Perfil epidemiológico de la tuberculosis en Uberaba, municipio prioritario de Minas Gerais, 2013 a 2023
DOI:
https://doi.org/10.17058/reci.v15i3.19956Palabras clave:
Tuberculosis, Epidemiología, Salud públicaResumen
Justificación y Objetivos: La tuberculosis es una enfermedad infecciosa que presenta factores de riesgo vinculados a cuestiones sociales y comportamentales, así como comorbilidades. Este estudio tuvo como objetivo evaluar los casos de tuberculosis notificados en Uberaba/MG, entre 2013 y 2023. Métodos: Se realizó un estudio transversal utilizando datos del Sistema Nacional de Información de Enfermedades de Notificación Obligatoria, sobre los casos de tuberculosis notificados en Uberaba, a lo largo de 10 años (2013-2023). Resultados: Durante el período de evaluación, se notificaron 931 casos de tuberculosis en Uberaba, con una incidencia promedio de 25,6 casos/100 mil habitantes. La mayoría de los casos fueron registrados en hombres (74,2%), con edad entre 25 y 44 años (48,3%), y con educación de nivel básico o medio (completa o incompleta) (61,6%). En el aspecto social, el 9,8% de los casos de tuberculosis estaban asociados a individuos privados de libertad y el 5,4% de los pacientes eran personas sin hogar. En cuanto a las comorbilidades, el 20,1% de los pacientes con tuberculosis estaban co-infectados con VIH, el 32,1% eran alcohólicos, el 7,5% eran diabéticos y el 27,5% usaban drogas ilícitas. La confirmación laboratorial de la enfermedad ocurrió en el 60,9% de los casos. La forma más común de tuberculosis diagnosticada fue la pulmonar (77,1%), siendo la forma extrapulmonar más frecuente la pleural (36,6%). La mayoría de los casos se clasificaron como nuevos casos (81,8%), siendo los resultados más comunes la cura (55,4%), pérdida de seguimiento (14,9%) y la muerte por tuberculosis (10,6%). Conclusión: Los resultados subrayan características sociodemográficas bien definidas entre los pacientes con tuberculosis, como hombres adultos con baja educación, comorbilidades y comportamientos de riesgo.
Descargas
Referencias
Rahlwes KC, Dias BRS, Campos PC, et al. Pathogenicity and virulence of Mycobacterium tuberculosis. Virulence, 2023;14(1). https://doi.org/10.1080/21505594.2022.2150449
Sossen B, Richards AS, Heinsohn T, et al. The natural history of untreated pulmonary tuberculosis in adults: a systematic review and meta-analysis. Lancet Respir Med. 2023 Apr;11(4):367-379. https://doi.org/10.1016/S2213-2600(23)00097-8
World Health Organization (WHO). Global tuberculosis report 2024. Geneva. https://iris.who.int/bitstream/handle/10665/379339/9789240101531-eng.pdf?sequence=1&isAllowed=y
BRASIL. Ministry of Health. Secretariat of Health Surveillance and Environment. Epidemiological Bulletin: Tuberculosis | 2025. Brasília: Ministry of Health, 2025. https://www.gov.br/aids/pt-br/central-de-conteudo/boletins-epidemiologicos/2025/boletim-epidemiologico-tuberculose-2025/view
IBGE – Brazilian Institute Of Geography And Statistics. IBGE Cities. https://cidades.ibge.gov.br/brasil/mg/uberaba/panorama.
BRASIL. Ministry of Health. Minas Gerais has nine municipalities considered priority in the Healthy Brazil Program. Brasília: Ministry of Health, 2024. https://www.gov.br/saude/pt-br/assuntos/noticias-para-os-estados/minas-gerais/2024/fevereiro/minas-gerais-tem-nove-municipios-considerados-prioritarios-no-programa-brasil-saudavel.
BRASIL. Ministry of Health. DATASUS - Tuberculosis Cases - Since 2001 (SINAN). Tabnet. Brasília, DF: Ministry of Health, 2024. https://datasus.saude.gov.br/informacoes-de-saude-tabnet/
Bendiksen R, Ovesen T, Asfeldt AM, et al. Use of video directly observed treatment for tuberculosis in Northern Norway. Tidsskr Nor Laegeforen. 2020 Jan 13;140(1). https://doi.org/10.4045/tidsskr.19.0322
Cortez AO, Melo AC de, Neves L de O, et al. Tuberculosis in Brazil: one country, multiple realities. J Bras Pneumol [Internet]. 2021; 47(2):e20200119. https://doi.org/10.36416/1806-3756/e20200119
Falzon D, Zignol M, Bastard M, et al. The impact of the Covid-19 pandemic on the global tuberculosis epidemic. Front Immunol. 2023 Aug 29;14:1234785. https://doi.org/10.3389/fimmu.2023.1234785
Caliari JS, Figueiredo RM de. Tuberculose: perfil de doentes, fluxo de atendimento e opinião de enfermeiros. Acta Paul Enferm [Internet]. 2012;25(1):43–7. https://doi.org/10.1590/S0103-21002012000100008
Basta PC, Marques M, Oliveira RL, et al. Desigualdades sociais e tuberculose: análise segundo raça/cor, Mato Grosso do Sul [Social inequalities and tuberculosis: an analysis by race/color in Mato Grosso do Sul, Brazil]. Rev Saude Publica. 2013 Oct;47(5):854-64. https://doi.org/10.1590/S0034-8910.2013047004628
