Comparação da proporção de cura por tuberculose segundo cobertura e tempo de implantação de Saúde da Família e fatores socioeconômicos e demográficos no município do Rio de Janeiro, Brasil, em 2012

Prado, José Carlos; Virgilio, Thiago Costa; Medronho, Roberto de Andrade

doi:10.1590/1413-81232015215.03912016

Cited by 14 publications

(9 citation statements)

References 6 publications

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“…The present study corroborates the need for decentralization and horizontalization of TB surveillance, prevention and control actions within the scope of structures offered in PCUs, as well as within the Family Health Strategy (ESF) and the Community Health Agents Program (PACS) 18,25 . However, this process does not take place homogeneously in all of the country's regions due to problems with structural resources and the lack of articulation between services.…”

Section: Discussionsupporting

confidence: 83%

Ações para o controle da tuberculoseno Brasil: avaliação da atenção básica

Baumgarten

Rech

Bulgarelli

et al. 2019

Rev. bras. epidemiol.

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RESUMO: Objetivo: Descrever e avaliar os fatores associados ao conjunto de ações para o controle da tuberculose (TB) na atenção básica (AB) nas cinco macrorregiões brasileiras. Métodos: Trata-se de um estudo transversal de base em serviço com dados obtidos a partir do segundo ciclo do Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica (PMAQ-AB). O desfecho foi construído a partir de um conjunto de itens que caracterizam a realização de ações para o cuidado no controle e tratamento da TB nas unidades básicas de saúde (UBSs). Os dados foram analisados por meio do teste do χ2 e da regressão de Poisson com variância robusta. Resultados: A prevalência nacional do conjunto de ações para controle da TB foi de 17,22%, sendo que as macrorregiões Nordeste (11,18%) e Norte (12,15%) tiveram o pior desempenho. Os resultados principais apontam que houve associação da presença do conjunto de ações para o controle da TB com as UBSs que realizam ações educativas para TB [razão de prevalência - RP = 1,53 (intervalo de confiança de 95% - IC95% 1,45 - 1,62)], sorologia para HIV [RP = 1,68 (IC95% 1,11 - 2,54)], possuem sala de acolhimento [RP=1,61(IC95% 1,46 - 1,79)] e atividades de educação permanente [RP = 1,73 (IC95% 1,54- 1,95)]. Conclusão: Os resultados demonstram fragilidade nas estruturas e no processo de trabalho da AB em relação ao controle da TB em todas as regiões brasileiras.

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Section: Discussionsupporting

confidence: 83%

Ações para o controle da tuberculoseno Brasil: avaliação da atenção básica

Baumgarten

Rech

Bulgarelli

et al. 2019

Rev. bras. epidemiol.

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“…Directly Observed Therapy (DOT) has been cited as an effective strategy for these patients, as treatment adherence is one of the most important aspects of TB control (4). Currently, with broader coverage of the Family Health Program in Brazilian health care facilities, coverage with DOT, or Directly Observed Treatment, Short Course (DOTS) is expected to increase considerably (22).…”

Section: Discussionmentioning

confidence: 99%

Effect of inpatient and outpatient care on treatment outcome in tuberculosis: a cohort study

Rocha

Oliveira

Saraceni

et al. 2018

Rev Panam Salud Publica

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Objective To identify individual- and health services–related factors associated with deaths in subjects diagnosed with tuberculosis (TB). Methods A nonconcurrent cohort study with passive follow-up was conducted using a probabilistic linkage method to analyze a sample of patients diagnosed and reported as having TB in 2006 and followed up until 2008. New cases, cases with previous treatment (readmission after loss to follow-up or relapse), and transfers across health services were included. Proportional hazards models were used to estimate the independent effect of covariates related to the individual and to the health services on mortality from all causes. Results Age above 60 years, admission to a hospital with emergency services, HIV-associated TB, and readmission to an outpatient facility after disease relapse or loss to follow-up were identified as risk factors for death. Variables related to process and results indicators of Brazil's National TB Program were not associated with mortality from all causes. Conclusions Advanced age, previous treatment for TB, and treatment at a secondary-level outpatient facility or a hospital with emergency services on site were associated with mortality in TB patients. Better strategies to improve TB care delivered at health units are needed to prevent death from TB, especially among the elderly.

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“…The clusters of more intense points in the DASAC district can be explained by the fact that the analysis of the kernel density is based on the count of points per km 2 in influential circulation areas, weighted by the distance of each of the locations of interest, without considering the population of areas (34)(35) . It was at DASAC that the highest incidence of MDR-TB was identified, a region of the city with medium socio-demographic indicators, typically characterized as an area around the city.…”

Section: Discussionmentioning

confidence: 99%

Spatial patterns of multidrug-resistant tuberculosis: correlation with sociodemographic variables and type of notification

et al. 2020

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Objective: Correlate the cases of multidrug-resistant tuberculosis and its spatial patterns with the type of notification and sociodemographic variables. Method: Ecological study carried out in the municipality of Belém, with 77 cases of multidrug-resistant tuberculosis registered in the Special Treatment Information System for Tuberculosis, between 2012 and 2016. For analysis, the data was debugged followed by geo-referencing in ArcGis 10.3 and Terra View 4.2.2. To relate the cases with the type of notification, the BioEstat 5.4 software was used, with a significance level of 95%. Results: Of the total, 40 (52%) were new cases; 27 (35%), relapses; and ten (13%) were re-enrolled after leaving. Multidrug-resistant tuberculosis was randomly distributed and related to income, household, territorial cluster and water supply. There was a concentration of cases in two administrative districts, corresponding to 28.5% and 27.3% of the total, with a median Sociodemographic Index. Conclusion: Behavior of multidrug-resistant tuberculosis influenced by sociodemographic indicators.

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Comparação da proporção de cura por tuberculose segundo cobertura e tempo de implantação de Saúde da Família e fatores socioeconômicos e demográficos no município do Rio de Janeiro, Brasil, em 2012

Cited by 14 publications

References 6 publications

Ações para o controle da tuberculoseno Brasil: avaliação da atenção básica

Ações para o controle da tuberculoseno Brasil: avaliação da atenção básica

Effect of inpatient and outpatient care on treatment outcome in tuberculosis: a cohort study

Spatial patterns of multidrug-resistant tuberculosis: correlation with sociodemographic variables and type of notification

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