Diagnóstico da tuberculose: desempenho do primeiro serviço de saúde procurado em São José do Rio Preto, São Paulo, Brasil

Ponce, Maria Amélia Zanon; Wysocki, Anneliese Domingues; Scatolin, Beatriz Estuque; Andrade, Rúbia Laine de Paula; Arakawa, Tiemi; Netto, Antônio Ruffino; Monroe, Aline Aparecida; Scatena, Lúcia Marina; Vendramini, Silvia Helena Figueiredo; Villa, Tereza Cristina Scatena

doi:10.1590/s0102-311x2013000500012

Cited by 29 publications

(19 citation statements)

References 17 publications

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“…An inadequate capacity to quickly and accurately diagnose tuberculosis (TB) in developing countries ( WHO 2011 ) and the growing threat of multidrug-resistant TB strains (MDR-TB) are global concerns ( Said et al 2012 ). Approximately 450,000 people developed MDR-TB worldwide in 2012, with an estimated 170,000 deaths annually.…”

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confidence: 99%

Clinical and epidemiological profiles of individuals with drug-resistant tuberculosis

Pedro

Nardi

Pereira

et al. 2015

Mem. Inst. Oswaldo Cruz

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Drug-resistant tuberculosis (TB) is a growing global threat. Approximately 450,000 people developed multidrug-resistant TB worldwide in 2012 and an estimated 170,000 people died from the disease. This paper describes the sociodemographic, clinical-epidemiological and bacteriological aspects of TB and correlates these features with the distribution of anti-TB drug resistance. Mycobacterium tuberculosis (MT) cultures and drug susceptibility testing were performed according to the BACTEC MGIT 960 method. The results demonstrated that MT strains from individuals who received treatment for TB and people who were infected with human immunodeficiency virus were more resistant to TB drugs compared to other individuals (p < 0.05). Approximately half of the individuals received supervised treatment, but most drug-resistant cases were positive for pulmonary TB and exhibited positive acid-fast bacilli smears, which are complicating factors for TB control programs. Primary healthcare is the ideal level for early disease detection, but tertiary healthcare is the most common entry point for patients into the system. These factors require special attention from healthcare managers and professionals to effectively control and monitor the spread of TB drug-resistant cases.

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confidence: 99%

Clinical and epidemiological profiles of individuals with drug-resistant tuberculosis

Pedro

Nardi

Pereira

et al. 2015

Mem. Inst. Oswaldo Cruz

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“…A rotatividade dos profissionais nos serviços de saúde influencia no tempo de serviço, o que se observa através do rompimento na manutenção das equipes já qualificadas num determinado serviço de saúde (15) , o que pode comprometer o acompanhamento sistemático do portador de TB. O tempo de trabalho na unidade, juntamente com a qualificação profissional, podem favorecer o diagnóstico precoce e consequentemente a cura do indivíduo.…”

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Estratégias Para Capacitação Ao Cuidado Em Tuberculose

et al. 2016

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STRATEGIES FOR TUBERCULOSIS CARE TRAININGABSTRACT: Quantitative study that aimed to describe the components related to tuberculosis training that make health teams able to identify care strategies.A structured questionnaire was applied with 100 professionals in 27 Health Units of Natal, Rio Grande do Norte, between November 2013 and January 2014. The data were analyzed using the Statistical Package for the Social Sciencesversion 22.0. The results showed that 60% (n = 60) of the professionals often used the guidelines for the control of tuberculosis manual in the everyday practice; 73% (n = 73) stated that the involvement of tuberculosis specialists is accomplished by referral; 68% (n = 68) pass on the information about TB to all users and 44% (n = 44) of the training programs are carried out sporadically.It was concluded that there is the need to invest in systematic training involving specialists, aimed at the management and control of tuberculosis. DESCRIPTORS: In service training; Tuberculosis; Primary healthcare; Health education; Patient care. ESTRATEGIAS PARA CAPACITACIÓN AL CUIDADO EN TUBERCULOSIS RESUMEN: Investigación cuantitativa con objeto de describir los componentes vinculados a la capacitación en tuberculosis que hacen los equipos de salud capaces de identificar estrategias de cuidado. Fue aplicado un cuestionario estructurado a 100 profesionales en 27 Unidades de Salud en el municipio de Natal, estado de Rio Grande do Norte, Brasil, entre noviembre del 2013 y enero del 2014. Los datos fueron analizados en el programa estadístico Statistical Package for Social Sciences versión 22.0. Los resultados mostraron que 60% (n=60) de los profesionales utilizaron frecuentemente el manual de directivas para el control de la tuberculosis integrando la práctica cotidiana; 73% (n=73) afirmaron que el involucramiento de especialistas en tuberculosis se hace mediante referencia; 68% (n=68) transmiten las informaciones sobre tuberculosis a todos los usuarios y 44% (n=44) de las capacitaciones ocurren esporádicamente. Se concluye que son necesarias inversiones en capacitación sistemática, involucrando también especialistas, visando al manoseo y control de la tuberculosis. DESCRIPTORES: Capacitación en servicio; Tuberculosis; Atención Primaria de salud: Educación en salud; Atención al paciente.

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“…Some studies suggest that the time taken for TB diagnosis after the first medical appointment could be related to the type of health service sought by the user as the entry point to the health system, ease of access, the quality and effectiveness of the care given to the sick. 27 Corroborating this assumption, the supposed inability of PHCUs to provide immediate care, compared to easier access to emergency care, may have led TB patients to opt for the latter: the median diagnosis time at the referral center and at emergency care services was about 15 days, in comparison with the longer median time of 21 days at PHCUs.…”

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confidence: 99%

Organização dos serviços de saúde para o diagnóstico e tratamento dos casos de tuberculose em Manaus, Amazonas, 2014*

Sacramento

Lavôr

Oliveira

et al. 2019

Epidemiologia e Serviços de Saúde

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Objective: to describe the organization of health services for tuberculosis case diagnosis and treatment in the city of Manaus, Amazonas, Brazil. Methods: this was a descriptive study of 156 new tuberculosis cases diagnosed and residing in Manaus in 2014, characterized according to socioeconomic, demographic, health-disease process aspects, relationship with health services and treatment outcome, by administering individual questionnaires in the 1 st and 6 st months of treatment. Results: some 70% of cases were diagnosed at the tuberculosis reference center; most of the cases were unaware that there was a community health agent in their neighborhood; regarding treatment follow-up, 55.3% had to join an appointment waiting list; only 67.3% of cases were monitored by the same professional throughout entire treatment. Conclusion: the findings indicate presence of barriers to case diagnosis and treatment, both in the referral center and also in primary healthcare units.

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Diagnóstico da tuberculose: desempenho do primeiro serviço de saúde procurado em São José do Rio Preto, São Paulo, Brasil

Cited by 29 publications

References 17 publications

Clinical and epidemiological profiles of individuals with drug-resistant tuberculosis

Clinical and epidemiological profiles of individuals with drug-resistant tuberculosis

Estratégias Para Capacitação Ao Cuidado Em Tuberculose

Organização dos serviços de saúde para o diagnóstico e tratamento dos casos de tuberculose em Manaus, Amazonas, 2014*

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