Spatial patterns of multidrug-resistant tuberculosis: correlation with sociodemographic variables and type of notification

Rev Bras Enferm. 2020 Oct 19;73(suppl 5):e20190845. doi: 10.1590/0034-7167-2019-0845. eCollection 2020.
[Article in English, Portuguese]

Abstract

Objective: Correlate the cases of multidrug-resistant tuberculosis and its spatial patterns with the type of notification and sociodemographic variables.

Method: Ecological study carried out in the municipality of Belém, with 77 cases of multidrug-resistant tuberculosis registered in the Special Treatment Information System for Tuberculosis, between 2012 and 2016. For analysis, the data was debugged followed by geo-referencing in ArcGis 10.3 and Terra View 4.2.2. To relate the cases with the type of notification, the BioEstat 5.4 software was used, with a significance level of 95%.

Results: Of the total, 40 (52%) were new cases; 27 (35%), relapses; and ten (13%) were re-enrolled after leaving. Multidrug-resistant tuberculosis was randomly distributed and related to income, household, territorial cluster and water supply. There was a concentration of cases in two administrative districts, corresponding to 28.5% and 27.3% of the total, with a median Sociodemographic Index.

Conclusion: Behavior of multidrug-resistant tuberculosis influenced by sociodemographic indicators.

MeSH terms

  • Antitubercular Agents / therapeutic use
  • Family Characteristics
  • Humans
  • Income
  • Recurrence
  • Tuberculosis* / drug therapy
  • Tuberculosis, Multidrug-Resistant* / drug therapy
  • Tuberculosis, Multidrug-Resistant* / epidemiology

Substances

  • Antitubercular Agents