Factors associated with tuberculosis retreatment in priority districts of Maranhão, Brazil

• Published in: Ciência & saude coletiva 2017-12, Vol.22 (12), p.4095-4104
• Main Authors: Silva, Tereza Cristina, Matsuoka, Pollyanna da Fonseca Silva, Aquino, Dorlene Maria Cardoso de, Caldas, Arlene de Jesus Mendes
• Format: Article
• Language: eng ; por ; spa
• ISSN: 1413-8123; 1678-4561
• DOI: 10.1590/1413-812320172212.20612015

This study investigated factors associated with cases of tuberculosis retreatment due to relapse and readmission after treatment abandonment. This is an analytical cross-sectional study type of cases reported in the Information System for Notifiable Diseases in priority municipalities in the State of Maranhão, from January 2005 to December 2010. A logistic regression model was used to identify the association. Patients aged between 40 and 59 years (OR = 1.49, p = 0.029) with a pulmonary clinical form (OR = 2.79, p = 0.016) were more likely to incur relapse. Readmissions after abandonment were more likely in males (OR = 1.53, p = 0.046), aged between 20 and 39 years (OR = 1.65, p = 0.007), with less than eight years of schooling (OR = 2.01, p = 0.037) and with alcohol dependence (OR=1.66, p = 0.037), which showed a higher probability of another abandonment (OR = 5.96, p < 0.001). These data reinforce the need for strategies aimed at this group, such as increased supervised treatment, intensified active search, post-discharge follow-up and health education action.