Dalcolmo Margareth Pretti, Andrade Mônica Kramer de Noronha, Picon Pedro Dornelles
Centro de Referência Hélio Fraga, Ministério da Saúde, Rio de Janeiro, RJ, Brazil.
Rev Saude Publica. 2007 Sep;41 Suppl 1:34-42. doi: 10.1590/s0034-89102007000800006.
The article aimed at assessing multidrug-resistant tuberculosis control in Brazil, based on the experiences of reference institutions, and the most relevant studies carried out to determine local and national resistance rates. Control measures and the current situation of treatment and diagnoses after the implementation of the national guidelines, which were revised in 2004, are considered. The first national survey on resistance to anti-tuberculosis drugs was performed in the middle of last decade. From its outcomes, a regimen to treat all cases of multidrug-resistant tuberculosis was validated and adopted. Government measures enabled the implementation of a surveillance system, whose outcomes are also commented.
本文旨在基于参考机构的经验以及为确定当地和全国耐药率而开展的最相关研究，评估巴西的耐多药结核病控制情况。文中考虑了2004年修订的国家指南实施后的控制措施以及治疗和诊断的现状。上世纪九十年代中期开展了首次全国抗结核药物耐药性调查。根据调查结果，验证并采用了一种治疗所有耐多药结核病病例的方案。政府采取的措施促成了一个监测系统的实施，文中也对该系统的结果进行了评论。
