Loading…
A Clinical-Epidemiological and Geospatial Study of Tuberculosis in a Neglected Area in the Amazonian Region Highlights the Urgent Need for Control Measures
Tuberculosis (TB) is an infectious communicable disease, which despite global efforts, still needs special attention in regions with difficult access. This study aims to describe the spatial and epidemiological trends of TB incidences from 2013 to 2018 in Marajó Island, the Amazonian region, Pará, B...
Saved in:
Published in: | International journal of environmental research and public health 2021-02, Vol.18 (3), p.1335 |
---|---|
Main Authors: | , , , , , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
cited_by | cdi_FETCH-LOGICAL-c418t-f5b377568e3003fe3e0f497d9b96ae545cc25cd83ba0942aa1af280a054c25e73 |
---|---|
cites | cdi_FETCH-LOGICAL-c418t-f5b377568e3003fe3e0f497d9b96ae545cc25cd83ba0942aa1af280a054c25e73 |
container_end_page | |
container_issue | 3 |
container_start_page | 1335 |
container_title | International journal of environmental research and public health |
container_volume | 18 |
creator | Mesquita, Cristal Ribeiro Conceição, Emilyn Costa Monteiro, Lúcia Helena Martins Tavares da Silva, Odinea Maria Lima, Luana Nepomuceno Gondim Costa de Oliveira, Rafael Aleixo Coelho de Brito, Artemir Coelho Guimarães, Ricardo José de Paula Souza E Lima, Karla Valéria Batista |
description | Tuberculosis (TB) is an infectious communicable disease, which despite global efforts, still needs special attention in regions with difficult access. This study aims to describe the spatial and epidemiological trends of TB incidences from 2013 to 2018 in Marajó Island, the Amazonian region, Pará, Brazil. We have obtained secondary data from the Brazilian TB databases and performed geospatial and statistical analyses on the data for new TB cases, relapses, and re-admissions. From 2013 to 2018, 749 new cases were reported, in which the diagnostics (culture) was not performed for 652 (87.2%) patient samples, the drug resistance test (DST) was performed for nine (1.2%) samples, and one (0.13%) was multidrug-resistant TB (MDR-TB). The rapid molecular testing (RMT) was performed on 40 (5.3%) patient samples, with results indicating that eight (20%) were susceptible to rifampicin and two (5%) were rifampicin resistant. Overall, the cure rate was 449 (66.7%), while relapses and re-admissions were 41 and 44, respectively. On the geospatial distribution, the municipality of Soure stands out with a high number of incidences, relapses, and re-admissions. Spatially, the eight MDR cases were randomly distributed. Our data highlight the urgent need for TB control measures in this region, by introducing the Xpert-Ultra
MTB/RIF (Cepheid, Sunnyvale, CA, USA) and Ogawa-Kudoh. |
doi_str_mv | 10.3390/ijerph18031335 |
format | article |
fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7908568</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2487151121</sourcerecordid><originalsourceid>FETCH-LOGICAL-c418t-f5b377568e3003fe3e0f497d9b96ae545cc25cd83ba0942aa1af280a054c25e73</originalsourceid><addsrcrecordid>eNpdkcFu1DAQhiNERUvhyhFZ4sIlxY6dxLkgrValRSqtVNpzNHEmWa8cO9gOUnmVvmy9bKlaDpY9nm_--UeTZR8YPeG8oV_0Fv28YZJyxnn5KjtiVUVzUVH2-tn7MHsbwpZSLkXVvMkOEypoXfGj7H5F1kZbrcDkp7PucdLOuHEXE7A9OUMXZog6hT_j0t8RN5CbpUOvFuOCDkRbAuQSR4MqYk9WHmH3FzdIVhP8cVaDJdc4amfJuR43Jp0Y_uZv_Yg2puJUNzhP1s5G7wz5gRAWj-FddjCACfj-8T7Obr-d3qzP84urs-_r1UWuBJMxH8qO13VZSeRpwgE50kE0dd90TQVYilKpolS95B3QRhQADIZCUqClSAms-XH2da87L92EvUqmPJh29noCf9c60O3LjNWbdnS_27qhMvVNAp8fBbz7tWCI7aSDQmPAoltCWwhZs5KxgiX003_o1i3epvH2FJes2Tk62VPKuxA8Dk9mGG13e29f7j0VfHw-whP-b9H8AZL8rFw</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2487138197</pqid></control><display><type>article</type><title>A Clinical-Epidemiological and Geospatial Study of Tuberculosis in a Neglected Area in the Amazonian Region Highlights the Urgent Need for Control Measures</title><source>Open