Spatial patterns of multidrug-resistant tuberculosis: correlation with sociodemographic variables and type of notification

Estándares espaciales de la tuberculosis multirresistente: correlación con variables sociodemográficas y tipo de notificación

ABSTRACT

Objective:  Correlate the cases of multidrug-resistant tuberculosis and its spatial patterns with the type of notification and sociodemographic variables.

Method:  Ecological study carried out in the municipality of Belém, with 77 cases of multidrug-resistant tuberculosis registered in the Special Treatment Information System for Tuberculosis, between 2012 and 2016. For analysis, the data was debugged followed by geo-referencing in ArcGis 10.3 and Terra View 4.2.2. To relate the cases with the type of notification, the BioEstat 5.4 software was used, with a significance level of 95%.

Results:  Of the total, 40 (52%) were new cases; 27 (35%), relapses; and ten (13%) were re-enrolled after leaving. Multidrug-resistant tuberculosis was randomly distributed and related to income, household, territorial cluster and water supply. There was a concentration of cases in two administrative districts, corresponding to 28.5% and 27.3% of the total, with a median Sociodemographic Index.

Conclusion:  Behavior of multidrug-resistant tuberculosis influenced by sociodemographic indicators.

Descriptors: Multidrug-Resistant Tuberculosis; Spatial Analysis; Geographic Information Systems; Epidemiology; Public Health