Casos de tuberculose com notificação após o óbito no Brasil, 2014: um estudo descritivo com base nos dados de vigilância

Abstract

Resumo Objetivo: Caracterizar os casos com notificação pós-óbito da tuberculose no Brasil em 2014. Métodos: Estudo descritivo dos casos de tuberculose com notificação pós-óbito. Os dados são resultantes da vinculação do Sistema de Informação de Agravos de Notificação (Sinan-TB) com o Sistema de Informações sobre Mortalidade (SIM), e foram descritos segundo causa básica de óbito: tuberculose, aids e outras. Resultados: Nos 2.703 casos de tuberculose com notificação pós-óbito, observou-se maior proporção de pessoas do sexo masculino (73,5%), com mais de 39 anos de idade (80,8%), com escolaridade <8 anos de estudo (66,5%), de raça/cor da pele negra e parda (62,8%), que adoeceram de tuberculose na forma clínica pulmonar (75,2%); também prevaleceram notificações pelo serviço público (57,6%) e em municípios com índice de desenvolvimento humano >0,7 (66,6%). Conclusão: As características descritas das pessoas notificadas pós-óbito e a magnitude desse desfecho sugerem fragilidades dos serviços de atenção e vigilância da tuberculose

Tuberculosis and the under reporting of cases that evolved to death: Integrative Literature Review

“…When TB appeared as an associated cause, malignant neoplasms were among the most common basic causes of death, and, less frequently, as associated causes (2.1%). [2] Cases attended in the public health service were responsible for about half or more of the post-death TB notifications, for the three groups of basic causes of death (TB; AIDS; others). Finally, more than half of the cases were reported in municipalities with low coverage of the Family Health Strategy (FHS) with 54.2%, although with medium or high coverage of AB, of 42.1% and 35.3% respectively.…”

“…Finally, more than half of the cases were reported in municipalities with low coverage of the Family Health Strategy (FHS) with 54.2%, although with medium or high coverage of AB, of 42.1% and 35.3% respectively. [2] TB cases notified after death presented TB and AIDS as the main basic causes of death. Higher proportions of males were observed, aged over 39 years, with eight years or less of study, race / skin color black or brown, with the pulmonary clinical form, and notified by the public health service.…”

“…), with 423 cases notified after death. [2] TB is a compulsory notification disease in Brazil and there is a network of great capillarity for the surveillance and control of the disease, present in all Brazilian municipalities, which implement different strategies and technologies to prevent new cases and reduce the disease burden. However, a portion of the population with TB is not captured by surveillance and health care services.…”

“…However, a portion of the population with TB is not captured by surveillance and health care services. [2] The failure to detect TB cases is an important challenge to face, as it contributes to the maintenance of the transmission chain, prevents effective treatment and allows to underestimate the magnitude of the problem for Public Health. The post-death notification of a TB case can be considered a "sentinel event" that reports failure in individual care and compromises the effectiveness of the disease control service.…”

“…The post-death notification of a TB case can be considered a "sentinel event" that reports failure in individual care and compromises the effectiveness of the disease control service. [2] In addition to SINAN, another important system is the Mortality Information System (SIM), responsible for compiling deaths from all causes. The quality of information is fundamental for epidemiological surveillance activities and the complementation or correction of data from a given information system can be carried out based on existing data in other information systems.…”