Prevalence of multidrug-resistant tuberculosis in prisons: Systematic review and meta-analysis |
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| Authors: | Tiago Ricardo Moreira Ibsen Barguine Junqueira Passos João Vitor L. Bueno Rosana Maffacciolli Renata Maria Colodette Paulo Sérgio Miguel |
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| Affiliation: | 1. Doutor e Saúde Pública. Departamento de Medicina e Enfermagem, Universidade Federal de Viçosa, Viçosa-MG, Brazil;2. Graduado Em Medicina. Departamento de Medicina e Enfermagem, Universidade Federal de Viçosa, Viçosa-MG, Brazil;3. Graduado Em Medicina. Departamento de Medicina e Enfermagem, Universidade Federal de Viçosa, Viçosa-MG, Brazil;4. Doutora Em Enfermagem, Escola de Enfermagem, Universidade Federal Do Rio Grande Do Sul, Porto Alegre-RS, Brazil;5. Mestre em Ciências da Saúde. Escola Nacional de Saúde Pública Sérgio Arouca. Fundação Oswaldo Cruz, Rio de Janeiro-RJ, Brazil;6. Doutor Em Microbiologia. Instituto Federal de Roraima, Amajari-RR, Brazil;1. Dr. Lal Path Labs, Hyderabad, 500032, India;2. Department of Microbiology, Government Tirunelveli Medical College, Tirunelveli, 627011, Tamil Nadu, India;1. Norrahammar Vårdcentral, Region Jönköping County, Postgatan 1, 56232, Norrahammar, Sweden;2. Department of Health, Medicine and Caring, Linköping University, 58183, Linköping, Sweden;1. Department of Microbiology, Subharti Medical College, Swami Vivekanand Subharti University, Meerut, UP, India;2. Department of Microbiology, Baba Raghav Das Medical College, Gorakhpur, Uttar Pradesh, 273013, India;3. Department of Paediatrics, Subharti Medical College, Swami Vivekanand Subharti University, Meerut, UP, India;1. Institute of Infectious Diseases, Apollo Hospitals, Chennai, India;2. Department of Microbiology, Apollo Hospitals, Chennai, India;1. Department of Microbiology, Dr. Sampurnanand Medical College, Jodhpur, Rajasthan, India;2. Department of Microbiology, MVAS Medical College, Basti, UP, India |
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| Abstract: | ![]()
BackgroundIn the context of prisons, multidrug-resistant tuberculosis (MDR-TB) is a major problem. In this article, we estimate the prevalence of MDR-TB among the population deprived of freedom from countries in South America, Europe, Asia and Africa.MethodsThe articles were retrieved through systematic search at four databases (EMBASE, CINAHL, LILACS and MEDILINE). The meta-analysis was developed by the random effect model, using the Mantel-Haenszel method, with presentation of the aggregated results through the forest plot. The degree of heterogeneity between the studies was verified using Cochran's Q test and I2.ResultsOf the 102 articles analyzed, 21 were included in this systematic review. The analysis showed heterogeneity indicated by the Q test (P ?< ?0.001) and I2 statistics (I2 ?= ?50.52%). The funnel graph and Egger test (P ?< ?0.830) showed symmetry between investigations. The grouped prevalence of MDR-TB was 0.48% (95% CI: 0.02 to 1.32), advancing to 1.15 (95% CI: 0.15 to 2.73) when culture and sensitivity test were considered by the authors. No specific characteristics were significantly associated with differences in prevalence rates in the population deprived of freedom.ConclusionThe study reaffirms the magnitude of MDR-TB in the population deprived of freedom in the world context. Political and technical-scientific efforts should be mobilized to mitigate TB and MDR-TB in prisons and for successful national and international disease control programs. |
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| Keywords: | Prevalence Tuberculosis Multidrug-resistant Prisons |
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