Trends in primary multidrug-resistant tuberculosis in the State of Rio de Janeiro: a retrospective study conducted during 2000-2019
We analyzed the trends in primary multidrug-resistant tuberculosis (MDR-TB). We performed a time series analysis of primary MDR-TB cases reported in the State of Rio de Janeiro (RJ) during 2000-2019. The annual percent change and the average annual percentage change (AAPC) were computed using joinpo...
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| Published in: | Revista da Sociedade Brasileira de Medicina Tropical Vol. 54; p. e00862021 |
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| Main Authors: | , |
| Format: | Journal Article |
| Language: | English |
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Brazil
Sociedade Brasileira de Medicina Tropical - SBMT
01.01.2021
Sociedade Brasileira de Medicina Tropical (SBMT) |
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| ISSN: | 0037-8682, 1678-9849, 1678-9849 |
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| Abstract | We analyzed the trends in primary multidrug-resistant tuberculosis (MDR-TB).
We performed a time series analysis of primary MDR-TB cases reported in the State of Rio de Janeiro (RJ) during 2000-2019. The annual percent change and the average annual percentage change (AAPC) were computed using joinpoint regression analysis.
The percentage of cases increased from 7.69% in 2000 to 38.42% in 2018. We observed an upward trend during this period (AAPC = 9.4; 95% confidence interval 1.4-18.0, p < 0.001).
The trend indicates the increasing occurrence of MDR-TB transmission sources in RJ during 2000-2019. |
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| AbstractList | Abstract INTRODUCTION: We analyzed the trends in primary multidrug-resistant tuberculosis (MDR-TB). METHODS: We performed a time series analysis of primary MDR-TB cases reported in the State of Rio de Janeiro (RJ) during 2000-2019. The annual percent change and the average annual percentage change (AAPC) were computed using joinpoint regression analysis. RESULTS: The percentage of cases increased from 7.69% in 2000 to 38.42% in 2018. We observed an upward trend during this period (AAPC = 9.4; 95% confidence interval 1.4-18.0, p < 0.001). CONCLUSIONS: The trend indicates the increasing occurrence of MDR-TB transmission sources in RJ during 2000-2019. We analyzed the trends in primary multidrug-resistant tuberculosis (MDR-TB). We performed a time series analysis of primary MDR-TB cases reported in the State of Rio de Janeiro (RJ) during 2000-2019. The annual percent change and the average annual percentage change (AAPC) were computed using joinpoint regression analysis. The percentage of cases increased from 7.69% in 2000 to 38.42% in 2018. We observed an upward trend during this period (AAPC = 9.4; 95% confidence interval 1.4-18.0, p < 0.001). The trend indicates the increasing occurrence of MDR-TB transmission sources in RJ during 2000-2019. We analyzed the trends in primary multidrug-resistant tuberculosis (MDR-TB).INTRODUCTIONWe analyzed the trends in primary multidrug-resistant tuberculosis (MDR-TB).We performed a time series analysis of primary MDR-TB cases reported in the State of Rio de Janeiro (RJ) during 2000-2019. The annual percent change and the average annual percentage change (AAPC) were computed using joinpoint regression analysis.METHODSWe performed a time series analysis of primary MDR-TB cases reported in the State of Rio de Janeiro (RJ) during 2000-2019. The annual percent change and the average annual percentage change (AAPC) were computed using joinpoint regression analysis.The percentage of cases increased from 7.69% in 2000 to 38.42% in 2018. We observed an upward trend during this period (AAPC = 9.4; 95% confidence interval 1.4-18.0, p < 0.001).RESULTSThe percentage of cases increased from 7.69% in 2000 to 38.42% in 2018. We observed an upward trend during this period (AAPC = 9.4; 95% confidence interval 1.4-18.0, p < 0.001).The trend indicates the increasing occurrence of MDR-TB transmission sources in RJ during 2000-2019.CONCLUSIONSThe trend indicates the increasing occurrence of MDR-TB transmission sources in RJ during 2000-2019. |
| Author | Kritski, Afrânio Bhering, Marcela |
