2002年对巴西东南部一个中等规模城市结核病控制项目中的结核病接触者进行的调查。

Investigation of tuberculosis contacts in the tuberculosis control program of a medium-sized municipality in the southeast of Brazil in 2002.

作者信息

Gazetta Cláudia Eli, Ruffino-Netto Antonio, Pinto Neto José Martins, Santos Maria de Lourdes Sperli Geraldes, Cury Maria Rita de Cássia Oliveira, Vendramini Silvia Helena Figueiredo, Villa Tereza Cristina Scatena

机构信息

Department of Collective Health Nursing and Professional Orientation, Faculdade de Medicina, São José do Rio Preto, São José do Rio Preto, Brazil.

出版信息

J Bras Pneumol. 2006 Nov-Dec;32(6):559-65. doi: 10.1590/s1806-37132006000600014.

DOI:10.1590/s1806-37132006000600014

PMID:17435907

Abstract

OBJECTIVE

This study aimed to describe the investigation of tuberculosis contacts enrolled in the Tuberculosis Control Program of the municipality of São José do Rio Preto, Brazil in 2002.

METHODS

A descriptive study was conducted using secondary data obtained from the Tuberculosis Notification Database, as well as charts and registries compiled by the São José do Rio Preto Tuberculosis Control Program in 2002.

RESULTS

A total of 166 household tuberculosis contacts were enrolled in the Program. Of those, 82 were male, and 84 were females. The incidence of tuberculosis was highest (70%) in the 15 to 59 age bracket: 42 (25.3%) of the cases occurred in individuals from 0 to 19 years of age; 73 (44%) in those from 20 to 49; and 44 (25.5%) in those 50 or over. In terms of their relationship with the index patient, 41 (24.7%) were children; 29 (17.5%) were partners; 22 (13.2%) were siblings, and 15 (9.1%) were mothers. The following tests were requested: (in 12%) sputum smear microscopy, culture or both; (in 100%) chest X-ray, revealing 2 suspected cases of pulmonary tuberculosis and 5 cases of other diseases; (in 7.2%) tuberculin skin test, the results of which showed that 4.2% were nonreactors, and that 1.2% presented an induration of 8 mm. Among the contacts examined, the disease was detected in 3 (1.8%).

CONCLUSION

There is no systematization in the monitoring of individuals who are in contact with tuberculosis patients.

摘要

目的

本研究旨在描述2002年巴西里约普雷图河畔圣若泽市结核病控制项目中登记的结核病接触者的调查情况。

方法

采用描述性研究，使用从结核病通报数据库获得的二手数据，以及里约普雷图河畔圣若泽市结核病控制项目2002年编制的图表和登记册。

结果

该项目共登记了166名家庭结核病接触者。其中，男性82名，女性84名。结核病发病率在15至59岁年龄组最高（70%）：42例（25.3%）发生在0至19岁的个体中；73例（44%）发生在20至49岁的个体中；44例（25.5%）发生在50岁及以上的个体中。就与索引患者的关系而言，41名（24.7%）是儿童；29名（17.5%）是伴侣；22名（13.2%）是兄弟姐妹，15名（9.1%）是母亲。进行了以下检查：（12%）痰涂片显微镜检查、培养或两者皆做；（100%）胸部X光检查，发现2例疑似肺结核病例和5例其他疾病病例；（7.2%）结核菌素皮肤试验，结果显示4.2%无反应，1.2%硬结直径为8毫米。在接受检查的接触者中，检测出3例（1.8%）患病。