Notificação da infecção pelo HIV em gestantes: estimativas a partir de um estudo nacional

Abstract

OBJECTIVE:To estimate the coverage of the reporting of cases of HIV-infected pregnant women, to estimate the increase in the coverage of the reporting with the routine search of data in other Brazilian health information systems, and to identify missed opportunities for identification of HIV-infected pregnant women in Brazilian maternity hospitals.METHODS:This is a descriptive study on the linkage of Brazilian databases with primary data from the “Nascer no Brasil” study and secondary database collection from national health information systems. The “Nascer no Brasil” is a national-based study carried out in 2011–2012 with 23,894 pregnant women, which identified HIV-infected pregnant women using prenatal and medical records. We searched for cases of HIV-infected pregnant women identified in the “Nascer no Brasil” study in the Information System of Notifiable Diseases, the Control System for Laboratory Tests of the National CD4+/CD8+ Lymphocyte Count and HIV Viral Load Network, and the Logistics Control System for Medications. We used the OpenRecLink software for the linkage of databases. We estimated the notification coverage, with the respective confidence interval, of the evaluated Brazilian health information systems.RESULTS:We estimated the coverage of the reporting of HIV-infected pregnant women in the Information System of Notifiable Diseases as 57.1% (95%CI 42.9–70.2), and we located 89.3% of the HIV-infected pregnant women (95%CI 81.2–94.2) in some of the Brazilian health information systems researched. The search in other national health information systems would result in an increase of 57.1% of the reported cases. We identified no missed opportunities for the diagnosis of HIV+ in pregnant women in the maternity hospitals evaluated by the “Nascer no Brasil” study.CONCLUSIONS:The routine search for information in other Brazilian health information systems, a procedure carried out by the Ministry of Health for cases of AIDS in adults and children, should be adopted for cases of HIV in pregnancy.

Epidemiological Surveillance System on Foodborne Diseases in Brazil after 10-Years of Its Implementation: Completeness Evaluation

“…We did not find other studies evaluating the completeness of FBD data worldwide. However, comparing the completeness data from the present study with the completeness of other studies that assessed the completeness data in other health conditions [ 17 , 18 , 19 ], it is noteworthy that the completeness of the FBD still needs to be improved and studied.…”

HIV infection in pregnant women and its challenges for the prenatal care

“…The North of the country has one of the lowest levels of prenatal HIV testing in the first trimester of pregnancy, which is a shortcoming in attending to the prescribed protocols to prevent against vertical transmission (3) .…”

“…The progressive increase of cases of HIV/aids in women in reproductive age contributed for an increase in the rates of vertical transmission, which has been shown to be an important challenge for public health policies (1)(2)(3) .…”

A Percepção Do Paciente Mastectomizado Sobre Os Cuidados De Enfermagem: Uma Revisão Integrativa

“…Estudos realizados no Brasil estimaram, com base em registros de internações hospitalares de 1996 a 2012, a ocorrência de 17 abortos por mil mulheres em idade reprodutiva e 33 abortos para cada 100 nascidos vivos, com as regiões Norte, Nordeste e Sudeste apresentando as maiores taxas e razões de aborto (DOMINGUES et al, 2018b O panorama dos registros de informações, e a quantidade de informações ignorados ou em branco, leva a duas reflexões: essas mulheres não tiveram filho ou não aconteceu notificação da evolução dos casos nesses períodos, ou são consideradas natimorto ou realizaram aborto. Por mais que careça de aprimoramentos, a notificação é necessária, pois pretende contribuir para gerar dados que dimensionem a magnitude da doença ou problema, como a serem enfrentados por diferentes setores e categorias profissionais.…”