Access: PubMed Central</source><source>Publicly Available Content Database</source><source>Free Full-Text Journals in Chemistry</source><source>Coronavirus Research Database</source><creator>Mesquita, Cristal Ribeiro ; Conceição, Emilyn Costa ; Monteiro, Lúcia Helena Martins Tavares ; da Silva, Odinea Maria ; Lima, Luana Nepomuceno Gondim Costa ; de Oliveira, Rafael Aleixo Coelho ; de Brito, Artemir Coelho ; Guimarães, Ricardo José de Paula Souza E ; Lima, Karla Valéria Batista</creator><creatorcontrib>Mesquita, Cristal Ribeiro ; Conceição, Emilyn Costa ; Monteiro, Lúcia Helena Martins Tavares ; da Silva, Odinea Maria ; Lima, Luana Nepomuceno Gondim Costa ; de Oliveira, Rafael Aleixo Coelho ; de Brito, Artemir Coelho ; Guimarães, Ricardo José de Paula Souza E ; Lima, Karla Valéria Batista</creatorcontrib><description>Tuberculosis (TB) is an infectious communicable disease, which despite global efforts, still needs special attention in regions with difficult access. This study aims to describe the spatial and epidemiological trends of TB incidences from 2013 to 2018 in Marajó Island, the Amazonian region, Pará, Brazil. We have obtained secondary data from the Brazilian TB databases and performed geospatial and statistical analyses on the data for new TB cases, relapses, and re-admissions. From 2013 to 2018, 749 new cases were reported, in which the diagnostics (culture) was not performed for 652 (87.2%) patient samples, the drug resistance test (DST) was performed for nine (1.2%) samples, and one (0.13%) was multidrug-resistant TB (MDR-TB). The rapid molecular testing (RMT) was performed on 40 (5.3%) patient samples, with results indicating that eight (20%) were susceptible to rifampicin and two (5%) were rifampicin resistant. Overall, the cure rate was 449 (66.7%), while relapses and re-admissions were 41 and 44, respectively. On the geospatial distribution, the municipality of Soure stands out with a high number of incidences, relapses, and re-admissions. Spatially, the eight MDR cases were randomly distributed. Our data highlight the urgent need for TB control measures in this region, by introducing the Xpert-Ultra
MTB/RIF (Cepheid, Sunnyvale, CA, USA) and Ogawa-Kudoh.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph18031335</identifier><identifier>PMID: 33540763</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Acquired immune deficiency syndrome ; AIDS ; Antibiotics, Antitubercular - therapeutic use ; Brazil - epidemiology ; Coronaviruses ; Data analysis ; Disease ; Drug resistance ; Epidemiology ; HIV ; Human immunodeficiency virus ; Humans ; Information systems ; Microscopy ; Multidrug resistance ; Mycobacterium tuberculosis ; Neoplasm Recurrence, Local ; Public health ; Rifampin ; Sensitivity and Specificity ; Statistical analysis ; Statistical methods ; Trends ; Tuberculosis ; Tuberculosis - drug therapy ; Tuberculosis - epidemiology ; Tuberculosis - prevention & control</subject><ispartof>International journal of environmental research and public health, 2021-02, Vol.18 (3), p.1335</ispartof><rights>2021. This work is licensed under http://creativecommons.org/licenses/by/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2020 by the authors. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c418t-f5b377568e3003fe3e0f497d9b96ae545cc25cd83ba0942aa1af280a054c25e73</citedby><cites>FETCH-LOGICAL-c418t-f5b377568e3003fe3e0f497d9b96ae545cc25cd83ba0942aa1af280a054c25e73</cites><orcidid>0000-0002-5767-4765 ; 0000-0002-1321-5719 ; 0000-0002-7445-6620 ; 0000-0001-5807-0392</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2487138197?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2487138197?