Factors associated with unfavorable outcome of tuberculosis treatment in people deprived of liberty: a systematic review

Objective: to analyze factors associated with unfavorable outcome of tuberculosis treatment in people deprived of liberty. Method: systematic review, carried out in March 2021 in seven databases, with no delimitation of period of publication. The selection process of publications and data extraction...

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Bibliographic Details
Authors: Saita, Nanci Michele, Andrade, Rubia Laine de Paula, Bossonario, Pedro Augusto, Bonfim, Rafaele Oliveira, Hino, Paula, Monroe, Aline Aparecida
Format: article
Status:Published version
Publication Date:2021
Country:Brasil
Institution:Universidade de São Paulo (USP)
Repository:Revista da Escola de Enfermagem da USP (Online)
Language:Portuguese
English
OAI Identifier:oai:revistas.usp.br:article/192879
Online Access:https://www.revistas.usp.br/reeusp/article/view/192879
Access Level:Open access
Keyword:Public Health
Tuberculosis
Treatment Outcome
Prisons
Prisoners
Systematic Review
Saúde Pública
Tuberculose
Resultado do Tratamento
Prisões
Prisioneiros
Revisão Sistemática
Salud Pública
Resultado del Tratamiento
Prisiones
Prisioneros
Revisión Sistemática
Description
Summary:Objective: to analyze factors associated with unfavorable outcome of tuberculosis treatment in people deprived of liberty. Method: systematic review, carried out in March 2021 in seven databases, with no delimitation of period of publication. The selection process of publications and data extraction was carried out by two independent reviewers. Results: a total of 1,448 publications was identified and nine were included in the study. Unfavorable outcome was higher among those who were men; had low level of education; were living in a rural area before detention; had longer prison time; received occasional visits; had been transferred between prisons; with no sputum smear microscopy or with a positive result at the diagnosis; with no follow-up sputum smear microscopy, previous history of tuberculosis; having both clinical forms of the disease, HIV/AIDS; alcoholics; smokers; low body weight; and self-administered treatment. Treatment default was associated with young people and death with older people. Conclusion: prison health managers and professionals are expected to establish mechanisms of surveillance and health actions innovation aimed at the population deprived of liberty, making efforts to reduce the unfavorable outcomes of tuberculosis treatment.