Skip to main content
Log in

Spread of Mycobacterium tuberculosis in Southern Brazilian persons deprived of liberty: a molecular epidemiology study

  • Original Article
  • Published:
European Journal of Clinical Microbiology & Infectious Diseases Aims and scope Submit manuscript

Abstract

To evaluate the genetic diversity and clustering rates of M. tuberculosis strains to better understand transmission among persons deprived of liberty (PDL) in Rio Grande do Sul (RS), southern Brazil. This is a cross-sectional study, including strains of M. tuberculosis isolated from PDL, stored at the Central Laboratory of RS, in the period from 2013 to 2018. The molecular characterization was performed using the MIRU-VNTR 15 loci method. A total of 598 M. tuberculosis strains were genotyped, and 37.5% were grouped into 53 clusters. Cluster sizes ranged from 2 to 34 strains. The largest cluster of the study had strains from 34 PDL, and 58.8% of the PDL of this cluster were in P01. Among the clusters formed, in 60.3%, there was at least one strain from P01. The most common strains in RS were LAM (53.2%) and Haarlem (31.1%). The LAM strain was the most likely to form clusters, and Haarlem was associated with anti-TB drug resistance. This was translational research, and the results can collaborate with the TB control programs, leading to improved strategies that allow the reduction of the TB burden in prisons.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

Data availability

The datasets generated during and/or analyzed during the current study are not publicly available but are available from the corresponding author upon reasonable request.

Code availability

Not applicable.

References

  1. Cords O, Martinez L, Warren JL, O’Marr JM, Walter KS, Cohen T et al (2021) Incidence and prevalence of tuberculosis in incarcerated populations: a systematic review and meta-analysis. Lancet Publ Health. 6(5):e300–e308. https://doi.org/10.1016/S2468-2667(21)00025-6

    Article  Google Scholar 

  2. Mabud TS, de Lourdes Delgado Alves M, Ko AI, Basu S, Walter KS, Cohen T et al (2019) Evaluating strategies for control of tuberculosis in prisons and prevention of spillover into communities: an observational and modeling study from Brazil. PLoS Med 16(1):e1002737

    Article  Google Scholar 

  3. BRASIL. Ministério da Saúde. Secretaria de Vigilância em Saúde. Departamento de Doenças de Condições Crônicas e Infecções Sexualmente Transmissíveis – DCCI. Boletim Epidemiológico Especial. Tuberculose. Número Especial (2021) Disponível em: http://antigo.aids.gov.br/pt-br/pub/2021/boletim-tuberculose-2021

  4. BRASIL (2022) Ministério da Saúde. Sistema de Informação de Agravos de Notificação - Sinan [Internet]. [cited 2022 Feb 28]. Available from: http://tabnet.datasus.gov.br/cgi/tabcgi.exe?sinannet/cnv/tubercrs.def

  5. Paião DSG, Lemos EF, Carbone A da SS, Sgarbi RVE, Junior AL, da Silva FM et al (2016) Impact of mass-screening on tuberculosis incidence in a prospective cohort of Brazilian prisoners. BMC Infect Dis 16(1). https://doi.org/10.1186/s12879-016-1868-5

  6. Bierhals DV, Busatto C, da Penha Da Rosa Silveira M, da Matta Talaier E, Scholante Silva AB, Reis AJ, et al (2021) Tuberculosis cases in a prison in the extreme south of Brazil. J Med Microbiol 70(3). https://doi.org/10.1099/jmm.0.001319

  7. SUSEPE (2022) Superintendência dos Serviços Penitenciários. Presídios - Delegacias Penitenciárias. [Internet]. 2022 [cited 2022 Jan 31]. Available from: http://www.susepe.rs.gov.br/conteudo.php?cod_menu=7