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,38516,43895,44590,53791,53793,74412,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33540763$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mesquita, Cristal Ribeiro</creatorcontrib><creatorcontrib>Conceição, Emilyn Costa</creatorcontrib><creatorcontrib>Monteiro, Lúcia Helena Martins Tavares</creatorcontrib><creatorcontrib>da Silva, Odinea Maria</creatorcontrib><creatorcontrib>Lima, Luana Nepomuceno Gondim Costa</creatorcontrib><creatorcontrib>de Oliveira, Rafael Aleixo Coelho</creatorcontrib><creatorcontrib>de Brito, Artemir Coelho</creatorcontrib><creatorcontrib>Guimarães, Ricardo José de Paula Souza E</creatorcontrib><creatorcontrib>Lima, Karla Valéria Batista</creatorcontrib><title>A Clinical-Epidemiological and Geospatial Study of Tuberculosis in a Neglected Area in the Amazonian Region Highlights the Urgent Need for Control Measures</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>Tuberculosis (TB) is an infectious communicable disease, which despite global efforts, still needs special attention in regions with difficult access. This study aims to describe the spatial and epidemiological trends of TB incidences from 2013 to 2018 in Marajó Island, the Amazonian region, Pará, Brazil. We have obtained secondary data from the Brazilian TB databases and performed geospatial and statistical analyses on the data for new TB cases, relapses, and re-admissions. From 2013 to 2018, 749 new cases were reported, in which the diagnostics (culture) was not performed for 652 (87.2%) patient samples, the drug resistance test (DST) was performed for nine (1.2%) samples, and one (0.13%) was multidrug-resistant TB (MDR-TB). The rapid molecular testing (RMT) was performed on 40 (5.3%) patient samples, with results indicating that eight (20%) were susceptible to rifampicin and two (5%) were rifampicin resistant. Overall, the cure rate was 449 (66.7%), while relapses and re-admissions were 41 and 44, respectively. On the geospatial distribution, the municipality of Soure stands out with a high number of incidences, relapses, and re-admissions. Spatially, the eight MDR cases were randomly distributed. Our data highlight the urgent need for TB control measures in this region, by introducing the Xpert-Ultra
MTB/RIF (Cepheid, Sunnyvale, CA, USA) and Ogawa-Kudoh.</description><subject>Acquired immune deficiency syndrome</subject><subject>AIDS</subject><subject>Antibiotics, Antitubercular - therapeutic use</subject><subject>Brazil - epidemiology</subject><subject>Coronaviruses</subject><subject>Data analysis</subject><subject>Disease</subject><subject>Drug resistance</subject><subject>Epidemiology</subject><subject>HIV</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Information systems</subject><subject>Microscopy</subject><subject>Multidrug resistance</subject><subject>Mycobacterium tuberculosis</subject><subject>Neoplasm Recurrence, Local</subject><subject>Public health</subject><subject>Rifampin</subject><subject>Sensitivity and Specificity</subject><subject>Statistical analysis</subject><subject>Statistical methods</subject><subject>Trends</subject><subject>Tuberculosis</subject><subject>Tuberculosis - drug therapy</subject><subject>Tuberculosis - epidemiology</subject><subject>Tuberculosis - prevention & control</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>COVID</sourceid><sourceid>PIMPY</sourceid><recordid>eNpdkcFu1DAQhiNERUvhyhFZ4sIlxY6dxLkgrValRSqtVNpzNHEmWa8cO9gOUnmVvmy9bKlaDpY9nm_--UeTZR8YPeG8oV_0Fv28YZJyxnn5KjtiVUVzUVH2-tn7MHsbwpZSLkXVvMkOEypoXfGj7H5F1kZbrcDkp7PucdLOuHEXE7A9OUMXZog6hT_j0t8RN5CbpUOvFuOCDkRbAuQSR4MqYk9WHmH3FzdIVhP8cVaDJdc4amfJuR43Jp0Y_uZv_Yg2puJUNzhP1s5G7wz5gRAWj-FddjCACfj-8T7Obr-d3qzP84urs-_r1UWuBJMxH8qO13VZSeRpwgE50kE0dd90TQVYilKpolS95B3QRhQADIZCUqClSAms-XH2da87L92EvUqmPJh29noCf9c60O3LjNWbdnS_27qhMvVNAp8fBbz7tWCI7aSDQmPAoltCWwhZs5KxgiX003_o1i3epvH2FJes2Tk62VPKuxA8Dk9mGG13e29f7j0VfHw-whP-b9H8AZL8rFw</recordid><startdate>20210202</startdate><enddate>20210202</enddate><creator>Mesquita, Cristal Ribeiro</creator><creator>Conceição, Emilyn Costa</creator><creator>Monteiro, Lúcia