Nogueira Péricles Alves, Abrahão Regina Maura Cabral de Melo, Galesi Vera Maria Neder
Departamento de Epidemiologia, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, SP, Brasil.
Rev Bras Epidemiol. 2011 Sep;14(3):486-94. doi: 10.1590/s1415-790x2011000300013.
For groups of persons who remain confined, mainly in prisons, tuberculosis has always been a serious health problem, due to its transmission respiratory, putting in risk the professionals that work in a prison, especially the communicants of inmates.
To know the infection prevalence for the Mycobacterium tuberculosis among the employees communicating and no communicating of inmates of two prisons of the State of São Paulo.
This study consisted of the application of an individual questionnaire; application and reading of the tuberculin skin testing (TST); sputum smear examination and culture; identification and drug sensitivity testing; in the period of March the June of 2008.
277 (48.3%) employees of the 574 existent were examined. They were applied and read 248 (89.5%) TST (PPD-RT23 - 2TU/0.1 mL); of them, 194 were in employees that worked directly with the inmates, that is, were communicants and 54 were no communicants. Among the communicants, 62.4% presented induration larger than 10 mm and among the non communicants, 38.9% presented this measure of TST. There was not positive in the sputum smear examination or in the culture, that is, tuberculosis illness case was not identified enters the professionals, at the moment of the research.
This study suggests that the communicant employees have a larger risk of if they infect for the M. tuberculosis and consequently of being sick of tuberculosis.
对于主要被关押在监狱中的人群而言，结核病一直是一个严重的健康问题，因为其通过呼吸道传播，使在监狱工作的专业人员面临风险，尤其是与囚犯有接触的人员。
了解圣保罗州两所监狱中与囚犯有接触和无接触的工作人员中结核分枝杆菌的感染率。
本研究包括发放个人问卷；进行结核菌素皮肤试验（TST）并读取结果；痰涂片检查和培养；鉴定及药敏试验；研究时间为2008年3月至6月。
对现有的574名工作人员中的277名（48.3%）进行了检查。共进行并读取了248份（89.5%）TST（PPD-RT23 - 2TU/0.1 mL）；其中，194名是直接与囚犯接触的工作人员，即有接触者，54名是无接触者。在有接触者中，62.4%的硬结直径大于10毫米，在无接触者中，38.9%的TST有此测量结果。痰涂片检查或培养均未呈阳性，即在研究时未在专业人员中发现结核病病例。
本研究表明，有接触的工作人员感染结核分枝杆菌的风险更大，因此患结核病的风险也更大。
