Acquired and Transmitted Multidrug-Resistant Tuberculosis among the Incarcerated Population and Its Determinants in the State of Paraná—Brazil

Márcio Souza dos Santos (), Flávia Meneguetti Pieri, Thaís Zamboni Berra, Alessandro Rolim Scholze, Antônio Carlos Vieira Ramos, Juliane de Almeida Crispim, Clóvis Luciano Giacomet, Yan Mathias Alves, Fernanda Bruzadelli Paulino da Costa, Heriederson Sávio Dias Moura, Titilade Kehinde Ayandeyi Teibo, Jonas Bodini Alonso, Giselle Lima de Freitas and Ricardo Alexandre Arcêncio
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Márcio Souza dos Santos: Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, Brazil
Flávia Meneguetti Pieri: Department of Nursing, State University of Londrina, Londrina 86039-440, PR, Brazil
Thaís Zamboni Berra: Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, Brazil
Alessandro Rolim Scholze: Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, Brazil
Antônio Carlos Vieira Ramos: Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, Brazil
Juliane de Almeida Crispim: Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, Brazil
Clóvis Luciano Giacomet: Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, Brazil
Yan Mathias Alves: Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, Brazil
Fernanda Bruzadelli Paulino da Costa: Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, Brazil
Heriederson Sávio Dias Moura: Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, Brazil
Titilade Kehinde Ayandeyi Teibo: Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, Brazil
Jonas Bodini Alonso: Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, Brazil
Giselle Lima de Freitas: Department of Nursing, Federal University of Minas Gerais, Belo Horizonte 30130-100, MG, Brazil
Ricardo Alexandre Arcêncio: Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, Brazil

IJERPH, 2022, vol. 19, issue 22, 1-12

Abstract: (1) Background: Tuberculosis remains a public health problem in the world. The study analyzed the factors associated with drug-resistant tuberculosis in the prison population of the state of Paraná. (2) Methods: Ecological study of drug-resistant tuberculosis cases registered in the Paraná Information System, Brazil (2008 to 2018). We performed descriptive statistics of quantitative parameters calculated with absolute frequencies. Additionally, we used binary regression logistics, where the odds ratio with its respective confidence interval was calculated. (3) Results: Of the 653 cases registered as cases of tuberculosis in the incarcerated population, 98 were drug-resistant tuberculosis. We observed that educational level of up to 8 to 11 years of schooling, negative bacterial culture (test outcome) and no tobacco use were factors associated with the non-development of drug-resistant tuberculosis, while clinically confirmed pulmonary TB and positive sputum smear microscopy in the fourth month of follow-up showed an association for the development of drug resistance. (4) Conclusions: The study showed that clinically confirmed pulmonary TB and a positive sputum smear microscopy in the fourth month of follow-up were associated with drug-resistant tuberculosis.

Keywords: tuberculosis; drug resistance; persons deprived of liberty; prisoners; public health (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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