Perfil epidemiológico dos pacientes portadores de tuberculose internados no hospital Nereu Ramos no período de janeiro de 2014 a dezembro de 2019
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Data
2021-12-01
Tipo de documento
Artigo Científico
Título da Revista
ISSN da Revista
Título de Volume
Área do conhecimento
Ciências da Saúde
Modalidade de acesso
Acesso fechado
Editora
Autores
Graciosa Birro, Guilherme
Oenning da Gama, Fabiana
Fernandes, Camilo
Orientador
Fernandes, Camilo
Coorientador
Oenning da Gama, Fabiana
Resumo
Objetivo: Conhecer o perfil epidemiológico e clínico dos pacientes portadores de Tuberculose internados no hospital Nereu Ramos de janeiro de 2014 a dezembro de 2019. Método: Estudo observacional descritivo, transversal, de variáveis demográficas e clínicas que foram coletadas nas fichas de notificação individual de tuberculose mantidas no banco de dados no Núcleo Hospitalar de Epidemiologia do hospital Nereu Ramos. Resultados: O número de internações no período foi de 1382 pacientes, desses a maioria era do sexo masculino (73,4%), com a média de idade de 38,2 anos, brancos (83,1%), residentes de Santa Catarina (99,3%) sendo a maioria da cidade de Florianópolis (51,4%). Nos pacientes não infectados com HIV o predomínio foi de TB pulmonar (88%) já as formas mistas (33,7%) e extrapulmonares (13,6%) foram mais comuns na população soropositiva. Os sítios extrapulmonares mais comuns foram respectivamente: Meníngea (28,2%), pleural (22%) e disseminada (16,4%), sendo a meníngea mais comum a pacientes soropositivos e a pleural à pacientes não HIV. A prevalência de HIV foi de 54,7%, etilismo de 34,2% e tabagismo de 21,2%. Quanto aos exames complementares, o Rx de tórax apresentou resultado sugestivo de TB em 97,9% dos casos, a baciloscopia de escarro foi positiva em 54,9% e a cultura de escarro em 64,2% dos casos. Os óbitos foram mais frequentes em pacientes que apresentavam a coinfecção HIV/TB, representando 19,7% dos desfechos da internação. Conclusão: Nesse estudo os pacientes apresentaram um perfil epidemiológico semelhante ao encontrado na literatura internacional e nacional, os portadores de TB associada ao HIV apresentaram maiores taxas de óbito, maior frequência global de apresentações extrapulmonares e maior frequência de TB meníngea e TB disseminada em relação às internações de pacientes soronegativos para HIV.
Objective: To know the epidemiological and clinical profile of tuberculosis patients admitted to Nereu Ramos hospital from January 2014 to December 2019. Method: Descriptive, cross-sectional study of demographic and clinical variables that were collected in the individual tuberculosis notification forms kept in the database of data at the Hospital Nucleus of Epidemiology of the Nereu Ramos hospital. Results: The number of hospitalizations in the period was 1382 patients, of which the majority were male (73.4%), with a mean age of 38.2 years, white (83.1%), residents of Santa Catarina (99.3%) being the majority from the city of Florianópolis (51.4%). In patients not infected with HIV, the predominance was pulmonary TB (88%), whereas mixed (33.7%) and extrapulmonary (13.6%) forms were more common in the seropositive population. The most common extrapulmonary sites were respectively: Meningeal (28.2%), pleural (22%) and disseminated (16.4%), with the meningeal being more common to HIV-positive patients and the pleural to non-HIV patients. was 54.7%, drinking 34.2% and smoking 21.2%. As for the complementary exams, the chest X-ray showed a result suggestive of TB in 97.9% of the cases, the sputum smear microscopy was positive in 54.9% and the sputum culture in 64.2% of the cases. Deaths were more frequent in patients with HIV/TB co-infection, representing 19.7% of hospitalization outcomes. Conclusion: In this study, the patients had an epidemiological profile similar to that found in the international and national literature, patients with HIV-associated TB had higher death rates, a higher global frequency of extrapulmonary presentations and a higher frequency of meningeal TB and disseminated TB in relation to hospitalizations of HIV-seronegative patients.
Objective: To know the epidemiological and clinical profile of tuberculosis patients admitted to Nereu Ramos hospital from January 2014 to December 2019. Method: Descriptive, cross-sectional study of demographic and clinical variables that were collected in the individual tuberculosis notification forms kept in the database of data at the Hospital Nucleus of Epidemiology of the Nereu Ramos hospital. Results: The number of hospitalizations in the period was 1382 patients, of which the majority were male (73.4%), with a mean age of 38.2 years, white (83.1%), residents of Santa Catarina (99.3%) being the majority from the city of Florianópolis (51.4%). In patients not infected with HIV, the predominance was pulmonary TB (88%), whereas mixed (33.7%) and extrapulmonary (13.6%) forms were more common in the seropositive population. The most common extrapulmonary sites were respectively: Meningeal (28.2%), pleural (22%) and disseminated (16.4%), with the meningeal being more common to HIV-positive patients and the pleural to non-HIV patients. was 54.7%, drinking 34.2% and smoking 21.2%. As for the complementary exams, the chest X-ray showed a result suggestive of TB in 97.9% of the cases, the sputum smear microscopy was positive in 54.9% and the sputum culture in 64.2% of the cases. Deaths were more frequent in patients with HIV/TB co-infection, representing 19.7% of hospitalization outcomes. Conclusion: In this study, the patients had an epidemiological profile similar to that found in the international and national literature, patients with HIV-associated TB had higher death rates, a higher global frequency of extrapulmonary presentations and a higher frequency of meningeal TB and disseminated TB in relation to hospitalizations of HIV-seronegative patients.
Palavras-chave
Tuberculose, Epidemiologia, Perfil Epidemiológico, Hospitalização