A medicação assistida e os índices de cura de tuberculose e de abandono de tratamento na população indígena Guaraní-Kaiwá no Município de Dourados, Mato Grosso do Sul, Brasil

Marques, Ana Maria Campos; Cunha, Rivaldo Venâncio da

doi:10.1590/s0102-311x2003000500019

Cited by 23 publications

(25 citation statements)

References 19 publications

(13 reference statements)

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“…This epidemiological condition can be justified by the low level of socioeconomic Spatial distribution of tuberculosis Paiva BL, Azeredo JQ, Nogueira LMV, Santos BO, Rodrigues ILA, Santos MNA development and poor health service conditions found in indigenous areas, which has been confirmed in studies on TB cases and socioeconomic conditions. 31,32 A study 33 performed with an indigenous population in the city of Dourados, Mato Grosso do Sul state, revealed that appalling conditions of health and malnourishment were associated with an increase in TB. Moreover, it showed that malnourishment combined with very poor housing conditions with a high density of residents and a single room without ventilation facilitated TB infection.…”

Section: Discussionmentioning

confidence: 99%

Spatial distribution of tuberculosis in indigenous and non-indigenous populations in the state of Pará, Brazil, 2005-2013

et al. 2017

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Distribuição espacial de tuberculose nas populações indígenas e não indígenas do estado doCenters in Pará. The tuberculosis incidence rates were calculated for indigenous and non-indigenous populations in the 13 regions and maps were prepared to visualize the magnitude of the occurrence of tuberculosis. Results: Significant differences in the incidence of tuberculosis were found among non-indigenous and indigenous populations, reaching 7,812/100,000 inhabitants and 118/100,000 inhabitants respectively. Conclusion: Tuberculosis was distributed heterogeneously among the indigenous and non-indigenous populations. Moreover, it was possible to identify areas with high risk for this disease. It is important to note that knowledge about priority areas for tuberculosis control can help health service management to improve indicators that assess this disease and to develop different policies for indigenous peoples.Keywords: Tuberculosis; Indigenous Population; Spatial Analysis. Método: Estudio ecológico partir de datos del SINAN, estratificado para los 13 Centros Regionales de Salud existentes en Pará.Se calcularon las tasas de incidencia de tuberculosis en indígenas y no indígenas en las 13 regiones, y se confeccionaron los mapas para visualizar la magnitud de la incidencia de la tuberculosis. Resultados: Se encontró diferencias significativas en la incidencia de la tuberculosis entre la población no indígena y indígena, llegando a 7.812/100 mil habitantes y 118/100 mil habitantes. Conclusión: Se observó que la tuberculosis presenta una distribución heterogénea entre la población indígena y no indígena, y se pudo identificar las zonas con alto riesgo de la enfermedad. Es importante tener en cuenta que el conocimiento de las áreas prioritarias para el control de la tuberculosis puede ayudar a la gestión de los servicios de salud, para mejorar los índices que evalúan la enfermedad y desarrollar diferentes políticas para los pueblos indígenas.

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Section: Discussionmentioning

confidence: 99%

Spatial distribution of tuberculosis in indigenous and non-indigenous populations in the state of Pará, Brazil, 2005-2013

et al. 2017

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“…Currently, HIV infection, injection drug use, greater poverty, increased numbers of homeless people, migration, malnutrition, urbanization and a drop in the efficiency of tuberculosis control programs have been considered responsible for the increased endemicity of tuberculosis worldwide. (1) The mean rate of treatment noncompliance in Brazil is 12%, which is a cause for concern. (3) When drug combinations, which are considered the greatest trump over the emergence of resistance, are used inappropriately, such as in noncompliant cases, drug resistance appears because whenever medications are re-administered, there can be the selection of resistant mutants due to differences in the time to effect for each drug.…”

Section: Introductionmentioning

confidence: 99%

Características clínico-demográficas de pacientes hospitalizados com tuberculose no Brasil, no período de 1994 a 2004

et al. 2007

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Objective: To describe the demographic and clinical characteristics of patients with tuberculosis hospitalized in the Nestor Goulart Reis Hospital, located in the city of Américo Brasiliense, Brazil. Methods: Epidemiological investigation by means of an observational, retrospective, descriptive study based on the medical charts of patients diagnosed with tuberculosis and hospitalized between 1994 and 2004. Results: There were 1787 patients diagnosed with tuberculosis during the period evaluated. Of those, 117 (7%) were females, 1670 (93%) were males; 1215 (68%) were single, separated or widowed. Most of the patients (74%) had not completed middle school, and most (63%) were between 30 and 50 years of age. In addition, 61% suffered from alcoholism. The most common occupation was farm worker (25% of the patients), and 70% of the patients were unemployed. The most common clinical form of the disease was the pulmonary form (in 92%). The rate of medical discharge was 60%. The treatment regimen differed from the standard (rifampin, isoniazid and pyrazinamide) in 34% of the cases. Conclusions: The profile of the patients with tuberculosis hospitalized in the hospital studied showed that they had special requirements: they were unable to take care of themselves (social cases) and required alternative treatment regimens, which justified their hospitalization. This hospital played an important social role in the treatment and guidance of these patients.

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“…Before 2000, TB treatment for indigenous patients was hospitalization for several months, and the default rate was 20% [21,22]. Croda et al [20] retrospectively evaluated the performance of health services for this population and found that with the implementation of the Directly Observed Treatment Strategy (DOTS), there was a considerable reduction in default to treatment of 2%.…”

Section: Introductionmentioning

confidence: 99%

Health-service performance of TB treatment for indigenous and non-indigenous populations in Brazil: a cross-sectional study

Lemos

Alves

Oliveira

et al. 2014

BMC Health Serv Res

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BackgroundHealth-service evaluation studies are fundamental for proposing interventions and ensuring improvements in healthcare quality. The present study assesses the performance of health services for indigenous and non-indigenous populations with regard to tuberculosis (TB) control.MethodsInterviews with TB patients who underwent treatment between 2009 and 2011 were conducted using the Primary Care Assessment Tool adapted for TB care in Brazil.ResultsPrimary healthcare (PHC) was the first treatment for most patients at symptom onset, and the diagnoses were typically performed by specialized services. Many patients experienced delayed TB diagnoses that required more than three medical appointments (51% and 47% for indigenous and non-indigenous populations, respectively). Indigenous people received social support, such as basic-needs grocery packages (2.19 ± 1.63 vs. 1.13 ± 0.49 for non-indigenous people, p < 0.01) and home visits from health professionals, with an emphasis on the performance of directly observed treatment strategies (DOT; 4.57 ± 0.89 vs. 1.68 ± 1.04 for non-indigenous people, p < 0.01).ConclusionsRegardless of the differences between indigenous and non-indigenous populations, the time needed to receive a TB diagnosis was unsatisfactory for both groups. Furthermore, DOT must be performed with better coverage among non-indigenous patients.

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A medicação assistida e os índices de cura de tuberculose e de abandono de tratamento na população indígena Guaraní-Kaiwá no Município de Dourados, Mato Grosso do Sul, Brasil

Cited by 23 publications

References 19 publications

Spatial distribution of tuberculosis in indigenous and non-indigenous populations in the state of Pará, Brazil, 2005-2013

Spatial distribution of tuberculosis in indigenous and non-indigenous populations in the state of Pará, Brazil, 2005-2013

Características clínico-demográficas de pacientes hospitalizados com tuberculose no Brasil, no período de 1994 a 2004

Health-service performance of TB treatment for indigenous and non-indigenous populations in Brazil: a cross-sectional study

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