Estudo da mortalidade por tuberculose em Campo Grande - MS, 2001 a 2008 / Study of tuberculosis mortality in Campo Grande - MS, 2001, 2008

RESUMO

Introdução: A TB é um grave problema de saúde pública mundial. A persistência da TB em escala internacional, a despeito da existência de estratégias terapêuticas eficazes, revela não apenas a diversidade de fatores envolvidos na sua determinação, mas, sobretudo, a complexidade do seu controle. A análise da mortalidade dos pacientes que apresentavam a TB como causa básica ou associada do óbito é uma ferramenta importante para melhor avaliação dos fatores determinantes do óbito nessa população. Objetivo: Descrever a mortalidade por tuberculose (TB) no Município de Campo Grande (MCG), MS, no período de 2001 a 2008. Metodologia: Estudo descritivo retrospectivo realizado no MCG, no período de 2001 a 2008. A partir de dados do SIM dos óbitos de pessoas residentes no MCG, foram incluídos no estudo aqueles que apresentaram na DO a TB registrada como CB de morte ou menção de TB em qualquer uma das linhas das Partes I ou II (TB como causa associada)...

ABSTRACT

Introduction: TB is a serious health problem all over the world. The endurance of TB in international scale, despite of the powerful therapeutic strategies, revels not just the variety of factors involved in your resolution, but the complexity of your control. The review of mortality of patients that have TB as the underlying cause of death or associated to death is an important instrument to better evaluation of determinant factors of death in this population. Objective: Describe the mortality by TB in the city of Campo Grande – MS, in the period of 2001 to 2008. Results: TB was mentioned as the underlying causa of death in 103 deaths(49,7%) and as associated cause in 104 deaths (50,3%). The highest andslowest standardized mortality rate by age group happened in the years of 2002 and 2007, respectively. There was greater involvement of males (65%) in the age group between 40 and 59 years, and the most frequent clinical forms observed was pulmonary TB. Conclusion: With respect to TB as the underlying cause of death, there was a downward trend on the specific mortality rate in the period, as shown in others nationals literatures. Similar results about the mortality profile were found in other publications too. The evaluation of mortality by multiple causes allowed us to analyze, in an appropriated way, the deaths related to TB, and showed the confection HIV/TB as a factor that rises the risk of mortality in this population. The use of secondary data implies in limitations on mortality studies, considering the sub-notifications of TB deaths and the inadequate filling of mandatory report of SINAN, compromising the development of strategies to control this infection.