A diagnosis of pulmonary tuberculosis and drug resistance among inmates in Mato Grosso do Sul, Brazil

Cunha, Eunice Atsuko Totumi; Marques, Marli; Evangelista, Maria do Socorro Nantua; Pompílio, Maurício Antônio; Yassuda, Renata Terumi Shiguematsu; Souza, Albert Schiaveto de

doi:10.1590/0037-8682-0289-2017

Cited by 8 publications

(7 citation statements)

References 17 publications

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“…The state of São Paulo has the largest prison population in Brazil; a study carried out in this region observed the high annual incidence of TB in the prison system from 927.5/100,000 prisoners in 2015, to 1,232.6/100,000 prisoners in 2017 31 . In comparison, in 2018, in Mato Grosso do Sul state, the active TB prevalence in prisoners was 972.9/100,000, and information was obtained from 35 prisons in the region 32 .…”

Section: Resultsmentioning

confidence: 99%

Epidemiology and control strategies for tuberculosis in countries with the largest prison populations

Busatto

Bierhals

Vianna

et al. 2022

Rev. Soc. Bras. Med. Trop.

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Section: Resultsmentioning

confidence: 99%

Epidemiology and control strategies for tuberculosis in countries with the largest prison populations

Busatto

Bierhals

Vianna

et al. 2022

Rev. Soc. Bras. Med. Trop.

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“…1604 citations were later deleted, resulting in 200 selected references for full‐text screening. After reading the full texts of the 200 articles, 143 were excluded, and 57 articles were included in our review [8‐64]. Thirty‐four of 57 publications included data from more than one population type, yielding an equivalent of 91 studies ( n = 32 962 participants).…”

Section: Resultsmentioning

confidence: 99%

Prevalence of multidrug‐resistant tuberculosis in Latin America and the Caribbean: a systematic review and meta‐analysis

Tengan

Figueiredo

Leite

et al. 2020

Tropical Med Int Health

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Objectives To evaluate the prevalence of multidrug‐resistant tuberculosis (MDR‐TB) in individuals living in Latin America and the Caribbean (LAC). Methods We searched the MEDLINE, Embase and Literatura Latino Americana e do Caribe em Ciências da Saúde (Lilacs) databases until 08 August 2019 for all studies on the subject, without time or language restrictions. Original studies reporting the prevalence of infection with Mycobacterium tuberculosis resistant to isoniazid and rifampicin simultaneously (MDR) in LAC, the prevalence of resistance in cases with no previous treatment (new cases) and the prevalence of resistance in previously treated cases were selected. Considering the expected heterogeneity between studies, all analyses were performed using the random effects model, and heterogeneity was assessed using the I2 statistic. Results We included 91 studies from 16 countries. The estimated overall prevalence was 13.0% (95% CI 12.0–14.0%), and the heterogeneity between studies was substantial (I2 = 96.1%). In the subgroup analyses, it was observed that the prevalence of MDR‐TB among new cases was 7.0% (95% CI 6.0–7.0%) and in previously treated cases was 26.0% (95% CI 24.0–28.0%). Conclusions This review highlights multidrug resistance to antituberculosis drugs in LAC, indicating that prevention strategies have not been effective. Government institutions should invest heavily in strategies for early diagnosis and the rapid availability of effective treatments and prioritise adequate protection for health professionals. In addition, screening programmes should be adopted to prevent secondary cases.

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“…For example, several studies describe in detail how they implemented educational programmes in their prisons, often by using prisoners as 'peer educators' to spread messages about TB symptoms and even to identify prisoners who may be unwell (Harries et al, 2004;Maggard et al, 2015;Zishiri et al, 2015). Other studies describe how they built labs or linked their prison to regional laboratory services to increase diagnostic capacity (Cunha et al, 2018;Maggard et al, 2015;Mallick et al, 2017;Nateniyom et al, 2004), or procured chest x-ray equipment to increase the number of prisoners able to be screened (Puisis et al, 1996;Sanchez et al, 2013).…”

Section: Discussionmentioning

confidence: 99%

A systematic review of tuberculosis detection and prevention studies in prisons

Haeusler

Ortiz

Grandjean

2021

Global Public Health

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Many studies have demonstrated that prisons are hotspots of tuberculosis disease and transmission. Despite this, it remains unclear which interventions are most effective at controlling tuberculosis in prisons. The objective of this study was to evaluate the study designs used to investigate tuberculosis control in prisons, and the efficacy of interventions undertaken. This systematic review included published studies which had the aim of reducing TB incidence or prevalence, or increasing the number of people screened for active pulmonary tuberculosis in incarcerated populations. 2,429 records were identified, 178 full-text articles were screened, and 17 studies were included. The majority of reports were before/after studies (7 of 17) or prospective non-comparative studies (5 of 17). The median study duration was 23 months (range 5-144). The most common intervention was the introduction of active case finding (10 of 17 studies) but the timing and methods varied. Comparable pre-and post-intervention outcome values were infrequently reported. It was therefore not possible to quantify the efficacy of interventions undertaken. Data from studies of tuberculosis control in prisons is limited by a lack of controlled interventions, reporting of pre-intervention methods, and comparable pre-and post-intervention outcomes. Prospective comparative trials of adequate duration to determine trends in incidence are necessary to understand which tuberculosis control interventions are effective in prisons.

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A diagnosis of pulmonary tuberculosis and drug resistance among inmates in Mato Grosso do Sul, Brazil

Abstract: Prevalence rates increased, and laboratory indicators improved as a result of capacity building and coordination of technical teams and other individuals providing healthcare to inmates. Resistance rates were high, thereby negatively affecting disease control.

Cited by 8 publications

References 17 publications

Epidemiology and control strategies for tuberculosis in countries with the largest prison populations

Epidemiology and control strategies for tuberculosis in countries with the largest prison populations

Prevalence of multidrug‐resistant tuberculosis in Latin America and the Caribbean: a systematic review and meta‐analysis

A systematic review of tuberculosis detection and prevention studies in prisons

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