Trend and Spatial Distribution of Drug-Resistant Tuberculosis in Liberty-Deprived Populations in the State of Paraná, Brazil
(1) Background: Tuberculosis remains a public health problem in the world. This study evaluated the temporal trends, distribution, and spatial associations of drug-resistant tuberculosis in liberty-deprived populations in the state of Paraná, Brazil. (2) Methods: An ecological study was developed us...
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MDPI AG
2022-09-01
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Online Access: | https://www.mdpi.com/2414-6366/7/10/266 |
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author | Márcio Souza dos Santos Thaís Zamboni Berra Alessandro Rolim Scholze Felipe Mendes Delpino Antônio Carlos Vieira Ramos Yan Mathias Alves Fernanda Bruzadelli Paulino da Costa Juliane de Almeida Crispim Clóvis Luciano Giacomet Heriederson Sávio Dias Moura Titilade Kehinde Ayandeyi Teibo Ana Carolina Silva Peres Giselle Lima de Freitas Flávia Meneguetti Pieri Ricardo Alexandre Arcêncio |
author_facet | Márcio Souza dos Santos Thaís Zamboni Berra Alessandro Rolim Scholze Felipe Mendes Delpino Antônio Carlos Vieira Ramos Yan Mathias Alves Fernanda Bruzadelli Paulino da Costa Juliane de Almeida Crispim Clóvis Luciano Giacomet Heriederson Sávio Dias Moura Titilade Kehinde Ayandeyi Teibo Ana Carolina Silva Peres Giselle Lima de Freitas Flávia Meneguetti Pieri Ricardo Alexandre Arcêncio |
author_sort | Márcio Souza dos Santos |
collection | DOAJ |
description | (1) Background: Tuberculosis remains a public health problem in the world. This study evaluated the temporal trends, distribution, and spatial associations of drug-resistant tuberculosis in liberty-deprived populations in the state of Paraná, Brazil. (2) Methods: An ecological study was developed using all cases of drug-resistant tuberculosis in penal establishments reported by the Brazilian Notifiable Diseases Information System between 2008 and 2018. For the time trend, the Prais–Winsten method was used. To verify the spatial association, the Getis–Ord Gi* technique was used. (3) Results: During the study period, 653 cases of tuberculosis were reported in the studied population, of which 98 (15%) were drug-resistant. Prais–Winsten autoregression identified an increasing trend, with APC = 15.08% (95% CI: 0.02–0.09) from 2008 to 2018; when analyzed from 2012 to 2018, the trend increased even more, with APC = 23.31% (95% CI: 0.01–0.16). Hotspots were also noted in the north, east, and west macro-regions of the state. (4) Conclusions: The presence of drug-resistant tuberculosis, as well as an increasing trend of these cases, was evidenced in all regions of the state among liberty-deprived populations,. The spatial analysis revealed priority areas for drug-resistant tuberculosis in penal establishments. |
first_indexed | 2024-03-09T19:25:22Z |
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issn | 2414-6366 |
language | English |
last_indexed | 2024-03-09T19:25:22Z |
publishDate | 2022-09-01 |
publisher | MDPI AG |
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series | Tropical Medicine and Infectious Disease |
spelling | doaj.art-e782b67abcb940d9beb9b58ac46af5ec2023-11-24T03:00:02ZengMDPI AGTropical Medicine and Infectious Disease2414-63662022-09-0171026610.3390/tropicalmed7100266Trend and Spatial Distribution of Drug-Resistant Tuberculosis in Liberty-Deprived Populations in the State of Paraná, BrazilMárcio Souza dos Santos0Thaís Zamboni Berra1Alessandro Rolim Scholze2Felipe Mendes Delpino3Antônio Carlos Vieira Ramos4Yan Mathias Alves5Fernanda Bruzadelli Paulino da Costa6Juliane de Almeida Crispim7Clóvis Luciano Giacomet8Heriederson Sávio Dias Moura9Titilade Kehinde Ayandeyi Teibo10Ana Carolina Silva Peres11Giselle Lima de Freitas12Flávia Meneguetti Pieri13Ricardo Alexandre Arcêncio14Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, BrazilDepartment of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, BrazilDepartment