Departamento de Apoio à Gestão da Vigilância em Saúde, Secretaria de Vigilância em Saúde, Ministério da Saúde, Brasília, DF, Brasil.
Rev Saude Publica. 2011 Jun;45(3):548-55. doi: 10.1590/s0034-89102011005000021. Epub 2011 Apr 15.
To analyze the underreporting of the tuberculosis (TB) and AIDS comorbidity.
Surveillance study using records from the Notifiable Diseases Information System - Tuberculosis and AIDS in Brazil from 2000 to 2005. Records of TB without information on the presence of Aids were considered to be underreporting of the comorbidity when paired off with AIDS records in which the year of diagnosis of AIDS was the same or previous to the year of reporting of TB, as well as records from the same patient whose previous records had this information. An indicator was created: recognized TB-AIDS comorbidity, based on the TB records that had information on the presence of AIDS.
The underreporting of TB-AIDS was 17.7%. This percentage varied between states. The incorporation of the underreported records into the previously recognized ones increased the proportion of TB-AIDS in Brazil from 6.9% to 8.4%. The highest proportions of underreporting were noted in Acre (Northern), Alagoas, Maranhão and Piauí (Northeastern) (more than 35% each) and the lowest in São Paulo (Southeastern) and Goiás (Central-western) (around 10% each).
The underreporting of the TB-AIDS comorbidity found in Brazil will probably trigger modifications in the surveillance system in order to provide information for the national programs.
分析结核病（TB）和艾滋病合并症漏报情况。
使用巴西传染病报告系统-结核病和艾滋病的监测数据进行监测研究，研究时间为 2000 年至 2005 年。TB 患者的记录中未包含艾滋病信息，如果与 AIDS 记录相匹配，且 AIDS 的诊断年份与 TB 报告年份相同或早于 TB 报告年份，或与同一患者的先前记录中包含此信息的记录相匹配，则视为合并症漏报。创建了一个指标：基于 TB 记录中包含艾滋病信息的“公认的 TB-AIDS 合并症”。
TB-AIDS 漏报率为 17.7%。各州之间的漏报率存在差异。将漏报记录纳入之前已识别的记录中，使巴西的 TB-AIDS 比例从 6.9%增加到 8.4%。在北部的阿克里、阿拉戈斯、马拉尼昂和皮奥伊，以及东北部的报告漏报率最高（均超过 35%），而在东南部的圣保罗和中西部的戈亚斯，报告漏报率最低（均约为 10%）。
巴西发现的 TB-AIDS 合并症漏报情况可能会促使监测系统进行修改，以便为国家项目提供信息。
