Daniela Becker

Tuberculosis entre los profesionales de las prisiones en Rio Grande do Sul

Objetivo: avaliar o risco de infeccao e adoecimento por Mycobacterium tuberculosis entre profissionais de saude e de seguranca em casas penitenciarias de duas regioes do Rio Grande do Sul (RS). Metodo: estudo transversal, envolvendo profissionais de penitenciarias. Foi realizada uma entrevista, baciloscopia e cultura de escarro. A infeccao latente foi avaliada de acordo com o resultado do teste tuberculinico (TT), auto-referido. Resultados: entre os trabalhadores que realizaram o TT na regiao central, 10 (83,3%) foram considerados reatores; e na regiao sul, 2 (16,7%). O tempo de trabalho entre os agentes penitenciarios reatores ao TT foi 15,3 anos e entre os trabalhadores da saude 4,1 anos (p = 0,01). Nao foram identificados casos de Tuberculose (TB) ativa. Conclusao: a prevalencia de TB latente foi 27,9%. O tempo de trabalho entre as diferentes categorias profissionais e a regiao em que trabalham foram considerados fator de risco para TB latente.OBJECTIVE to evaluate the risk of infection and illness caused by Mycobacterium tuberculosis among health care and security staff in prisons in two regions of Rio Grande do Sul (RS). METHOD cross-sectional study involving prison staff. An interview and sputum smear microscopy and culture were performed. Latent infection was evaluated according to the result of the tuberculin test (TT), self-referred. RESULTS among staff who had a TT, 10 (83.3%) in the central region and 2 (16.7%) in the southern region were considered reactors. Length of employment among prison officers who reacted to TT was 15.3 years, and among health care workers, 4.1 years (p = 0.01). No cases of active tuberculosis (TB) were identified. CONCLUSION prevalence of latent TB was 27.9%. Length of employment between different professional categories and their working regions was considered a risk factor for latent TB.

Tuberculose entre profissionais de penitenciárias do Rio Grande do Sul

Objetivo: avaliar o risco de infeccao e adoecimento por Mycobacterium tuberculosis entre profissionais de saude e de seguranca em casas penitenciarias de duas regioes do Rio Grande do Sul (RS). Metodo: estudo transversal, envolvendo profissionais de penitenciarias. Foi realizada uma entrevista, baciloscopia e cultura de escarro. A infeccao latente foi avaliada de acordo com o resultado do teste tuberculinico (TT), auto-referido. Resultados: entre os trabalhadores que realizaram o TT na regiao central, 10 (83,3%) foram considerados reatores; e na regiao sul, 2 (16,7%). O tempo de trabalho entre os agentes penitenciarios reatores ao TT foi 15,3 anos e entre os trabalhadores da saude 4,1 anos (p = 0,01). Nao foram identificados casos de Tuberculose (TB) ativa. Conclusao: a prevalencia de TB latente foi 27,9%. O tempo de trabalho entre as diferentes categorias profissionais e a regiao em que trabalham foram considerados fator de risco para TB latente.OBJECTIVE to evaluate the risk of infection and illness caused by Mycobacterium tuberculosis among health care and security staff in prisons in two regions of Rio Grande do Sul (RS). METHOD cross-sectional study involving prison staff. An interview and sputum smear microscopy and culture were performed. Latent infection was evaluated according to the result of the tuberculin test (TT), self-referred. RESULTS among staff who had a TT, 10 (83.3%) in the central region and 2 (16.7%) in the southern region were considered reactors. Length of employment among prison officers who reacted to TT was 15.3 years, and among health care workers, 4.1 years (p = 0.01). No cases of active tuberculosis (TB) were identified. CONCLUSION prevalence of latent TB was 27.9%. Length of employment between different professional categories and their working regions was considered a risk factor for latent TB.

Tuberculosis among prison staff in Rio Grande do Sul

Objetivo: avaliar o risco de infeccao e adoecimento por Mycobacterium tuberculosis entre profissionais de saude e de seguranca em casas penitenciarias de duas regioes do Rio Grande do Sul (RS). Metodo: estudo transversal, envolvendo profissionais de penitenciarias. Foi realizada uma entrevista, baciloscopia e cultura de escarro. A infeccao latente foi avaliada de acordo com o resultado do teste tuberculinico (TT), auto-referido. Resultados: entre os trabalhadores que realizaram o TT na regiao central, 10 (83,3%) foram considerados reatores; e na regiao sul, 2 (16,7%). O tempo de trabalho entre os agentes penitenciarios reatores ao TT foi 15,3 anos e entre os trabalhadores da saude 4,1 anos (p = 0,01). Nao foram identificados casos de Tuberculose (TB) ativa. Conclusao: a prevalencia de TB latente foi 27,9%. O tempo de trabalho entre as diferentes categorias profissionais e a regiao em que trabalham foram considerados fator de risco para TB latente.OBJECTIVE to evaluate the risk of infection and illness caused by Mycobacterium tuberculosis among health care and security staff in prisons in two regions of Rio Grande do Sul (RS). METHOD cross-sectional study involving prison staff. An interview and sputum smear microscopy and culture were performed. Latent infection was evaluated according to the result of the tuberculin test (TT), self-referred. RESULTS among staff who had a TT, 10 (83.3%) in the central region and 2 (16.7%) in the southern region were considered reactors. Length of employment among prison officers who reacted to TT was 15.3 years, and among health care workers, 4.1 years (p = 0.01). No cases of active tuberculosis (TB) were identified. CONCLUSION prevalence of latent TB was 27.9%. Length of employment between different professional categories and their working regions was considered a risk factor for latent TB.

Efeito prozona no diagnóstico de sífilis pelo método VDRL: experiência de um serviço de referência no sul do Brasil.

Backgound and Objectives: Syphilis is a systemic infectious disease caused by the spirochete Treponema pallidum. VDRL (Venereal Diseases Research Laboratory) test is the most often used laboratory method for syphilis diagnosis. The prozone effect may occur in 1% to 2% of patients, especially at late stages of syphilis and during pregnancy. The objective of this study was to evaluate the frequency of this effect in analyses performed at Laboratorio Regional de Santa Cruz do Sul do Laboratorio Central do Rio Grande do Sul, from April to May 2013. Methods: A descriptive study was performed, in which 2018 samples were analyzed by the VDRL method and subsequently, low titers (≤ 1:4) were confirmed by the immunoblot method. Results: A total of 68 (3.37%) samples were positive, of which 49 (72.1%) belonging to women and of these, 38 (77.5%) pregnant women. The VDRL method showed no prozone effect. The 32 samples with titers ≤ 1:4 were confirmed by the treponemal method, resulting in 6 false-positive results, of which 4 were observed in pregnant women. Conclusion: Although not prozone effect was observed in this study, it was concluded that the VDRL method results must be evaluated individually, with the possibility of confirmation through the treponemal test.