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Tytuł:
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A Clinical-Epidemiological and Geospatial Study of Tuberculosis in a Neglected Area in the Amazonian Region Highlights the Urgent Need for Control Measures.
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Autorzy:
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Mesquita CR; Programa de Pós-Graduação em Biologia Parasitária na Amazônia, Universidade do Estado do Pará e Instituto Evandro Chagas, Tv. Perebebui, 2623, Belem 66087-662, Brazil.; Programa de Pós-Graduação em Epidemiologia e Vigilância em Saúde, Instituto Evandro Chagas, BR 316, km 7, Ananindeua 67000-000, Brazil.; Seção de Bacteriologia e Micologia, Instituto Evandro Chagas, BR 316, km 7, Ananindeua 67000-000, Brazil.
Conceição EC; Programa de Pós-Graduação em Pesquisa Clínica em Doenças Infecciosas do Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Av. Brasil, 4365, Rio de Janeiro 21040-900, Brazil.
Monteiro LHMT; Secretaria de Saúde do Estado do Pará-SESPA, Av. João Paulo II, 602, Belem 66087-048, Brazil.
da Silva OM; Secretaria de Saúde do Estado do Pará-SESPA, Av. João Paulo II, 602, Belem 66087-048, Brazil.
Lima LNGC; Programa de Pós-Graduação em Biologia Parasitária na Amazônia, Universidade do Estado do Pará e Instituto Evandro Chagas, Tv. Perebebui, 2623, Belem 66087-662, Brazil.; Programa de Pós-Graduação em Epidemiologia e Vigilância em Saúde, Instituto Evandro Chagas, BR 316, km 7, Ananindeua 67000-000, Brazil.; Seção de Bacteriologia e Micologia, Instituto Evandro Chagas, BR 316, km 7, Ananindeua 67000-000, Brazil.
de Oliveira RAC; Programa de Pós-Graduação em Saúde, Ambiente e Sociedade, Universidade Federal do Pará, Rua Augusto Corrêa, Belem 66075-110, Brazil.
de Brito AC; Coordenação Geral de Vigilância das Doenças de Transmissão Respiratória de Condições Crônicas, Av. Brasil, 4365, Rio de Janeiro 21040-900, Brazil.
Guimarães RJPSE; Programa de Pós-Graduação em Epidemiologia e Vigilância em Saúde, Instituto Evandro Chagas, BR 316, km 7, Ananindeua 67000-000, Brazil.
Lima KVB; Programa de Pós-Graduação em Biologia Parasitária na Amazônia, Universidade do Estado do Pará e Instituto Evandro Chagas, Tv. Perebebui, 2623, Belem 66087-662, Brazil.; Seção de Bacteriologia e Micologia, Instituto Evandro Chagas, BR 316, km 7, Ananindeua 67000-000, Brazil.
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Źródło:
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International journal of environmental research and public health [Int J Environ Res Public Health] 2021 Feb 02; Vol. 18 (3). Date of Electronic Publication: 2021 Feb 02.
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Typ publikacji:
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Journal Article; Research Support, Non-U.S. Gov't
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Język:
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English
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Imprint Name(s):
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Original Publication: Basel : MDPI, c2004-
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MeSH Terms:
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Antibiotics, Antitubercular*/therapeutic use
Mycobacterium tuberculosis*
Tuberculosis*/drug therapy
Tuberculosis*/epidemiology
Tuberculosis*/prevention & control
Brazil/epidemiology ; Humans ; Neoplasm Recurrence, Local ; Sensitivity and Specificity
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References:
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Rev Saude Publica. 2011 Jun;45(3):548-55. (PMID: 21503555)
MMWR Morb Mortal Wkly Rep. 2019 Mar 22;68(11):263-266. (PMID: 30897077)
Infect Genet Evol. 2020 Jan;77:104044. (PMID: 31634644)
Health Policy Plan. 2020 Oct 1;35(8):1130-1132. (PMID: 32832996)
Dtsch Arztebl Int. 2019 Oct 25;116(43):729-735. (PMID: 31755407)
Sci Rep. 2020 Feb 4;10(1):1747. (PMID: 32019968)
Cien Saude Colet. 2016 Jun;21(7):2233-42. (PMID: 27383356)
Rev Bras Epidemiol. 2016 Jul-Sep;19(3):658-669. (PMID: 27849278)
J Bras Pneumol. 2007 Sep-Oct;33(5):xxvii-xxviii. (PMID: 18026645)
Rev Bras Epidemiol. 2018 Oct 11;21:e180019. (PMID: 30328938)
Eur Respir J. 2017 Jun 1;49(6):. (PMID: 28572129)
Tuberculosis (Edinb). 2018 Dec;113:125-129. (PMID: 30514494)
Rev Bras Epidemiol. 2017 Jul-Sep;20(3):549-557. (PMID: 29160445)
Epidemiol Serv Saude. 2018;27(1):e00100009. (PMID: 29451612)
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Contributed Indexing:
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Keywords: Brazil; epidemiology; geospatial distribution; state of Pará; tuberculosis
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Substance Nomenclature:
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0 (Antibiotics, Antitubercular)
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Entry Date(s):
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Date Created: 20210205 Date Completed: 20210325 Latest Revision: 20210325
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Update Code:
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20240104
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PubMed Central ID:
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PMC7908568
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DOI:
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10.3390/ijerph18031335
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PMID:
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33540763
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Tuberculosis (TB) is an infectious communicable disease, which despite global efforts, still needs special attention in regions with difficult access. This study aims to describe the spatial and epidemiological trends of TB incidences from 2013 to 2018 in Marajó Island, the Amazonian region, Pará, Brazil. We have obtained secondary data from the Brazilian TB databases and performed geospatial and statistical analyses on the data for new TB cases, relapses, and re-admissions. From 2013 to 2018, 749 new cases were reported, in which the diagnostics (culture) was not performed for 652 (87.2%) patient samples, the drug resistance test (DST) was performed for nine (1.2%) samples, and one (0.13%) was multidrug-resistant TB (MDR-TB). The rapid molecular testing (RMT) was performed on 40 (5.3%) patient samples, with results indicating that eight (20%) were susceptible to rifampicin and two (5%) were rifampicin resistant. Overall, the cure rate was 449 (66.7%), while relapses and re-admissions were 41 and 44, respectively. On the geospatial distribution, the municipality of Soure stands out with a high number of incidences, relapses, and re-admissions. Spatially, the eight MDR cases were randomly distributed. Our data highlight the urgent need for TB control measures in this region, by introducing the Xpert-Ultra ® MTB/RIF (Cepheid, Sunnyvale, CA, USA) and Ogawa-Kudoh.