Helena Martins Tavares</creator><creator>da Silva, Odinea Maria</creator><creator>Lima, Luana Nepomuceno Gondim Costa</creator><creator>de Oliveira, Rafael Aleixo Coelho</creator><creator>de Brito, Artemir Coelho</creator><creator>Guimarães, Ricardo José de Paula Souza E</creator><creator>Lima, Karla Valéria Batista</creator><general>MDPI AG</general><general>MDPI</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-5767-4765</orcidid><orcidid>https://orcid.org/0000-0002-1321-5719</orcidid><orcidid>https://orcid.org/0000-0002-7445-6620</orcidid><orcidid>https://orcid.org/0000-0001-5807-0392</orcidid></search><sort><creationdate>20210202</creationdate><title>A Clinical-Epidemiological and Geospatial Study of Tuberculosis in a Neglected Area in the Amazonian Region Highlights the Urgent Need for Control Measures</title><author>Mesquita, Cristal Ribeiro ; Conceição, Emilyn Costa ; Monteiro, Lúcia Helena Martins Tavares ; da Silva, Odinea Maria ; Lima, Luana Nepomuceno Gondim Costa ; de Oliveira, Rafael Aleixo Coelho ; de Brito, Artemir Coelho ; Guimarães, Ricardo José de Paula Souza E ; Lima, Karla Valéria Batista</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c418t-f5b377568e3003fe3e0f497d9b96ae545cc25cd83ba0942aa1af280a054c25e73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Acquired immune deficiency syndrome</topic><topic>AIDS</topic><topic>Antibiotics, Antitubercular - therapeutic use</topic><topic>Brazil - epidemiology</topic><topic>Coronaviruses</topic><topic>Data analysis</topic><topic>Disease</topic><topic>Drug resistance</topic><topic>Epidemiology</topic><topic>HIV</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Information systems</topic><topic>Microscopy</topic><topic>Multidrug resistance</topic><topic>Mycobacterium tuberculosis</topic><topic>Neoplasm Recurrence, Local</topic><topic>Public health</topic><topic>Rifampin</topic><topic>Sensitivity and Specificity</topic><topic>Statistical analysis</topic><topic>Statistical methods</topic><topic>Trends</topic><topic>Tuberculosis</topic><topic>Tuberculosis - drug therapy</topic><topic>Tuberculosis - epidemiology</topic><topic>Tuberculosis - prevention & control</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mesquita, Cristal Ribeiro</creatorcontrib><creatorcontrib>Conceição, Emilyn Costa</creatorcontrib><creatorcontrib>Monteiro, Lúcia Helena Martins Tavares</creatorcontrib><creatorcontrib>da Silva, Odinea Maria</creatorcontrib><creatorcontrib>Lima, Luana Nepomuceno Gondim Costa</creatorcontrib><creatorcontrib>de Oliveira, Rafael Aleixo Coelho</creatorcontrib><creatorcontrib>de Brito, Artemir Coelho</creatorcontrib><creatorcontrib>Guimarães, Ricardo José de Paula Souza E</creatorcontrib><creatorcontrib>Lima, Karla Valéria Batista</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection (ProQuest Medical & Health Databases)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database (ProQuest Medical & Health Databases)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Coronavirus Research Database</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of environmental research and public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mesquita, Cristal Ribeiro</au><au>Conceição, Emilyn Costa</au><au>Monteiro, Lúcia Helena Martins Tavares</au><au>da Silva, Odinea Maria</au><au>Lima, Luana Nepomuceno Gondim Costa</au><au>de Oliveira, Rafael Aleixo Coelho</au><au>de Brito, Artemir Coelho</au><au>Guimarães, Ricardo José de Paula Souza E</au><au>Lima, Karla Valéria Batista</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Clinical-Epidemiological and Geospatial Study of Tuberculosis in a Neglected Area in the Amazonian Region Highlights the Urgent Need for Control Measures</atitle><jtitle>International journal of environmental research and public health</jtitle><addtitle>Int J Environ Res Public