  8. BRASIL (2022) Ministério da Justiça e Segurança Pública. DEPEN. Departamento Penitenciário Nacional. Levantamento Nacional de Informações Penitenciárias - Infopen [Internet]. [cited 2022 Feb 28]. Available from: https://app.powerbi.com/view?r=eyJrIjoiYWIxYjI3MTktNDZiZi00YjVhLWFjN2EtMDM2NDdhZDM5NjE2IiwidCI6ImViMDkwNDIwLTQ0NGMtNDNmNy05MWYyLTRiOGRhNmJmZThlMSJ9

  9. Supply P. Multilocus variable number tandem repeat genotyping of Mycobacterium tuberculosis Technical guide, INSERM U629, Institut de Biologie/Institut Pasteur de Lille (2005) Downloadable from www.miru-vntrplus.org, under background/protocols

  10. Supply P, Allix C, Lesjean S, Cardoso-Oelemann M, Rüsch-Gerdes S, Willery E et al (2006) Proposal for standardization of optimized mycobacterial interspersed repetitive unit-variable-number tandem repeat typing of Mycobacterium tuberculosis. J Clin Microbiol 44(12):4498–4510

    Article  CAS  Google Scholar 

  11. Selander RK, Caugant DA, Ochman H, Musser JM, Gilmour MN, Whittam TS (1986) Methods of multilocus enzyme electrophoresis for bacterial population genetics and systematics. Appl Environ Microbiol 51(5):873–884. https://doi.org/10.1128/aem.51.5.873-884.1986

  12. Sola C, Filliol I, Legrand E, Lesjean S, Locht C, Supply P et al (2003) Genotyping of the Mycobacterium tuberculosis complex using MIRUs: association with VNTR and spoligotyping for molecular epidemiology and evolutionary genetics. Infect Genet Evol 3(2):125–133

    Article  CAS  Google Scholar 

  13. Hunter PR, Gaston MA (1988) Numerical index of the discriminatory ability of typing systems: an application of Simpson’s index of diversity. J Clin Microbiol 26:2465

    Article  CAS  Google Scholar 

  14. Allix-Béguec C, Harmsen D, Weniger T, Supply P, Niemann S (2008) Evaluation and strategy for use of MIRU-VNTRplus, a multifunctional database for online analysis of genotyping data and phylogenetic identification of Mycobacterium tuberculosis complex isolates. J Clin Microbiol 46(8):2692–2699

    Article  Google Scholar 

  15. Scholante Silva AB, von Groll A, Félix C, Conceição FR, Spies FS, Scaini CJ et al (2009) Clonal diversity of M. tuberculosis isolated in a sea port city in Brazil. Tuberc 89(6):443–7

    Article  Google Scholar 

  16. Li Y, Cao X, Li S, Wang H, Wei J, Liu P, et al (2006) Characterization of Mycobacterium tuberculosis isolates from Hebei, China: genotypes and drug susceptibility phenotypes. BMC Infect Dis 16(1). https://doi.org/10.1186/s12879-016-1441-2

  17. Sann WWM, Namwat W, Faksri K, Swe TL, Swe KK, Thwin T et al (2020) Genetic diversity of Mycobacterium tuberculosis using 24-locus MIRU-VNTR typing and spoligotyping in Upper Myanmar. J Infect Dev Countries 14(11):1296–305

    Article  CAS  Google Scholar 

  18. Augusto CJ, da Silva Carvalho W, de Almeida IN, Figueiredo LJ, Dantas NGT, Suffys PN et al (2018) Comparative study of RFLP-IS6110 and MIRU-VNTR from Mycobacterium tuberculosis isolated in the state of Minas Gerais, Brazil. Braz J Microbiol 49(3):641–6

    Article  Google Scholar 

  19. Shi J, Zheng D, Zhu Y, Ma X, Wang S, Li H, et al (2018) Role of MIRU-VNTR and spoligotyping in assessing the genetic diversity of Mycobacterium tuberculosis in Henan Province, China. BMC Infect Dis 18(1). https://doi.org/10.1186/s12879-018-3351-y

