Tendências temporais da tuberculose em Sergipe: início do século XXI, 2001-2015

Abstract

Despite the decreasing trends in the prevalence, incidence and mortality in Brazil and worldwide, TB remains one of infectious diseases leading cause of death (along with HIV/AIDS) in the world. This study aims to analyze the temporal trend of incidence, prevalence, mortality, lethality, the dropout rate and coinfection rate of TB/AIDS of tuberculosis in the state of Sergipe. It’s a study of time series with data from Information Systems of the Unified Health System, which estimated the variation of tuberculosis coefficients in the period 2001-2015 through the segmented loglinear regression (joinpoint regression). After statistical analysis, there was an insignificant (1.5%) annual increase in the incidence rate (95% CI: -2.1 to 5.2). There was an insignificant (2.0%) annual increase in the prevalence rate (95% CI: -1.7 to 5.7). In the study period, there was a significant increase (3.94%) annual in the dropout rate (95% CI: 0.2 to 7.8). There was also a significant increase (7.1%) in the co-infection TB / HIV (95% CI: 2.0 to 12.6). Between 2004 and 2015, there were a significant (43.7%) annual increase in the mortality rate (95% CI 23.9 to 66.7) and a significant (45.4%) annual increase in the lethality rate (95% CI: 21.9 to 73.5). The results found leads to reflection on the need to control these diseases, strengthen the epidemiological surveillance and improved access to health.