Universidade de Brasília, Programa de Pós-Graduação em Medicina Tropical, Brasília, DF, Brasil.
Epidemiol Serv Saude. 2020 Dec 4;29(5):e2020060. doi: 10.1590/S1679-49742020000500014. eCollection 2020.
To characterize tuberculosis cases notified at post-mortem in Brazil in 2014.
This is a descriptive study of tuberculosis cases notified at post-mortem. Data resulted from linkage of the Notifiable Health Conditions Information System-TB (SINAN-TB) and the Mortality Information System (SIM), and were described according to underlying cause of death: tuberculosis, AIDS and other.
In the 2,703 tuberculosis cases notified at post-mortem, a higher proportion was found of people of the male sex (73.5%), aged over 39 (80.8%), <8 years of schooling (66.5%), of Black and brown race/skin color (62.8%), with the pulmonary clinical form of tuberculosis (75.2%); there was also a higher proportion of cases notified by the public health service (57.6%) and in municipalities with HDI-M >0.7 (66.6%).
The characteristics described of people with post-mortem notification and the magnitude of this outcome suggest weaknesses in tuberculosis care and surveillance services.
描述 2014 年巴西尸检呈报的肺结核病例特征。
本研究为尸检呈报肺结核病例的描述性研究。通过结核通报信息系统-肺结核(SINAN-TB)与死亡信息系统(SIM)的关联获取数据,并根据根本死因(肺结核、艾滋病和其他)进行描述。
在 2703 例尸检呈报的肺结核病例中,男性(73.5%)、年龄大于 39 岁(80.8%)、受教育年限<8 年(66.5%)、黑人和棕色人种/肤色(62.8%)、肺结核肺部临床形式(75.2%)的比例较高;此外,公共卫生服务机构报告(57.6%)和人类发展指数-中等(0.7)以上的城市(66.6%)的呈报病例比例较高。
描述的尸检呈报肺结核病例的特征及其严重程度表明结核病护理和监测服务存在薄弱环节。