  20. Kuhleis D, Ribeiro AW, Dalla Costa ER, Cafrune PI, Schmid K, da Costa LL et al (2012) Tuberculosis in a southern Brazilian prison. Mem Inst Oswaldo Cruz 107(7):909–915

    Article  Google Scholar 

  21. Reis AJ, de David SMM, de Souza Nunes L, de Moura Valim AR, Possuelo LG (2016) Recent transmission of drug-resistant Mycobacterium tuberculosis in a prison population in Southern Brazil. J Bras Pneumol 42(4):286–9

    Article  Google Scholar 

  22. Walter K, Santos PC, Gonçalves TO, Silva BO, da Silva Santos A, Leite AC et al (2022) The role of prisons in disseminating tuberculosis in Brazil: a genomic epidemiology study. Lancet Regional Health 9:100186

    Article  Google Scholar 

  23. Guerra J, Mogollón D, González D, Sanchez R, Rueda ZV, Parra-López CA et al (2019) Active and latent tuberculosis among inmates in La Esperanza prison in Guaduas, Colombia. PLoS ONE 14(1):e0209895

    Article  CAS  Google Scholar 

  24. Abascal E, Herranz M, Acosta F, Agapito J, Cabibbe AM, Monteserin J, et al. (2020) Screening of inmates transferred to Spain reveals a Peruvian prison as a reservoir of persistent Mycobacterium tuberculosis MDR strains and mixed infections. Sci Rep 10(1). https://doi.org/10.1038/s41598-020-59373-w

  25. Séraphin MN, Didelot X, Nolan DJ, May JR, Khan MSR, Murray ER et al (2018) Genomic investigation of a Mycobacterium tuberculosis outbreak involving prison and community cases in Florida, United States. Am J Trop Med Hyg 99(4):867–874

    Article  Google Scholar 

  26. Valença MS, Possuelo LG, Cezar-Vaz MR, da Silva PEA (2016) Tuberculose em presídios brasileiros: Uma revisão integrativa da literatura. Vol. 21, Ciencia e Saude Coletiva. Associacao Brasileira de Pos - Graduacao em Saude Coletiva 2147–60

  27. Naning H, Al-Darraji HAA, McDonald S, Ismail NA, Kamarulzaman A (2018) Modelling the impact of different tuberculosis control interventions on the prevalence of tuberculosis in an overcrowded prison. Asia-Pac J Public Health 30(3):235–43

    Article  Google Scholar 

  28. Pelissari DM, Kuhleis DC, Bartholomay P, Barreira D, Oliveira CLP, de Jesus RS et al (2018) Prevalence and screening of active tuberculosis in a prison in the South of Brazil. Int J Tuberc Lung Dis 22(10):1166–71

    Article  CAS  Google Scholar 

  29. Macedo LR, Maciel ELN, Struchiner CJ (2020) Factors associated with tuberculosis in persons deprived of liberty in Espírito Santo. Rev Saude Publ 54(67):1–12

    Google Scholar 

  30. Demay C, Liens B, Burguière T, Hill V, Couvin D, Millet J et al (2012) SITVITWEB - A publicly available international multimarker database for studying Mycobacterium tuberculosis genetic diversity and molecular epidemiology. Infect Genet Evol 12(4):755–766

    Article  CAS  Google Scholar 

  31. Perdigão J, Clemente S, Ramos J, Masakidi P, Machado D, Silva C, et al (2017) Genetic diversity, transmission dynamics and drug resistance of Mycobacterium tuberculosis in Angola. Sci Rep 7. https://doi.org/10.1038/srep42814

  32. Gomes HM, Elias AR, Oelemann MAC, da Silva Pereira MA, Montes FFO, Marsico AG et al (2012) Spoligotypes of Mycobacterium tuberculosis complex isolates from patients residents of 11 states of Brazil. Infect, Genet Evol 12(4):649–56

    Article  Google Scholar 

  33. Nogueira CL, Prim RI, Senna SG, Rovaris DB, Maurici R, Rossetti ML et al (2016) First insight into the molecular epidemiology of Mycobacterium tuberculosis in Santa Catarina, southern Brazil. Tuberc 1(97):57–64