of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, BrazilDepartment of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, BrazilDepartment of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, BrazilDepartment of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, BrazilDepartment of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, BrazilDepartment of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, BrazilDepartment of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, BrazilDepartment of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, BrazilDepartment of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, BrazilDepartment of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, BrazilDepartment of Nursing, Federal University of Minas Gerais, Belo Horizonte 30130-100, MG, BrazilDepartment of Nursing, State University of Londrina, Londrina 86039-440, PR, BrazilDepartment of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, Brazil(1) Background: Tuberculosis remains a public health problem in the world. This study evaluated the temporal trends, distribution, and spatial associations of drug-resistant tuberculosis in liberty-deprived populations in the state of Paraná, Brazil. (2) Methods: An ecological study was developed using all cases of drug-resistant tuberculosis in penal establishments reported by the Brazilian Notifiable Diseases Information System between 2008 and 2018. For the time trend, the Prais–Winsten method was used. To verify the spatial association, the Getis–Ord Gi* technique was used. (3) Results: During the study period, 653 cases of tuberculosis were reported in the studied population, of which 98 (15%) were drug-resistant. Prais–Winsten autoregression identified an increasing trend, with APC = 15.08% (95% CI: 0.02–0.09) from 2008 to 2018; when analyzed from 2012 to 2018, the trend increased even more, with APC = 23.31% (95% CI: 0.01–0.16). Hotspots were also noted in the north, east, and west macro-regions of the state. (4) Conclusions: The presence of drug-resistant tuberculosis, as well as an increasing trend of these cases, was evidenced in all regions of the state among liberty-deprived populations,. The spatial analysis revealed priority areas for drug-resistant tuberculosis in penal establishments.https://www.mdpi.com/2414-6366/7/10/266tuberculosistime series studiesspatial analysisprisonerspublic health |
spellingShingle | Márcio Souza dos Santos Thaís Zamboni Berra Alessandro Rolim Scholze Felipe Mendes Delpino Antônio Carlos Vieira Ramos Yan Mathias Alves Fernanda Bruzadelli Paulino da Costa Juliane de Almeida Crispim Clóvis Luciano Giacomet Heriederson Sávio Dias Moura Titilade Kehinde Ayandeyi Teibo Ana Carolina Silva Peres Giselle Lima de Freitas Flávia Meneguetti Pieri Ricardo Alexandre Arcêncio Trend and Spatial Distribution of Drug-Resistant Tuberculosis in Liberty-Deprived Populations in the State of Paraná, Brazil Tropical Medicine and Infectious Disease tuberculosis time series studies spatial analysis prisoners public health |
title | Trend and Spatial Distribution of Drug-Resistant Tuberculosis in Liberty-Deprived Populations in the State of Paraná, Brazil |
title_full | Trend and Spatial Distribution of Drug-Resistant Tuberculosis in Liberty-Deprived Populations in the State of Paraná, Brazil |
title_fullStr | Trend and Spatial Distribution of Drug-Resistant Tuberculosis in Liberty-Deprived Populations in the State of Paraná, Brazil |
title_full_unstemmed | Trend and Spatial Distribution of Drug-Resistant Tuberculosis in Liberty-Deprived Populations in the State of Paraná, Brazil |
title_short | Trend and Spatial Distribution of Drug-Resistant Tuberculosis in Liberty-Deprived Populations in the State of Paraná, Brazil |
title_sort | trend and spatial distribution of drug resistant tuberculosis in liberty deprived populations in the state of parana brazil |
topic | tuberculosis time series studies spatial analysis prisoners public health |
url | https://www.mdpi.com/2414-6366/7/10/266 |
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