Analysis and comparison of tuberculosis treatment outcomes in the homeless population and in the general population of Brazil

Santos, Andresa Cristine Estrella dos; Brunfentrinker, Camila; Pena, Larissa da Silva; Saraiva, Suélen dos Santos; Boing, Antônio Fernando

doi:10.36416/1806-3756/e20200178

Cited by 10 publications

(12 citation statements)

References 7 publications

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“…Over 80.3% of the homeless individuals were males, which is consistent with the observation of previous similar studies in Brazil ( 30 ) and Ethiopia ( 9 ). Furthermore, majority of the homeless individuals in the present study were young and TB was observed in this young group of individuals, which is also in agreement with the reports of earlier studies ( 31 , 32 ).…”

Section: Discussionsupporting

confidence: 92%

Prevalence of pulmonary tuberculosis in homeless individuals in the Addis Ababa City, Ethiopia

Shamebo

Mekesha

Getahun

et al. 2023

Front. Public Health

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BackgroundHomeless individuals are at a high risk of infection with Mycobacterium tuberculosis (M. tuberculosis) as compared to the general population. The number of homeless individuals has been increasing in Addis Ababa City during the last three decades due to the migration of rural inhabitants to the City for better living conditions. The objective of this study was to estimate the prevalence of pulmonary tuberculosis (PTB) and evaluate associated risk factors in homeless individuals in Addis Ababa City.MethodsA total of 5,600 homeless individuals were screened for PTB symptoms using WHO guideline between February 2019 and December 2020. Sputum samples were cultured from individuals with symptoms of PTB for mycobacterial isolation. Logistic regression analysis was used to identify factors associated with PTB.ResultsThe prevalence of bacteriologically confirmed cases was 1.1% (59/5,600) or 10.54 per 1000 population. Multinomial logistic regression analysis showed that being homeless for more than 5 years, body mass index (BMI) < 18.5, smoking cigarette, living in a group of more than five individuals, close contact with chronic coughers, imprisonment and HIV infection were significantly associated with the prevalence of PTB in homeless individuals (P < 0.05).ConclusionIn conclusion, the result of this study indicated that the prevalence of PTB in homeless individuals was higher than the prevalence of PTB in the general population of Addis Ababa City requiring for the inclusion of the homeless individuals in the TB control program.

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Section: Discussionsupporting

confidence: 92%

Prevalence of pulmonary tuberculosis in homeless individuals in the Addis Ababa City, Ethiopia

Shamebo

Mekesha

Getahun

et al. 2023

Front. Public Health

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“…Homeless people are constantly exposed to different pathogens due to social exclusion and precarious quality of life and access to health. This fact corroborates the greater risk of pulmonary tuberculosis infection (SANTOS et al, 2021).…”

Section: Introductionsupporting

confidence: 75%

Analysis of the Proportion of Homeless Individuals Diagnosed With Pulmonary Tuberculosis Among the Total Cases, by Brazilian Region, in the Period From 2019 to 2021

Dias,

Medeiros,

Figueira

2023

JHS

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Pulmonary tuberculosis is a bacterial disease caused mainly by the bacillus Mycobacterium tuberculosis and presents the airways as the entry point for the microorganism. Tuberculosis control in the country presents obstacles that include socioeconomic factors associated with the unequal distribution of health, sanitary conditions and increased social vulnerability. Homeless people are constantly exposed to different pathogens due to social exclusion and poor quality of life, corroborating their increased risk of pulmonary tuberculosis infection. A quantitative study was carried out from 2019 to 2021 by Brazilian regions with the objective of analyzing the proportion of the homeless population with pulmonary tuberculosis among the total resident population diagnosed with this disease in Brazil. Secondary epidemiological data were obtained from the Department of Informatics of the SUS (DATASUS), from the National Notifiable Diseases System (SINAN). The percentage rate of diagnoses for pulmonary tuberculosis was considered the ratio between the diagnoses in the homeless population and the number of cases in the total Brazilian population. Data were tabulated and analyzed using basic statistical operations in an Excel spreadsheet. In the 3 years analyzed, the North region maintained the lowest proportion of pulmonary TB in homeless individuals, while the South region was the leader in this rate. Although the South region has gained prominence in this research, the other regions also have high proportions and need special attention in combating underreporting. Furthermore, the insufficient number of Community Health Agents (CHA) results in an increase in the treatment abandonment rate, which may reflect in the recurrence of the disease. In this context, the implementation of greater access to Primary Health Care and the fight against underreporting are essential actions that can change the current epidemiological scenario of pulmonary TB among homeless individuals in Brazil.

