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首页> 外文期刊>Revista de Saúde Pública >Tuberculosis in indigenous children in the Brazilian Amazon
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Tuberculosis in indigenous children in the Brazilian Amazon

机译：巴西亚马逊河土著儿童的结核病

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OBJECTIVE: Assess the epidemiological aspects of tuberculosis in Brazilian indigenous children and actions to control it. METHODS: An epidemiological study was performed with 356 children from 0 to 14 years of age in Rond?nia State, Amazon, Brazil, during the period 1997-2006. Cases of TB reported to the Notifiable Diseases Surveillance System were divided into indigenous and non-indigenous categories and analyzed according to sex, age group, place of residence, clinical form, diagnostic tests and treatment outcome. A descriptive analysis of cases and hypothesis test (χ2) was carried out to verify if there were differences in the proportions of illness between the groups investigated. RESULTS: A total of 356 TB cases were identified (125 indigenous, 231 non-indigenous) of which 51.4% of the cases were in males. In the indigenous group, 60.8% of the cases presented in children aged 0-4 years old. The incidence mean was much higher among indigenous; in 2001, 1,047.9 cases/100,000 inhabitants were reported in children aged < 5 years. Pulmonary TB was reported in more than 80% of the cases, and in both groups over 70% of the cases were cured. Cultures and histopathological exams were performed on only 10% of the patients. There were 3 cases of TB/HIV co-infection in the non-indigenous group and none in the indigenous group. The case detection rate was classified as insufficient or fair in more than 80% of the indigenous population notifications, revealing that most of the diagnoses were performed based on chest x-ray. CONCLUSIONS: The approach used in this study proved useful in demonstrating inequalities in health between indigenous and non-indigenous populations and was superior to the conventional analyses performed by the surveillance services, drawing attention to the need to improve childhood TB diagnosis among the indigenous population.
机译：目的：评估巴西土著儿童的结核病流行病学方面及其控制措施。方法：在1997-2006年期间，对巴西亚马逊河朗德尼亚州的356名0至14岁的儿童进行了流行病学研究。向法定疾病监测系统报告的结核病病例分为土著和非土著类别，并根据性别，年龄组，居住地，临床形式，诊断检查和治疗结果进行分析。对病例和假设检验（χ2）进行描述性分析，以验证所调查的两组之间的疾病比例是否存在差异。结果：总共鉴定出356 TB病例（125例土著，231例非土著），其中51.4％的病例为男性。在土著群体中，60.8％的病例为0-4岁的儿童。土著人的平均发病率要高得多; 2001年，报告了5岁以下儿童中有1,047.9例/ 100,000居民。据报告，肺结核在80％以上的病例中得到治愈，两组中超过70％的病例已治愈。仅对10％的患者进行了文化和组织病理学检查。非土著人群中有3例TB / HIV合并感染，而土著人群中没有。在超过80％的土著人口通报中，病例发现率被分类为不充分或不公平，这表明大多数诊断是根据胸部X射线进行的。结论：本研究中使用的方法被证明可用于证明土著和非土著人群之间的健康不平等，并且优于监测机构进行的常规分析，引起了人们对改善土著人群中儿童结核病诊断的需求的关注。

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