%0 Generic %A Silva, Tereza Cristina %A Matsuoka, Pollyanna da Fonseca Silva %A Aquino, Dorlene Maria Cardoso de %A Caldas, Arlene de Jesus Mendes %D 2017 %T Factors associated with tuberculosis retreatment in priority districts of Maranhão, Brazil %U https://scielo.figshare.com/articles/dataset/Factors_associated_with_tuberculosis_retreatment_in_priority_districts_of_Maranh_o_Brazil/5719153 %R 10.6084/m9.figshare.5719153.v1 %2 https://scielo.figshare.com/ndownloader/files/10043494 %2 https://scielo.figshare.com/ndownloader/files/10043497 %2 https://scielo.figshare.com/ndownloader/files/10043509 %K Tuberculosis %K Retreatment %K Relapse %X

Abstract 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.

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