    Article  Google Scholar 

  34. Duarte TA, Nery JS, Boechat N, Pereira SM, Simonsen V, Oliveira M et al (2017) A systematic review of East African-Indian family of Mycobacterium tuberculosis in Brazil. Braz J Infect Dis 21(3):317–24

    Article  Google Scholar 

  35. Perdigão J, Silva C, Diniz J, Pereira C, Machado D, Ramos J et al (2019) Clonal expansion across the seas as seen through CPLP-TB database: a joint effort in cataloguing Mycobacterium tuberculosis genetic diversity in Portuguese-speaking countries. Infect Genet Evol 1(72):44–58

    Article  Google Scholar 

  36. Salvato RS, Reis AJ, Schiefelbein SH, Gómez MAA, Salvato SS, da Silva LV et al (2021) Genomic-based surveillance reveals high ongoing transmission of multi-drug-resistant Mycobacterium tuberculosis in Southern Brazil. Int J Antimicrob Agents 58(4):106401

    Article  CAS  Google Scholar 

  37. Perizzolo PF, Dalla Costa ER, Ribeiro AW, Spies FS, Ribeiro MO, Dias CF et al (2012) Characteristics of multidrug-resistant Mycobacterium tuberculosis in southern Brazil. Tuberc 92(1):56–59

    Article  Google Scholar 

  38. Rossetti ML, da Silva Almeida PE, Salvato RS, Reis AJ, Schiefelbein SH, von Groll A et al (2020) A highly rifampicin resistant Mycobacterium tuberculosis strain emerging in Southern Brazil. Tuberc 125:102015

    Article  CAS  Google Scholar 

  39. Esteves LS, Dalla Costa ER, Vasconcellos SEG, Vargas A, Ferreira Junior SLM, Halon ML et al (2018) Genetic diversity of Mycobacterium tuberculosis isoniazid monoresistant and multidrug-resistant in Rio Grande do Sul, a tuberculosis high-burden state in Brazil. Tuberc 1(110):36–43

    Article  Google Scholar 

  40. Dalla Costa ER, Vasconcelos SEG, Esteves LS, Gomes HM, Gomes LL, da Silva PA et al (2015) Multidrug-resistant mycobacterium tuberculosis of the Latin American Mediterranean lineage, wrongly identified as mycobacterium pinnipedii (Spoligotype International Type 863 [SIT863]), causing active tuberculosis in South Brazil. J Clin Microbiol 53(12):3805–11

    Article  CAS  Google Scholar 

Download references

Acknowledgements

We would like to acknowledge the contributions of SUSEPE (Superintendence of Penitentiary Services), especially the 8th Regional Penitentiary Police Station/RS; LACEN/RS, especially Daniela Becker, and the Rio Grande do Sul State Health Department.

Funding

This work was supported by the Coordenação de aperfeiçoamento de Pessoal de Nível Superior—Brasil (CAPES)—Finance Code 001, and Programa Pesquisa para o SUS (PPSUS), Fundação de Amparo à Pesquisa do Estado do Rio Grande do Sul (FAPERGS), 2017 Finance Code 17/2551—0001465–0.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Pedro Almeida da Silva.

Ethics declarations

Consent to participate (include appropriate statements)

Not applicable.

Consent for publication (include appropriate statements)

Not applicable.

Competing interests

The authors declare no competing interests.

Additional information

Publisher's note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary Information

Below is the link to the electronic supplementary material.

Supplementary file1 (PDF 95 KB)

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Busatto, C., Possuelo, L.G., Bierhals, D. et al. Spread of Mycobacterium tuberculosis in Southern Brazilian persons deprived of liberty: a molecular epidemiology study. Eur J Clin Microbiol Infect Dis 42, 297–304 (2023). https://doi.org/10.1007/s10096-023-04546-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10096-023-04546-4

Keywords

Navigation