Delay in the diagnosis and treatment of tuberculosis in prisons in Mato Grosso do Sul, Brazil
ABSTRACT Background: The number of tuberculosis (TB) cases in prisons is higher than that in the general population and has been reported as the most common cause of death in prisons. This study evaluated the delay in the diagnosis and treatment of TB in Brazilian prisons. Methods: A retrospectiv...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Medicina Tropical (SBMT)
2023-07-01
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| Series: | Revista da Sociedade Brasileira de Medicina Tropical |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822023000100322&lng=en&tlng=en |
| _version_ | 1827894023902199808 |
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| author | Carla Celina Ribeiro Andrea da Silva Santos Daniel Henrique Tshua Roberto Dias de Oliveira Everton Ferreira Lemos Paul Bourdillon Alexandre Laranjeira Crhistinne Cavalheiro Maymone Gonçalves Jason Andrews Albert Ko Julio Croda |
| author_facet | Carla Celina Ribeiro Andrea da Silva Santos Daniel Henrique Tshua Roberto Dias de Oliveira Everton Ferreira Lemos Paul Bourdillon Alexandre Laranjeira Crhistinne Cavalheiro Maymone Gonçalves Jason Andrews Albert Ko Julio Croda |
| author_sort | Carla Celina Ribeiro |
| collection | DOAJ |
| description | ABSTRACT Background: The number of tuberculosis (TB) cases in prisons is higher than that in the general population and has been reported as the most common cause of death in prisons. This study evaluated the delay in the diagnosis and treatment of TB in Brazilian prisons. Methods: A retrospective cohort study was conducted between 2007 and 2015 using data from the five largest male prisons in Mato Grosso do Sul, Brazil. TB case data was collected from the National Database of Notifiable Diseases (SINAN), GAL-LACEN, and prison medical records. The following variables were recorded: prison, year of diagnosis, age, race, education, HIV status, smoking status, comorbidities, number of symptoms, percentage of cures, delay in diagnosis, patient delay, provider delay, laboratory delay, and delay in treatment. Descriptive statistics were used for the variables of interest. Results: A total of 362 pulmonary TB cases were identified. The average time between the first symptom and reporting of data was 94 days. The mean time between symptom onset and laboratory diagnosis was 91 days. The average time from symptom onset to first consultation was 80 days. The time between diagnosis and treatment initiation was 5 days. Conclusions: Delays were significant between reporting of the first symptoms and diagnosis and significantly smaller from the time between notification and start of treatment. Control strategies should be implemented to diagnose cases through active screening, to avoid delays in diagnosis and treatment, and to reduce TB transmission. |
| first_indexed | 2024-03-12T22:01:22Z |
| format | Article |
| id | doaj.art-bbce11581b3740099b0128318705f3a3 |
| institution | Directory Open Access Journal |
| issn | 1678-9849 |
| language | English |
| last_indexed | 2024-03-12T22:01:22Z |
| publishDate | 2023-07-01 |
| publisher | Sociedade Brasileira de Medicina Tropical (SBMT) |
| record_format | Article |
| series | Revista da Sociedade Brasileira de Medicina Tropical |
| spelling | doaj.art-bbce11581b3740099b0128318705f3a32023-07-25T07:45:45ZengSociedade Brasileira de Medicina Tropical (SBMT)Revista da Sociedade Brasileira de Medicina Tropical1678-98492023-07-015610.1590/0037-8682-0015-2023Delay in the diagnosis and treatment of tuberculosis in prisons in Mato Grosso do Sul, BrazilCarla Celina Ribeirohttps://orcid.org/0000-0001-5039-881XAndrea da Silva Santoshttps://orcid.org/0000-0002-2074-7449Daniel Henrique Tshuahttps://orcid.org/0000-0002-0723-6142Roberto Dias de Oliveirahttps://orcid.org/0000-0001-7996-8011Everton Ferreira Lemoshttps://orcid.org/0000-0001-6652-9191Paul Bourdillonhttps://orcid.org/0000-0002-9721-9361Alexandre Laranjeirahttps://orcid.org/0009-0009-7062-1906Crhistinne Cavalheiro Maymone Gonçalveshttps://orcid.org/0000-0001-6953-4965Jason Andrewshttps://orcid.org/0000-0002-5967-251XAlbert Kohttps://orcid.org/0000-0001-9023-2339Julio Crodahttps://orcid.org/0000-0002-6665-6825ABSTRACT Background: The number of tuberculosis (TB) cases in prisons is higher than that in the general population and has been reported as the most common cause of death in prisons. This study evaluated the delay in the diagnosis and treatment of TB in Brazilian prisons. Methods: A retrospective cohort study was conducted between 2007 and 2015 using data from the five largest male prisons in Mato Grosso do Sul, Brazil. TB case data was collected from the National Database of Notifiable Diseases (SINAN), GAL-LACEN, and prison medical records. The following variables were recorded: prison, year of diagnosis, age, race, education, HIV status, smoking status, comorbidities, number of symptoms, percentage of cures, delay in diagnosis, patient delay, provider delay, laboratory delay, and delay in treatment. Descriptive statistics were used for the variables of interest. Results: A total of 362 pulmonary TB cases were identified. The average time between the first symptom and reporting of data was 94 days. The mean time between symptom onset and laboratory diagnosis was 91 days. The average time from symptom onset to first consultation was 80 days. The time between diagnosis and treatment initiation was 5 days. Conclusions: Delays were significant between reporting of the first symptoms and diagnosis and significantly smaller from the time between notification and start of treatment. Control strategies should be implemented to diagnose cases through active screening, to avoid delays in diagnosis and treatment, and to reduce TB transmission.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822023000100322&lng=en&tlng=enTuberculosisPrisonsDelayed diagnosisTime to treatmentBrazil |
| spellingShingle | Carla Celina Ribeiro Andrea da Silva Santos Daniel Henrique Tshua Roberto Dias de Oliveira Everton Ferreira Lemos Paul Bourdillon Alexandre Laranjeira Crhistinne Cavalheiro Maymone Gonçalves Jason Andrews Albert Ko Julio Croda Delay in the diagnosis and treatment of tuberculosis in prisons in Mato Grosso do Sul, Brazil Revista da Sociedade Brasileira de Medicina Tropical Tuberculosis Prisons Delayed diagnosis Time to treatment Brazil |
| title | Delay in the diagnosis and treatment of tuberculosis in prisons in Mato Grosso do Sul, Brazil |
| title_full | Delay in the diagnosis and treatment of tuberculosis in prisons in Mato Grosso do Sul, Brazil |
| title_fullStr | Delay in the diagnosis and treatment of tuberculosis in prisons in Mato Grosso do Sul, Brazil |
| title_full_unstemmed | Delay in the diagnosis and treatment of tuberculosis in prisons in Mato Grosso do Sul, Brazil |
| title_short | Delay in the diagnosis and treatment of tuberculosis in prisons in Mato Grosso do Sul, Brazil |
| title_sort | delay in the diagnosis and treatment of tuberculosis in prisons in mato grosso do sul brazil |
| topic | Tuberculosis Prisons Delayed diagnosis Time to treatment Brazil |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822023000100322&lng=en&tlng=en |
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