Pinto Priscila Fernanda Porto Scaff, Silveira Cássio, Rujula Maria Josefa Penon, Chiaravalloti Francisco, Ribeiro Manoel Carlos Sampaio de Almeida
Faculdade de Ciências Médicas, Santa Casa de São Paulo - São Paulo (SP), Brasil.
Faculdade de Saúde Pública, Universidade de São Paulo - São Paulo (SP), Brasil.
Rev Bras Epidemiol. 2017 Jul-Sep;20(3):549-557. doi: 10.1590/1980-5497201700030016.
Tuberculosis is a serious public health problem that still persists in the world and in Brazil. The municipality of São Paulo, Brazil, is among the prioritized ones in the country for disease control.
To describe the epidemiological profile of all new tuberculosis cases in São Paulo municipality reported between the years 2006 and 2013.
The variables selected for the study were: socioeconomic, demographic and clinical-epidemiologic obtained through the online information system TB-WEB. A descriptive analysis of the data was performed to undertake the comparison among the years. To study the historical series, linear trend analysis was held.
There was an increase in the tuberculosis incidence rate in children under 15 years and in homeless people. The cure rate has improved as the proportion of completion of supervised treatment and the proportion of cases diagnosed by primary care clinics. The disease is unevenly distributed within the municipality of São Paulo and there are districts that were not able to improve the tuberculosis control.
The municipal tuberculosis program control needs to target the vulnerable groups and the regions of the city where the incidence rates are higher.
结核病是一个严重的公共卫生问题，在全球及巴西依然存在。巴西圣保罗市是该国疾病控制的重点地区之一。
描述2006年至2013年间圣保罗市所有新结核病病例的流行病学特征。
本研究选取的变量包括：通过在线信息系统TB-WEB获取的社会经济、人口统计学及临床流行病学变量。对数据进行描述性分析以进行年份间的比较。为研究历史序列，进行了线性趋势分析。
15岁以下儿童及无家可归者的结核病发病率有所上升。随着督导治疗完成比例及基层医疗诊所诊断病例比例的提高，治愈率有所改善。该疾病在圣保罗市内分布不均，有些地区未能改善结核病控制情况。
市级结核病防控项目需要针对弱势群体及市内发病率较高的地区。
