidence rates of tuberculosis (TB) in the State of Rio Grande do Sul (RS), 48/100.000 inhabitants (2010) and little epidemiological information of this condition prompted this study, whose objectives were: describe the epidemiological picture of TB new cases in RS from 2001 to 2011 and analyze the sociodemographic and behavioral characteristics, comorbidities, forms of presentation and clinical course of the disease. The sample was the entire universe of TB notifications via SINAN-TB between 2001 and 2011. The data extraction was performed to DBF format (Data Base File), generating an Excel file, contemplating the 497 municipalities in the RS period. The SPSS version 20 statistical software was used for statistical analysis. After the description, gross analyzes were performed, and then the multivariate analysis to control for confounding factors using Poisson regression. In the description of the 16,383 notifications, 13,647 (83.8%) were new cases, the majority were male (66%), white (80.3%), aged 30-39 years (22.1 %), schooling 5-8 years of education (41.4%), residing in the State (45.1%), non-institutionalized (89.1%), had no alcohol (69%), not had AIDS (71.6%) did not have diabetes (84.4%) had no mental illness (94.1%) and pulmonary TB (78%). In extrapulmonary category, in the lymph nodes was more frequent among TB cases in monoinfection (30.9%), pleural and was among the most cases of TB / HIV coinfection (45.6%). Healing variable had the majority of the sample (63.1%). In the analysis, men, non-white race, illiterate, living in Porto Alegre, alcoholics and HIV coinfection were more likely to have no cure for TB. On the other hand, the young were more likely to cure compared to over sixty years. Then it is concluded that the higher probability of not having cure of tuberculosis in men were in the group of non-white race, low education, individuals who use alcohol and HIV coinfection groups. Moreover, living in Porto Alegre metropolitan region and also are more likely to not have TB cure.