Health</addtitle><date>2021-02-02</date><risdate>2021</risdate><volume>18</volume><issue>3</issue><spage>1335</spage><pages>1335-</pages><issn>1660-4601</issn><issn>1661-7827</issn><eissn>1660-4601</eissn><abstract>Tuberculosis (TB) is an infectious communicable disease, which despite global efforts, still needs special attention in regions with difficult access. This study aims to describe the spatial and epidemiological trends of TB incidences from 2013 to 2018 in Marajó Island, the Amazonian region, Pará, Brazil. We have obtained secondary data from the Brazilian TB databases and performed geospatial and statistical analyses on the data for new TB cases, relapses, and re-admissions. From 2013 to 2018, 749 new cases were reported, in which the diagnostics (culture) was not performed for 652 (87.2%) patient samples, the drug resistance test (DST) was performed for nine (1.2%) samples, and one (0.13%) was multidrug-resistant TB (MDR-TB). The rapid molecular testing (RMT) was performed on 40 (5.3%) patient samples, with results indicating that eight (20%) were susceptible to rifampicin and two (5%) were rifampicin resistant. Overall, the cure rate was 449 (66.7%), while relapses and re-admissions were 41 and 44, respectively. On the geospatial distribution, the municipality of Soure stands out with a high number of incidences, relapses, and re-admissions. Spatially, the eight MDR cases were randomly distributed. Our data highlight the urgent need for TB control measures in this region, by introducing the Xpert-Ultra
MTB/RIF (Cepheid, Sunnyvale, CA, USA) and Ogawa-Kudoh.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>33540763</pmid><doi>10.3390/ijerph18031335</doi><orcidid>https://orcid.org/0000-0002-5767-4765</orcidid><orcidid>https://orcid.org/0000-0002-1321-5719</orcidid><orcidid>https://orcid.org/0000-0002-7445-6620</orcidid><orcidid>https://orcid.org/0000-0001-5807-0392</orcidid><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 1660-4601 |
ispartof | International journal of environmental research and public health, 2021-02, Vol.18 (3), p.1335 |
issn | 1660-4601 1661-7827 1660-4601 |
language | eng |
recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7908568 |
source | Open Access: PubMed Central; Publicly Available Content Database; Free Full-Text Journals in Chemistry; Coronavirus Research Database |
subjects | Acquired immune deficiency syndrome AIDS Antibiotics, Antitubercular - therapeutic use Brazil - epidemiology Coronaviruses Data analysis Disease Drug resistance Epidemiology HIV Human immunodeficiency virus Humans Information systems Microscopy Multidrug resistance Mycobacterium tuberculosis Neoplasm Recurrence, Local Public health Rifampin Sensitivity and Specificity Statistical analysis Statistical methods Trends Tuberculosis Tuberculosis - drug therapy Tuberculosis - epidemiology Tuberculosis - prevention & control |
title | A Clinical-Epidemiological and Geospatial Study of Tuberculosis in a Neglected Area in the Amazonian Region Highlights the Urgent Need for Control Measures |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-24T12%3A33%3A17IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20Clinical-Epidemiological%20and%20Geospatial%20Study%20of%20Tuberculosis%20in%20a%20Neglected%20Area%20in%20the%20Amazonian%20Region%20Highlights%20the%20Urgent%20Need%20for%20Control%20Measures&rft.jtitle=International%20journal%20of%20environmental%20research%20and%20public%20health&rft.au=Mesquita,%20Cristal%20Ribeiro&rft.date=2021-02-02&rft.volume=18&rft.issue=3&rft.spage=1335&rft.pages=1335-&rft.issn=1660-4601&rft.eissn=1660-4601&rft_id=info:doi/10.3390/ijerph18031335&rft_dat=%3Cproquest_pubme%3E2487151121%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c418t-f5b377568e3003fe3e0f497d9b96ae545cc25cd83ba0942aa1af280a054c25e73%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2487138197&rft_id=info:pmid/33540763&rfr_iscdi=true |