Tuberculose latente em pacientes com insuficiência renal crônica de Campo Grande - MS

Abstract

One of the strategies used to control of the tuberculosis is the diagnosis of individuals with latent tuberculosis. Aim: to study latent tuberculosis in patients with Chronic kidney disease on hemodialysis in Campo Grande-MS. Method: this is an epidemiological study, to estimate the prevalence of latent tuberculosis, the tuberculin skin test was administered to 418 of the population of 772 patients from six Hemodialysis existing services being held in the capital. Results: the prevalence of latent tuberculosis was 10.3%. Patients on hemodialysis the average age was 53.4 ± 14.9, with a predominance of males, Caucasian, married and incomplete elementary education. The predominant Professions / occupations were: the home, driver, farmer and diarist. Previous contact with people with tuberculosis was an important finding because 80.0% of participants who reported contact with people with tuberculosis were positive for latent tuberculosis. The etiologies of Chronic kidney disease and evaluated comorbidities showed that patients who had hypertension and glomerulonephritis alone or associated not had a positive Tuberculin skin test. The most commonly used medications were: vitamin and mineral supplement (353), antiplatelet and antianginal, antihypertensive and cardiotonic, phosphate binder, for anemia, antacids and insulin. On chest radiographs of patients, 39 showed no change and four who had radiographic changes made tomography and bronchoscopy. In none of these was diagnosed active tuberculosis after tuberculin test, and there was no respiratory symptoms. Treatment adherence was 97.7%. Conclusions: We conclude that the prevalence of TBL was 10.3% in patients with Chronic kidney disease. Previous contact with persons with active latent tuberculosis increased the occurrence of latent infection. Treatment adherence was high, however, for this to occur, it is crucial that monitoring of tuberculosis treatment in health services.