%0 Journal Article
%T Indicadores de morbimortalidade hospitalar de tuberculose no Munic¨ªpio de S£¿o Paulo
%A Galesi
%A Vera Maria Neder
%A Almeida
%A Margarida Maria Mattos Brito de
%J Revista Brasileira de Epidemiologia
%D 2007
%I Associa??o Brasileira de P¨®s -Gradua??o em Sa¨²de Coletiva
%R 10.1590/S1415-790X2007000100006
%X introduction: the treatment of tuberculosis is currently carried out in outpatient health services and hospitalization is only recommended for the more severe cases or for those facing social problems. in s£¿o paulo, however, a considerable number of tuberculosis patients are still hospitalized. objective: to study the socio-demographic and clinical-epidemiological characteristics of hospitalized tuberculosis patients in the city of s£¿o paulo in 2001. specific objective: to calculate tuberculosis morbimortality indicators for inpatients. methods: indicators of morbimortality of inpatients were calculated taking as sources, data from the s£¿o paulo state tuberculosis information system - (epitb) registration program, and the follow-up and analysis of reports and population data from deinfo/ sempla and fipe. results: a total of 2,473 tuberculosis patients were hospitalized in the city of s£¿o paulo in 2001. the hospitalization rate for these patients was 23.5 per 100,000 inhabitants, and the mortality rate found was 4.1 per 100,000 inhabitants with 485 deaths, yielding a fatality rate of 17.4%. discussion: the tb/hiv co-infection rate was of 32.7% among inpatients and 12.5% among those not hospitalized, showing that the aids epidemic has caused a considerable impact both in the magnitude and in the severity of the situation of hospitalized tuberculosis patients. the higher fatality rate (48.4%) is of disseminated / miliary tuberculosis, of which the majority occurs in hiv-positive patients. if, however, known hiv-positive cases are excluded, the fatality rate still remains high, i.e. 15%, showing that the severity of cases is not only due to co-infection. conclusions: taking all points into consideration, the indicators showed an alarming situation. recommendation: it is recommended that the epidemiological surveillance of municipalities establish flows and follow_up strategies for tuberculosis patients who have been hospitalized, mainly those in large urban centers, in
%K tuberculosis
%K hospitalization
%K indicators of hospital morbidity and mortality.
%U http://www.scielo.br/scielo.php?script=sci_abstract&pid=S1415-790X2007000100006&lng=en&nrm=iso&tlng=en