COVERAGE OF DIRECTLY OBSERVED TREATMENT ACCORDING TO THE RISK OF TUBERCULOSIS/HIV COINFECTION AND UNFAVORABLE OUTCOMES
Objective: To analyze the coverage of directly observed treatment according to the risk of tuberculosis/human immunodeficiency virus coinfection and unfavorable outcomes. Methods: Ecological study with secondary data related to 10,389 new cases of coinfection notified in the state of São Paulo, B...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Universidade Federal do Paraná
2019-12-01
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| Series: | Cogitare Enfermagem |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.5380/ce.v24i0.66775 |
| Summary: | Objective: To analyze the coverage of directly observed treatment according to the risk of
tuberculosis/human immunodeficiency virus coinfection and unfavorable outcomes.
Methods: Ecological study with secondary data related to 10,389 new cases of coinfection
notified in the state of São Paulo, Brazil, from 2010 to 2015. They were analyzed by applying
local Moran’s index, spatial scan statistics, and hierarchical Bayesian models.
Results: The São Paulo metropolitan area and Baixada Santista concentrate the highest
incidence of coinfection and treatment default. Low coverage of directly observed treatment
was associated with areas at risk for the coinfection and higher withdrawal risk. The city of
São Paulo, the coastal region, and the Ribeirão Preto area showed a higher incidence of
deaths, which did not show an association with the coverage of directly observed treatment.
Conclusion: Low coverage of directly observed treatment was associated with a higher risk of
coinfection and treatment default. |
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| ISSN: | 1414-8536 2176-9133 |