| AuthorAffiliation | 1 Universidade Federal do Rio de Janeiro, Faculdade de Medicina, Programa Acadêmico de Tuberculose, Rio de Janeiro, RJ, Brasil 2 Fundação Oswaldo Cruz, Escola Nacional de Saúde Pública Sergio Arouca, Rio de Janeiro, RJ, Brasil |
| AuthorAffiliation_xml | – name: 2 Fundação Oswaldo Cruz, Escola Nacional de Saúde Pública Sergio Arouca, Rio de Janeiro, RJ, Brasil – name: 1 Universidade Federal do Rio de Janeiro, Faculdade de Medicina, Programa Acadêmico de Tuberculose, Rio de Janeiro, RJ, Brasil – name: Fundação Oswaldo Cruz – name: Universidade Federal do Rio de Janeiro |
| Author_xml | – sequence: 1 givenname: Marcela orcidid: 0000-0002-1568-026X surname: Bhering fullname: Bhering, Marcela organization: Universidade Federal do Rio de Janeiro, Brasil; Fundação Oswaldo Cruz, Brasil – sequence: 2 givenname: Afrânio orcidid: 0000-0002-5900-6007 surname: Kritski fullname: Kritski, Afrânio organization: Universidade Federal do Rio de Janeiro, Brasil |
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| Cites_doi | 10.1371/journal.pmed.1001928 10.4136/ambi-agua.2532 10.26633/RPSP.2020.178 10.1016/S2214-109X(19)30068-3 10.1371/journal.pone.0026276 10.4269/ajtmh.13-0717 10.1371/journal.pone.0218299 |
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| Keywords | Time-series studies Tuberculosis Drug resistance Epidemiological monitoring |
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| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Conflict of Interest: The authors declare that there is no conflict of interest. Authors' contribution: MB: conception and design of the study, data acquisition, analysis, and interpretation of data, and drafting the article. AK: analysis and interpretation of data, drafting the paper, and final approval of the version to be submitted. |
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| References | (ref4) 2020 Otero L (ref14) 2011; 6 Bhering M (ref13) 2020; 44 Sahu S (ref5) 2019; 7 Handam NB (ref11) 2020; 15 (ref3) 2019; 50 Ballestero JGA (ref9) 2020; 46 Durovni B (ref10) 2015; 12 (ref1) 2020 (ref2) 2019 (ref8) 2019 Bhering M (ref7) 2019; 14 Li X (ref6) 2015; 92 Pereira AGL (ref12) 2015; 49 Sahu, S; Ditiu, L; Zumla, A 2019; 7 2019 Otero, L; Krapp, F; Tomatis, C; Zamudio, C; Matthys, F; Gotuzzo, E 2011; 6 Bhering, M; Kritski, A 2020; 44 2019; 50 Handam, NB; Santos, JAA; Moraes Neto, AHA; Alencar, MFL; Ignacio, CF; Sotero-Martins, A 2020; 15 Pereira, AGL; Medronho, RA; Escosteguy, CC; Valencia, LIO; Magalhães, MAFM 2015; 49 Bhering, M; Duarte, R; Kritski, A 2019; 14 2020 Durovni, B; Saraceni, V; van den Hof, S; Trajman, A; Cordeiro-Santos, M; Cavalcante, S 2015; 12 Li, X; Lu, W; Zu, R; Zhu, L; Yang, H; Chen, C 2015; 92 Ballestero, JGA; Garcia, JM; Bollela, VR; Ruffino-Netto, A; Dalcolmo, MP; Moncaio, ACS 2020; 46 |
| References_xml | – volume: 12 issue: 12 year: 2015 ident: ref10 article-title: Correction: Impact of Replacing Smear Microscopy with Xpert MTB/RIF for Diagnosing Tuberculosis in Brazil: A Stepped-Wedge Cluster-Randomized Trial publication-title: PLOS Medicine doi: 10.1371/journal.pmed.1001928 – volume: 50 start-page: 1 issue: 9 year: 2019 ident: ref3 article-title: Brasil Livre da Tuberculose: evolução dos cenários epidemiológicos e operacionais da doença publication-title: Bol Epidemiológico – year: 2020 ident: ref1 – volume: 49 start-page: 48 issue: 1 year: 2015 ident: ref12 article-title: Spatial distribution and socioeconomic context of tuberculosis in Rio de Janeiro, Brazil publication-title: Rev. Saúde Pública – volume: 15 issue: 3 year: 2020 ident: ref11 article-title: Drinking water quality in Brazilian urban slums publication-title: Rev. Ambient. Água doi: 10.4136/ambi-agua.2532 – year: 2020 ident: ref4 article-title: Tuberculose 2020 publication-title: Bol Epidemiológico – year: 2019 ident: ref8 – volume: 44 year: 2020 ident: ref13 article-title: Primary and acquired multidrug-resistant tuberculosis: Predictive factors for unfavorable treatment outcomes in Rio de Janeiro, 2000-2016 publication-title: Rev Panam Salud Publica doi: 10.26633/RPSP.2020.178 – volume: 7 issue: 5 year: 2019 ident: ref5 article-title: After the UNGA High-Level Meeting on Tuberculosis-what next and how? publication-title: The Lancet. Global Health doi: 10.1016/S2214-109X(19)30068-3 – year: 2019 ident: ref2 – volume: 6 issue: 10 year: 2011 ident: ref14 article-title: High Prevalence