科研之友
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摘要
objective: to evaluate tuberculosis cases occurring in the greater metropolitan area of the distrito federal (madf, encompassing the federal district, i.e., the national capital of bras赤lia, located in the state of goi芍s) but reported in bras赤lia itself and to analyze the influence that this has on the effectiveness of the tuberculosis control program, as well as on the collection of socioeconomic and demographic data related to tuberculosis incidence rates. methods: rates of tuberculosis incidence, cure, noncompliance, treatment failure, mortality, and referral, as well as socioeconomic and demographic data, were reviewed for patients from ten madf cities. results: from 2000 to 2004, 714 new cases of tuberculosis were reported in the cities studied, 436 (61%) of which were treated in bras赤lia and were therefore not included in the goi芍s database. among patients treated only in the madf cities studied, the mean incidence of tuberculosis ranged from 4.40 to 10.02/100,000 inhabitants. when those treated in bras赤lia were included, the incidence significantly increased, ranging from 15.16 to 20.54/100,000 inhabitants (p %26lt; 0.001). the rate at which contacts of tuberculosis patients were investigated was low, and treatment outcomes were unsatisfactory in the madf cities studied and in bras赤lia. socioeconomic and demographic data were consistent with the tuberculosis incidence. conclusion: the number of tuberculosis patients treated in the city in which they resided was lower than expected. treatment in another city might impair tuberculosis control. the recalculated tuberculosis incidence is consistent with the socioeconomic and demographic profile of the region. a federal surveillance system could be efficiently optimized, improving the control of this disease.
