Abstract

NOGUEIRA, Péricles Alves; ABRAHAO, Regina Maura Cabral de Melo  and  MALUCELLI, Maria lvette Carboni. Analysis of sputum examinations results provided by health units. hospitais and jails of São Paulo city for the diagnosis of tuberculosis. Inf. Epidemiol. Sus [online]. 2000, vol.9, n.4, pp.263-271. ISSN 0104-1673.  http://dx.doi.org/10.5123/S0104-16732000000400005.

For tuberculosis control lhe knowledge of the prevalence of positive smear examinations and culture testing is essential. From July 1996 to December 1999, 3,713 samples of sputum (3,087 for diagnosis of tuberculosis and 626 for treatment control) were examined in lhe Laboratory of Mycobacteria of the School of Public Health of the University of São Paulo. The samples were provided by 12 health units, 4 hospitais and 2 jails of lhe City of São Paulo. Health units provided 2,394 samples for diagnosis and 626 for treatment controlo Of lhe samples provided for diagnosis, 12.6% were smear positive and 16.0% had positive cultures. Twenty-four percent (24.0%) and 16.0% of lhe treatment control samples were smear and culture positive, respectively. Of a total of 167 samples sent by hospitais for diagnosis, 41.3% were smear positive and 42.0% had positive cultures. Smear and culture positive samples were obtained in 15.6% and 15.8%, respectively, of a total of 526 samples sent by the jails. A greater number of positive smears in male patients, with ages between 21 and 30 years were observed. Laboratories should have. a greater performance and participation in tuberculosis surveillance in order to enhance control strategies.

Keywords : Tuberculosis; Laboratorial Diagnosis; Smears; Culture; Treatment Controlo.

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