Perfil de pacientes que evoluem para óbito por tuberculose no município de São Paulo, 2002

Lindoso, Ana Angélica Bulcão Portela; Waldman, Eliseu Alves; Komatsu, Naomi Kawaoka; Figueiredo, Sumie Matai de; Taniguchi, Mauro; Rodrigues, Laura C.

doi:10.1590/s0034-89102008000500004

Cited by 37 publications

(54 citation statements)

References 18 publications

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“…The results concerning the characteristics of the interviewed patients, most of whom were male and with a low level of schooling, are in agreement with the profile of TB patients found in the city in a historical series of 10 years (8) and of other cities in Brazil (9)(10) , which can be an important factor of vulnerability to TB and a determinant of low treatment adherence (11) .…”

Section: Discussionsupporting

confidence: 84%

The establishment of bonds between professional and patient in TB treatment: the performance of primary health care services in a city in the interior of São Paulo

Ponce

Vendramini

Santos

et al. 2011

Rev. Latino-Am. Enfermagem

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This study evaluated the performance of health care services implementing TB control actions in relation to the establishment of bonds between health professionals and patients in São José do Rio Preto, SP, Brazil from the perspective of patients, health professionals, and managers.A total of 108 patients, 37 health professionals and 15 managers were interviewed through a questionnaire containing 10 indicators of bond-establishment based on the instruments of the Primary Care Assessment Tool, adapted to evaluate tuberculosis control in Brazil. The three groups of actors considered the establishment of bonds satisfactory, though opinions of patients and managers differed in almost all indicators. This fact indicates that the view of managers is still predominantly focused on bureaucratic and administrative aspects, which shows the need for managers to integrate more management and care actions. Vínculo entre profesional y enfermo en el tratamiento de la tuberculosis: desempeño de la atención básica en un municipio del estado de Sao PauloEl objetivo del estudio fue evaluar el desempeño de los servicios de salud que realizan acciones de control de la TB relacionado al vínculo entre el profesional y el enfermo, en el municipio de Sao José del Rio Preto, en Sao Paulo, en la percepción de enfermos, profesionales de la salud y gestores. Fueron entrevistados 108 enfermos, 37 profesionales y 15 gestores utilizando un cuestionario elaborado con 10 indicadores para la dimensión vínculo construidos con base en el Primary Care Asesment Tool, adaptado para evaluar de la atención a la tuberculosis en Brasil. El vínculo fue evaluado como satisfactorio por los tres actores, entre tanto hubo variabilidad entre las opiniones de los enfermos y los gestores en casi todos los indicadores, lo que permite inferir que la visión de los gestores todavía está orientada predominantemente por los aspectos burocrático/administrativos, necesitando que estos integren más las acciones gerenciales y asistenciales.

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Section: Discussionsupporting

confidence: 84%

The establishment of bonds between professional and patient in TB treatment: the performance of primary health care services in a city in the interior of São Paulo

Ponce

Vendramini

Santos

et al. 2011

Rev. Latino-Am. Enfermagem

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“…(23) However, environmental and institutional factors, especially the conditions favorable to the increase in the occurrence of multidrugresistant TB and to the transmission of TB, seem to have a greater influence than do other factors. (24) Nevertheless, the fact that the city of Santos has a wide range of public health care facilities, together with the fact that access to the diagnosis and treatment of TB is universal and free, creates the conditions necessary for a decrease in the morbidity and mortality rates for TB in the city of Santos.…”

Section: Discussionmentioning

confidence: 99%

Características da tuberculose pulmonar em área hiperendêmica: município de Santos (SP)

