The Active Search for Respiratory Symptomatics for the Control of Tuberculosis in the Potiguara Indigenous Scenario, Paraiba, Brazil

Abstract

This study sought to analyze the actions of an active search for respiratory symptomatics (RSs) in the control of tuberculosis (TB) enfermagem e agentes indígenas de saúde. Utilizou-se a técnica de grupo focal como instrumento de coleta de dados, cujo tratamento fundamentou-se na técnica de análise de discurso. Evidenciaram-se debilidades de natureza operacional, relacionadas à organização do serviço de saúde local para a implantação de rotinas de diagnóstico para a TB: ausência de rotina sistematizada para a busca de SR, dificuldades na organização do material para exame bacteriológico, abordagem inadequada ao paciente, durante a coleta do escarro, e insuficiente capacitação profissional. Julga-se necessário melhorar a organização dos serviços para a detecção precoce dos casos de TB, no cenário indígena local.Descritores: Tuberculose; População Indígena; Serviços de Saúde.La búsqueda activa de sintomáticos respiratorios para el control de la tuberculosis en el escenario indígena Potiguara, estado de Paraíba, BrasilEste estudio analiza las acciones de la búsqueda activa de sintomáticos respiratorios (SR) para el control de la tuberculosis (TB) en el Distrito Sanitario Especial Indígena Potiguara, en Paraíba, Brasil, en el período de mayo a junio de 2007. Después de aprobado por el Comité de Ética en Investigación, fueron reunidos 23 profesionales, entre médicos, enfermeros, técnicos de enfermería y agentes indígenas de la salud. Se utilizó la técnica de grupo focal como instrumento de recolección de datos, cuyo tratamiento se fundamentó en la técnica de análisis de discurso. Se evidenciaron debilidades de naturaleza operacional, relacionadas a la organización del servicio de salud local para la implantación de rutinas de diagnóstico para la TB, que fueron: ausencia de una rutina sistematizada para la búsqueda de SR, dificultades en la organización del material para examen bacteriológico, abordaje inadecuado al paciente durante la recolección del esputo, e insuficiente capacitación profesional. Se juzga necesario mejorar la organización de los servicios para la detección precoz de los casos de TB en el escenario indígena local.

Prevalence of tuberculosis respiratory symptoms and associated factors in the indigenous populations of Paraguay (2012)

“…However, our results are consistent with the findings of a study conducted in two cities in Colombia by Daza Arana (2013), which concluded that living in poor housing with inadequate ventilation and in homes with roofs predominantly made of waste material were associated with an increased prevalence of RS (Moreno & Peña 2010). In addition, research conducted in Bucaramanga, Colombia (Nóbrega et al 2010) found that RS was associated with households with no windows, with occupancies > 3 people per room, and a floor predominantly made of cement. This finding is consistent with the study by Krieger and Higgins, who reported that poor housing conditions were associated with health conditions, including the transmission of TB (Krieger & Higgins 2002).…”

“…Socioeconomic status and educational level may influence care seeking and attendance at health services. A study in Brazil found that barriers to access to health services in indigenous population influenced the presence of RS, as individuals were less likely to seek medical care (Nóbrega et al 2010). In our study, the types of housing and home heating increased the risk of having symptoms.…”

Ethnic and Racial Inequalities in Notified Cases of Tuberculosis in Brazil

“…A higher number of negative results in the bacilloscopies of the 1st and 2nd sputum samples was observed in the indigenous population, which could be partly explained by inadequate orientation of the patient at the time of sample collection or—as proposed by recent studies—by inappropriate storage and transport of the samples and technical incompetence resulting in incorrect reading of the sputum smears [ 25 , 28 , 42 ].…”

Nursing Approach to the Control of Tuberculosis: Scientific Publications (2002-2011)

“…As well as addressing the day-to-day practices of direct nursing care to patients, families and vulnerable groups, we highlight the need for nurses in previous care planning, identifying the vulnerable groups for TB disease within the community and then perform active case identification Melo and Campinas, 2010;Nobrega et al, 2010), to increase case detection rates among the population.…”