Freitas WMTM, Santos CC, Silva MM, et al. Perfil clínico-epidemiológico de pacientes portadores de tuberculose atendidos em uma unidade municipal de saúde de Belém, Estado do Pará, Brasil. Rev Pan-Amaz Saude [Internet]. 2016 Jun; 7(2): 45-50. http://dx.doi.org/10.5123/S2176-62232016000200005
Freitas GL de, França GEM, Souza TR de, et al. Diagnóstico e acompanhamento da tuberculose - diferenças entre população geral e populações vulnerabilizadas. Cogitare Enferm [Internet]. 2022;27:e83607. https://doi.org/10.5380/ce.v27i0.83607
Nordholm AC, Andersen AB, Wejse C, et al. Social determinants of tuberculosis: a nationwide case-control study, Denmark, 1990-2018. Int J Epidemiol. 2022 Oct 13;51(5):1446-1456. https://doi.org/10.1093/ije/dyac109
Litvinjenko S, Magwood O, Wu S, et al. Burden of tuberculosis among vulnerable populations worldwide: an overview of systematic reviews. Lancet Infect Dis. 2023 Dec;23(12):1395-1407. https://doi.org/10.1016/S1473-3099(23)00372-9
Xavier J do N, Silva VM da, Halax Orfão N. Tuberculose na pandemia de Covid-19. Concilium. 2022 Nov 2;22(6):732–45. https://www.researchgate.net/publication/365052465_Tuberculose_na_pandemia_de_COVID-19
do Nascimento Xavier J, Natacha Assunção Francisco A, Halax Orfão N. Análise espacial da tuberculose infantil em um município da Amazônia Brasileira. RCFU [Internet]. 1º de março de 2021; 2(3):19-5. https://doi.org/10.37688/rcfu.v2i3.137
Neves LAS, Canini SRM, Reis RK, et al. AIDS and tuberculosis: coinfection from the perspective of the quality of life of patients. Revista da Escola de Enfermagem da USP, 46(3):704–10, Jun. 2012. https://doi.org/10.1590/S0080-62342012000300024
Waters R, Ndengane M, Abrahams MR, et al. The Mtb-HIV syndemic interaction: why treating M. tuberculosis infection may be crucial for HIV-1 eradication. Future Virol. 2020 Feb;15(2):101-125. https://doi.org/10.2217/fvl-2019-0069
Sekayi W, Namyalo E, Namayanja J, et al. Prevalence and predictors of tuberculosis among HIV patients who completed isoniazid preventive therapy (IPT) at Reach out Mbuya community health initiative. Sci Rep. 2023 Oct 16;13(1):17602. https://doi.org/10.1038/s41598-023-44649-8
BRASIL. Department of Non-Communicable Diseases and Health Promotion, Health Surveillance Secretariat, Ministry of Health. Vigitel Brazil 2021. Surveillance of risk and protection factors for chronic diseases by telephone survey. Brasília: Ministry of Health; 2021. https://bvsms.saude.gov.br/bvs/publicacoes/vigitel_brasil_2021.pdf
BRASIL. Ministry of Health. Secretariat of Health Surveillance. Department of Communicable Diseases Surveillance. Recommendations Manual for Tuberculosis Control in Brazil. Brasília: Ministry of Health, 2019. https://www.gov.br/saude/pt-br/centrais-de-conteudo/publicacoes/svsa/tuberculose/manual-de-recomendacoes-e-controle-da-tuberculose-no-brasil-2a-ed.pdf/@@download/file
Rabahi MF, Silva JLR da, Ferreira ACG, et al. Tuberculosis treatment. J Bras Pneumol [Internet]. 2017 Nov; 43(6):472–86. https://doi.org/10.1590/S1806-37562016000000388
Ghorbanpoor H, Akcakoca I, Norouz Dizaji A, et al. Simple and low-cost antibiotic susceptibility testing for Mycobacterium tuberculosis using screen-printed electrodes. Biotechnol Appl Biochem. 2023 Jun;70(3):1397-1406. https://doi.org/10.1002/bab.2448
Naves EF, Andrade RL de P, Faria MGBF de, Magnabosco GT, Bonfim RO, Ferreira MRL, et al.. USE OF THE RAPID MOLECULAR TEST FOR TUBERCULOSIS AMONG PEOPLE DEPRIVED OF LIBERTY: A SCOPING REVIEW. Texto contexto - enferm [Internet]. 2024;33:e20230288. https://doi.org/10.1590/1980-265X-TCE-2023-0288en
Li T, Yan X, Du X, et al. Extrapulmonary tuberculosis in China: a national survey. Int J Infect Dis. 2023 Mar;128:69-77. https://doi.org/10.1016/j.ijid.2022.12.005
Meirelles RJ de A, Palha PF. Directly observed treatment for tuberculosis in the State of São Paulo. Rev Bras Enferm [Internet]. 2019Sep;72(5):1167–72. https://doi.org/10.1590/0034-7167-2017-0279
Descargas
Publicado
Número
Sección
Licencia
Derechos de autor 2025 Apollo Nobre Torres, Mírian Akiko Kawamura, Yasmin Neves Vieira Sabino, Aline Dias Paiva

Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
The author must state that the paper is original (has not been published previously), not infringing any copyright or other ownership right involving third parties. Once the paper is submitted, the Journal reserves the right to make normative changes, such as spelling and grammar, in order to maintain the language standard, but respecting the author’s style. The published papers become ownership of RECI, considering that all the opinions expressed by the authors are their responsibility. Because we are an open access journal, we allow free use of articles in educational and scientific applications provided the source is cited under the Creative Commons CC-BY license.