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“…A tuberculose, outro preditor importante de morbidade, teve seu acometimento pregresso apontado por 25 indivíduos, e a tosse esteve presente como causa de 5,89% dos atendimentos prestados. A primeira é um achado comum na literatura, 5,10,21 havendo preponderância 20% maior nessa categoria em relação à população geral, com maior acometimento pela forma pulmonar da doença e menores índices de tratamento. 21 O histórico de traumas foi um relato importante, presente em aproximadamente 60% dos pacientes atendidos.…”

Section: Discussionunclassified

“…A primeira é um achado comum na literatura, 5,10,21 havendo preponderância 20% maior nessa categoria em relação à população geral, com maior acometimento pela forma pulmonar da doença e menores índices de tratamento. 21 O histórico de traumas foi um relato importante, presente em aproximadamente 60% dos pacientes atendidos. As pesquisas de Rosendale et al 22 e Stubbs et al 23 apresentaram a importância do trauma nesses pacientes, sendo o traumatismo cranioencefálico (TCE) apontado como uma das principais causas de hospitalização na população em situação de rua, com prevalência de 22,5% no decorrer da vida.…”

Section: Discussionunclassified

Saúde dos indivíduos em situação de rua

Gomes¹,

Passoni

Sirigatti³

et al. 2022

Rev Bras Med Fam Comunidade

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Introdução: A população em situação de rua é vulnerabilizada por diversos fatores que determinam ou condicionam sua saúde e ocasionam aumento dos índices de comorbidades clínicas, entre elas as doenças mentais, crônicas e infectocontagiosas. A marginalização dos indivíduos que se encontram em situação de rua abre uma lacuna na assistência em saúde que, por vezes, é suprida por organizações sem fins lucrativos que exercem um papel social elementar. Objetivo: Mapear o perfil clínico da população em situação de rua de Curitiba (PR) atendida por iniciativa voluntária no período de um ano. Métodos: Trata-se de um estudo observacional descritivo de base documental realizado com fichas clínicas dos 509 pacientes maiores de 18 anos e que tiveram seu primeiro atendimento médico realizado pela Associação Médicos do Mundo, filial Curitiba (PR), no ano de 2019. Resultados: Indivíduos do sexo masculino, de etnia branca, faixa etária entre 36 e 45 anos, que cursaram o ensino fundamental e que se encontravam havia menos de um ano em situação de rua foram as condições sociodemográficas predominantes. As principais queixas motivadoras da procura pelo atendimento foram dor (45,19%), lesões cutâneas (15,71%) e queixas oftalmológicas (6,68%). Parte dos indivíduos mostrou acometimento crônico por hipertensão arterial sistêmica (9,03%), HIV/AIDS (3,53%) e diabetes mellitus (3,53%). Também foi identificada quantidade significativa de relatos de histórico de traumas físicos (59%). Encontrou-se correlação estatística entre hipertensão e medicamentos de uso contínuo (p=0,001). Menos que 10% dos indivíduos procuraram atendimento médico por queixas de saúde mental. Das mulheres que fizerem parte do estudo, 70% relataram fazer uso de substâncias e aproximadamente metade delas, uso regular de medicamentos. Já o uso de anticoncepcionais foi relatado por uma minoria delas (18,57%). Conclusões: As queixas de dor, as lesões cutâneas e as demandas oftalmológicas foram os principais motivadores da procura por ajuda médica pela população em situação de rua, além da prevalência de hipertensão arterial sistêmica como doença crônica. Os achados podem auxiliar e direcionar ações em saúde voltadas para essa população marginalizada.

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Analysis and comparison of tuberculosis treatment outcomes in the homeless population and in the general population of Brazil

Cited by 10 publications

References 7 publications

Prevalence of pulmonary tuberculosis in homeless individuals in the Addis Ababa City, Ethiopia

Prevalence of pulmonary tuberculosis in homeless individuals in the Addis Ababa City, Ethiopia

Analysis of the Proportion of Homeless Individuals Diagnosed With Pulmonary Tuberculosis Among the Total Cases, by Brazilian Region, in the Period From 2019 to 2021

Saúde dos indivíduos em situação de rua

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