of Primary Multidrug Resistant Tuberculosis in Persons with No Known Risk Factors publication-title: PLoS One doi: 10.1371/journal.pone.0026276 – volume: 92 start-page: 280 issue: 2 year: 2015 ident: ref6 article-title: Comparing Risk Factors for Primary Multidrug-Resistant Tuberculosis and Primary Drug-Susceptible Tuberculosis in Jiangsu Province, China : A Matched-Pairs Case-Control Study publication-title: Am J Med Hyg doi: 10.4269/ajtmh.13-0717 – volume: 14 issue: 11 year: 2019 ident: ref7 article-title: Predictive factors for unfavourable treatment in MDR-TB and XDR-TB patients in Rio de Janeiro State, Brazil, 2000-2016 publication-title: PLoS One doi: 10.1371/journal.pone.0218299 – volume: 46 start-page: 1 issue: 2 year: 2020 ident: ref9 article-title: Manejo da tuberculose multirresistente: elementos centrais das recomendações brasileiras publication-title: J Bras Pneumol – volume: 6 issue: 10 year: 2011 article-title: High Prevalence of Primary Multidrug Resistant Tuberculosis in Persons with No Known Risk Factors publication-title: PLoS One – volume: 49 start-page: 48 issue: 1 year: 2015 end-page: 58 article-title: Spatial distribution and socioeconomic context of tuberculosis in Rio de Janeiro, Brazil publication-title: Rev. Saúde Pública – volume: 7 issue: 5 year: 2019 article-title: After the UNGA High-Level Meeting on Tuberculosis-what next and how? publication-title: The Lancet. Global Health – volume: 12 issue: 12 year: 2015 article-title: Correction: Impact of Replacing Smear Microscopy with Xpert MTB/RIF for Diagnosing Tuberculosis in Brazil: A Stepped-Wedge Cluster-Randomized Trial publication-title: PLOS Medicine – year: 2019 publication-title: Global Tuberculosis Report 2019 – volume: 50 start-page: 1 issue: 9 year: 2019 end-page: 18 article-title: Brasil Livre da Tuberculose: evolução dos cenários epidemiológicos e operacionais da doença publication-title: Bol Epidemiológico – volume: 46 start-page: 1 issue: 2 year: 2020 end-page: 9 article-title: Manejo da tuberculose multirresistente: elementos centrais das recomendações brasileiras publication-title: J Bras Pneumol – volume: 15 issue: 3 year: 2020 article-title: Drinking water quality in Brazilian urban slums publication-title: Rev. Ambient. Água – year: 2020 article-title: Tuberculose 2020 publication-title: Bol Epidemiológico – volume: 92 start-page: 280 issue: 2 year: 2015 end-page: 285 article-title: Comparing Risk Factors for Primary Multidrug-Resistant Tuberculosis and Primary Drug-Susceptible Tuberculosis in Jiangsu Province, China : A Matched-Pairs Case-Control Study publication-title: Am J Med Hyg – year: 2019 publication-title: Manual de Recomendações para o controle da tuberculose no Brasil – volume: 14 issue: 11 year: 2019 article-title: Predictive factors for unfavourable treatment in MDR-TB and XDR-TB patients in Rio de Janeiro State, Brazil, 2000-2016 publication-title: PLoS One – year: 2020 publication-title: Global Tuberculosis Report 2020 – volume: 44 year: 2020 article-title: Primary and acquired multidrug-resistant tuberculosis: Predictive factors for unfavorable treatment outcomes in Rio de Janeiro, 2000-2016 publication-title: Rev Panam Salud Publica |
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| Snippet | We analyzed the trends in primary multidrug-resistant tuberculosis (MDR-TB).
We performed a time series analysis of primary MDR-TB cases reported in the State... We analyzed the trends in primary multidrug-resistant tuberculosis (MDR-TB).INTRODUCTIONWe analyzed the trends in primary multidrug-resistant tuberculosis... Abstract INTRODUCTION: We analyzed the trends in primary multidrug-resistant tuberculosis (MDR-TB). METHODS: We performed a time series analysis of primary... |
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| SubjectTerms | Antitubercular Agents - therapeutic use Brazil - epidemiology Drug resistance Epidemiological monitoring Humans Research Design Retrospective Studies Short Communication Time-series studies TROPICAL MEDICINE Tuberculosis Tuberculosis, Multidrug-Resistant - drug therapy Tuberculosis, Multidrug-Resistant - epidemiology |
| Title | Trends in primary multidrug-resistant tuberculosis in the State of Rio de Janeiro: a retrospective study conducted during 2000-2019 |
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