SETTING: Rio de Janeiro (RJ) State prisons, where tuberculosis (TB) is highly endemic. OBJECTIVE: To measure TB prevalence, identify risk factors and ascertain the most appropriate screening method among inmates of the RJ prisons. DESIGN: Systematic chest X-rays (CXRs) were performed in 1696 male inmates of three RJ prisons. Inmates were selected for sputum examination and culture if their CXRs showed evidence of any pulmonary, pleural or mediastinal abnormality. TB diagnosis was based on bacteriological results or, if bacteriological results were negative, on response to TB treatment. RESULTS: TB prevalence was 2.7% (46/1696), and 32/46 cases (69%) were bacteriologically confirmed, including 19 smear-positive cases. CXR lesions were extensive in 43% of cases. In the logistic regression model, TB-associated variables were being illiterate (adjusted OR 2.10, 95%CI 1.02-4.34), cough >or=3 weeks (aOR 2.85, 95%CI 1.54-5.27), history of TB treatment (aOR 3.61, 95%CI 1.76-7.39), and living in Rio City suburbs (aOR 4.54, 95%CI 1.02-20.07) and in Rio City (aOR 5.48, 95%CI 1.29-23.33). A screening based on cough >or=3 weeks followed by sputum smear examination would have identified only 9 of the 46 cases. CONCLUSION: These results call for screening on admission to prison based, if feasible, on CXR, and demonstrate the urgent need to improve detention conditions and medical assistance in police remand cells.
SETTING: Rio de Janeiro (RJ) State prisons, where tuberculosis (TB) is highly endemic. OBJECTIVE: To measure TB prevalence, identify risk factors and ascertain the most appropriate screening method among inmates of the RJ prisons. DESIGN: Systematic chest X-rays (CXRs) were performed in 1696 male inmates of three RJ prisons. Inmates were selected for sputum examination and culture if their CXRs showed evidence of any pulmonary, pleural or mediastinal abnormality. TB diagnosis was based on bacteriological results or, if bacteriological results were negative, on response to TB treatment. RESULTS: TB prevalence was 2.7% (46/1696), and 32/46 cases (69%) were bacteriologically confirmed, including 19 smear-positive cases. CXR lesions were extensive in 43% of cases. In the logistic regression model, TB-associated variables were being illiterate (adjusted OR 2.10, 95%CI 1.02-4.34), cough >or=3 weeks (aOR 2.85, 95%CI 1.54-5.27), history of TB treatment (aOR 3.61, 95%CI 1.76-7.39), and living in Rio City suburbs (aOR 4.54, 95%CI 1.02-20.07) and in Rio City (aOR 5.48, 95%CI 1.29-23.33). A screening based on cough >or=3 weeks followed by sputum smear examination would have identified only 9 of the 46 cases. CONCLUSION: These results call for screening on admission to prison based, if feasible, on CXR, and demonstrate the urgent need to improve detention conditions and medical assistance in police remand cells.
Authors: Juliana Urrego; Albert I Ko; Andrea da Silva Santos Carbone; Dayse Sanchez Guimarães Paião; Renata Viebrantz Enne Sgarbi; Catherine W Yeckel; Jason R Andrews; Julio Croda Journal: Am J Trop Med Hyg Date: 2015-07-20 Impact factor: 2.345
Authors: Andrea da Silva Santos; Roberto Dias de Oliveira; Everton Ferreira Lemos; Fabiano Lima; Ted Cohen; Olivia Cords; Leonardo Martinez; Crhistinne Gonçalves; Albert Ko; Jason R Andrews; Julio Croda Journal: Clin Infect Dis Date: 2021-03-01 Impact factor: 9.079
Authors: Andrea da Silva Santos Carbone; Dayse Sanchez Guimarães Paião; Renata Viebrantz Enne Sgarbi; Everton Ferreira Lemos; Renato Fernando Cazanti; Marcos Massaki Ota; Alexandre Laranjeira Junior; José Victor Bortolotto Bampi; Vanessa Perreira Fayad Elias; Simone Simionatto; Ana Rita Coimbra Motta-Castro; Maurício Antonio Pompílio; Sandra Maria do Valle de Oliveira; Albert I Ko; Jason R Andrews; Julio Croda Journal: BMC Infect Dis Date: 2015-01-22 Impact factor: 3.090
Authors: Alexandra Sanchez; Veronique Massari; Germano Gerhardt; Ana Beatriz Espinola; Mahinda Siriwardana; Luiz Antonio B Camacho; Bernard Larouzé Journal: BMC Public Health Date: 2013-10-20 Impact factor: 3.295
Authors: Biljana Ilievska-Poposka; Maja Zakoska; Karolina Pilovska-Spasovska; Ljiljana Simonovska; Vladimir Mitreski Journal: Open Access Maced J Med Sci Date: 2018-06-22