et al. 2009

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Objective: To characterize the profile of patients with pulmonary tuberculosis (PTB) in the city of Santos, Brazil, according to biological, environmental and institutional factors. Methods: Descriptive study, using the TB surveillance database, including patients with PTB, aged 15 years or older, residing in the city of Santos and whose treatment was initiated between 2000 and 2004. Results: We identified 2,176 cases, of which 481 presented a history of TB. Of those 481 patients, 29.3% were cured, and 70.7% abandoned treatment. In 61.6% of the cases, the diagnosis was confirmed by sputum smear microscopy, whereas it was confirmed based on clinical and radiological criteria in 33.8%; 69.0% were male; and 69.5% were between 20 and 49 years of age. There were 732 hospitalizations, and the mean length of hospital stay was 32 days (first hospitalization). The prevalence of alcoholism, diabetes and TB/HIV coinfection was, respectively, 11.7%, 8.2% and 16.2%. The prevalence of TB/HIV coinfection decreased from 20.7% to 12.9% during the study period. The treatment outcome was cure, abandonment, death from TB and death attributed to TB/HIV coinfection in 71.0%, 12.1%, 3.9% and 2.5%, respectively. The directly observed treatment, short-course (DOTS) was adopted in 63.4% of cases, and there were no significant differences between DOTS and the conventional treatment approach in terms of outcomes (p > 0.05). The mean annual incidence of PTB was 127.9/100,000 population (range: 72.8-272.92/100,000 population, varying by region). The mean annual mortality rate for PTB was 6.9/100,000 population. Conclusions: In areas hyperendemic for TB, DOTS should be prioritized for groups at greater risk of treatment abandonment or death, and the investigation of TB contacts should be intensified.Keywords: Tuberculosis, pulmonary; Epidemiology, descriptive; Control. ResumoObjetivo: Caracterizar o perfil dos pacientes com tuberculose pulmonar (TBP) no município de Santos (SP) segundo fatores biológicos, ambientais e institucionais. Métodos: Estudo descritivo, com dados obtidos na vigilância da TB, abrangendo pacientes com TBP maiores de 15 anos de idade, residentes em Santos (SP) e com tratamento iniciado entre 2000 e 2004. Resultados: Foram identificados 2.176 casos, e 481 apresentavam história prévia de TB. Desses, 29,3% curaram-se no episódio anterior, e 70,7% abandonaram o tratamento. Em 61,6% e em 33,8% dos casos, o diagnóstico foi confirmado por baciloscopia e por critérios clínico-radiológicos, respectivamente; 69.0% eram homens, e 69,5% situavam-se entre 20 a 49 anos. Houve 732 hospitalizações, com tempo médio de permanência de 32 dias na primeira internação. A prevalência de alcoolismo, diabetes e coinfecção TB/HIV foi de, respectivamente, 11,7%, 8,2% e 16,2%, com declínio dessa última de 20,7% para 12,9% no período de estudo. O desfecho do tratamento para 71,0%, 12,1%, 3,2% e 3,3% foi, respectivamente, cura, abandono, óbito por TB e óbito por TB/HIV. O tratamento supervisionado de curta duração foi aplicado em 63,4% dos ca...

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“…Esses dados demonstram a necessidade do redimensionamento da infraestrutura para o diagnóstico e da busca sistemática de TB entre sintomáticos respiratórios. Situação semelhante ocorreu no estudo realizado no município de São Paulo em que foram identificados 416 óbitos ocorridos por TB como causa básica: destes, 30,4% tiveram diagnóstico efetuado após a morte e 49,5% não foram notificados (17) . (17) .…”

Section: Resultsunclassified

<b>Mortalidade por tuberculose no interior de São Paulo – brasil (2006-2008)/Mortality from tuberculosis in the countryside of São Paulo - Brazil (2006-2008)<b>

Yamamura¹,

Zanoti²,

Arcêncio³

et al. 2015

Cienc. Cuid. Saúde

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Perfil de pacientes que evoluem para óbito por tuberculose no município de São Paulo, 2002

Cited by 37 publications

References 18 publications

The establishment of bonds between professional and patient in TB treatment: the performance of primary health care services in a city in the interior of São Paulo

The establishment of bonds between professional and patient in TB treatment: the performance of primary health care services in a city in the interior of São Paulo

Características da tuberculose pulmonar em área hiperendêmica: município de Santos (SP)

<b>Mortalidade por tuberculose no interior de São Paulo – brasil (2006-2008)/Mortality from tuberculosis in the countryside of São Paulo - Brazil (2006-2008)<b>

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