Abstract
Given the epidemiological relevance of tuberculosis and human immunodeficiency virus (TB-HIV) coinfection and the scarcity of recent data analysis provided by the Notifiable Diseases Information System, it is essential to analyze the spatial distribution of TB-HIV coinfection in the state of Rio Grande do Norte. Thus, this study aimed to analyze the spatial distribution and epidemiological profile of TB-HIV co-infection cases between 2001 and 2018 in the state of Rio Grande do Norte, Brazil. This is an ecological study whose population was of confirmed cases of TB-HIV co-infection between the years 2001 to 2018 in the state of Rio Grande do Norte. Data were obtained from the Informatics Department of the Unified Health System, from the Notifiable Diseases Information System, which were tabulated in Microsoft Excel and analyzed using descriptive statistics. For the spatial analysis, the TerraView software was used to calculate the Global Moran Index and then the Local Moran Index. Between 2001 and 2018 there were 1,576 confirmed cases of TB-HIV coinfection in the state of Rio Grande do Norte. Of these 1,197 (76%) were males aged between 20 and 39 years (56.47%). The predominant clinical form was pulmonary TB in 1,102 (69.82%) cases. The results obtained showed a positive autocorrelation between the most urbanized cities in the state of Rio Grande do Norte, which are located in health regions I, II, III, and VII. Adult males aged 20-39 years, having an incomplete primary education, and living in urban areas were the most frequent characteristics according to the epidemiological profile of the population. Thus, it is advised that health professionals who serve this population affected by these infections should be trained and have empathy.
Highlights
Tendo em vista a relevância epidemiológica da coinfecção TB-HIV e a escassez de análises recentes dos dados propiciado pelo Sistema de Informação de Agravos de Notificação, torna-se fundamental analisar a distribuição espacial da coinfecção TB-HIV no estado Rio Grande do Norte
O desenvolvimento da com que o Ministério da Saúde (MS) realize multirresistência aos fármacos antituberculose a busca de estratégias viáveis estabelecendo é a principal causa da elevação da taxa de marcos intermediários visando atingir os objetivos mortalidade, levando à uma situação de propostos pela World Health Organization (WHO), para a redução do número agravamento dos enfermos, estendendo o de óbitos em 35%, 75% e 90% e do coeficiente tempo de tratamento e consequente aumento de incidência em 20%, 50% e 80% para os anos dos custos das ações de controle[2,3]
Entre 2004 e 2006, as regiões I, II, III, VI, VII O LISA Map, apontou clusters de e VIII, com um total de 22 municípios
Summary
HIV, sendo a causa de maior repercussão na acompanhamento efetivo dessa população[10,11]. O referido estudo é do tipo ecológico, cuja população foi composta de casos confirmados de coinfecção de TB-HIV entre os anos de 2001 a 2018 no estado do Rio Grande do Norte, Brasil. De 2007 a espacial da taxa de incidência nos anos de 2009, as regiões, I, II, III, IV, V, VI, VII e VIII, 2001 a 2018, houve significância estatística com um total de 16 municípios. Entre 2004 e 2006, as regiões I, II, III, VI, VII O LISA Map, apontou clusters de e VIII, com um total de 22 municípios. Entre LISA MAP no período de 2001 a 2003, as 2013 a 2015, as regiões, I, II, III, IV, V, VII regiões de saúde que obtiveram significância e VIII, com um total de 32 municípios.
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