Óbitos atribuídos à tuberculose no Estado do Rio de Janeiro

Selig, Lia; Belo, M; Cunha, Antônio José Lêdo Alves da; Teixeira, Emerson Luiz; Brito, Rossana Coimbra; Luna, Ana Lucia; Trajman, Anete

doi:10.1590/s1806-37132004000400006

Cited by 51 publications

(74 citation statements)

References 8 publications

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“…Another study, carried out in Brazil, in the state of Rio de Janeiro, (16) reported a median of time from the onset of symptoms up to diagnosis, for the population in general, of 60 days, which can indicate problems of access to health care facilities similar to those that were found in the present study.…”

Section: Discussionsupporting

confidence: 75%

Características da tuberculose em idosos no Recife (PE): contribuição para o programa de controle

et al. 2006

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Objective: To describe the demographic characteristics, everyday habits, socio-economic conditions, clinico-epidemiological profiles and access to health care services among the elderly patients with tuberculosis diagnosed and treated in the city of Recife, Brazil, comparing them to those observed in young adults with tuberculosis. Methods: A case-control type strategy was used to evaluate a cohort of patients with tuberculosis, all of whom were treated in public health care facilities in (cases) and 991 young adults (controls). In both groups, males predominated, and the most common form of tuberculosis was the pulmonary form. Alcoholism was more common in the control group, whereas illiteracy was more common in the case group. There were fewer complaints of cough, sweats and chest pain among the patients in the case group than among those in the control group. Serological testing for the human immunodeficiency virus was performed in only 29 patients (2.6%). The percentage of positive sputum smear microscopy results, as well as that of positive cultures, was higher in the controls. Prior to being diagnosed with the disease, patients in both groups had sought treatment at more than two health care facilities and had waited more than two months (after first seeking treatment). The elderly patients presented higher indices of cure and were more often compliant with the treatment regimen, yet presented higher mortality rates. Conclusion:In the population studied, the elderly presented less cough, fewer episodes of night sweats and less chest pain, as well as less often presenting positivity on complementary exams. Nevertheless, the mortality rate was higher among the elderly patients than among the young adult patients. Elderly patients with tuberculosis constitute a population that should be given special attention in public health care facilities.

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Section: Discussionsupporting

confidence: 75%

Características da tuberculose em idosos no Recife (PE): contribuição para o programa de controle

et al. 2006

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“…The high incidence of pulmonary TB found in this study was expected, as the pulmonary system is the most manifestation site of this disease (6,13,19) . The clinical assessment and the diagnostic tests employed are the most common and least expensive techniques to identify pulmonary TB (20)(21) .…”

Section: Discussionsupporting

confidence: 59%

Tuberculose: perfil de doentes, fluxo de atendimento e opinião de enfermeiros

Caliari

Figueiredo

2012

Acta paul. enferm.

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Objective: To characterize the profile of patients with tuberculosis (TB) and identify the service flowchart, and the opinion of professionals responsible for the Tuberculosis Control Program of municipalities in the Regional Health Department III of the State of São Paulo. Methods: A descriptive study of quantitative approach covering 122 notifications identified in the Control System of Patients with Tuberculosis, 2007Tuberculosis, /2008, and six interviews with nurses responsible for this program in the region. Results: Of 122 notifications identified, 69% were men, 35% were unemployed, 25% were alcoholics and 86% had pulmonary TB. The control activities were centralized, and the nurses were responsible for programs in the region. These professionals identified favorable points of team involvement and ease in requesting examinations. Unfavorable points included the lack of equipment and professionals, and the delays in obtaining exams. Conclusion: The region has the typical profile for TB, including aspects of social fragility, centralized control actions, and those in charge do not recognize the centralization of the actions, and the lack of autonomy of the units or weaknesses of the program.. Keywords: Health services evaluation; Tuberculosis; National health programs RESUMOObjetivo: Caracterizar o perfil de pacientes com tuberculose (TB) e identificar o fluxograma de atendimento e a opinião dos profissionais responsáveis pelo Programa de Controle da Tuberculose de municípios do Departamento da Regional de Saúde III do Estado de São Paulo. Métodos: Estudo descritivo de abordagem quantitativa abrangendo 122 notificações identificadas no Sistema de Controle de Pacientes com Tuberculose, de 2007/2008, e seis entrevistas com enfermeiros responsáveis por esse Programa, na região. Resultado: Das 122 notificações identificadas, 69% eram de homens, 35% desempregados, 25% etilistas e 86% com TB pulmonar. As ações de controle eram centralizadas, e os enfermeiros eram os responsáveis pelos programas da região. Estes profissionais apontaram como pontos favoráveis o envolvimento da equipe e a facilidade em solicitar exames. Como desfavoráveis, a falta de equipamentos e de profissionais e demora na realização de exames. Conclusão: A região apresenta o perfil típico para TB, incluindo aspectos de fragilidade social, ações de controle centralizadas, e os responsáveis não reconhecem a centralização das ações e a falta de autonomia das unidades como fragilidades do programa. Descritores: Avaliação de programas e projetos de saúde; Tuberculose; Programas nacionais de saúde RESUMENObjetivo: Caracterizar el perfil de pacientes con tuberculosis (TB) e identificar el fluxograma de atención y la opinión de los profesionales responsables del Programa de Control de Tuberculosis de municipios del Departamento de la Región de Salud III del Estado de Sao Paulo. Métodos: Se trata de un estudio descriptivo con abordaje cuantitativo que abarcó 122 notificaciones identificadas en el Sistema de Control de Pacientes con Tuberculosis...

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“…Initially, many deaths were observed with PTB as the basic cause, without any mention of bacteriological or histological confirmation, similar to studies undertaken in Campo Grande, State of Mato Grosso do Sul (45) and in the State of Rio de Janeiro (46) . This result identifi es a critical area that health services need to investigate in view of the possibility of false positives.…”

Section: Discussionsupporting

confidence: 61%

Pulmonary tuberculosis in São Luis, State of Maranhão, Brazil: space and space-time risk clusters for death (2008-2012)

Neto

Yamamura

Garcia

et al. 2015

Rev. Soc. Bras. Med. Trop.

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Introduction:The objective was to identify space and space-time risk clusters for the occurrence of deaths in a priority city for the control of tuberculosis (TB) in the Brazilian Northeast. Methods: Ecological research was undertaken in the City of São Luis/ Maranhão. Cases were considered that resulted in deaths in the population living in the urban region of the city with pulmonary TB as the basic cause, between 2008 and 2012. To detect space and space-time clusters of deaths due to pulmonary TB in the census sectors, the spatial analysis scan technique was used. Results: In total, 221 deaths by TB occurred, 193 of which were due to pulmonary TB. Approximately 95% of the cases (n=183) were geocoded. Two signifi cant spatial clusters were identifi ed, the fi rst of which showed a mortality rate of 5.8 deaths per 100,000 inhabitants per year and a high relative risk of 3.87. The second spatial cluster showed a mortality rate of 0.4 deaths per 100,000 inhabitants per year and a low relative risk of 0.10. A signifi cant cluster was observed in the space-time analysis between 11/01/2008 and 04/30/2011, with a mortality rate of 8.10 deaths per 100,000 inhabitants per year and a high relative risk (3.0). Conclusions: The knowledge of priority sites for the occurrence of deaths can support public management to reduce inequities in the access to health services and permit an optimization of the resources and teams in the control of pulmonary TB, providing support for specifi c strategies focused on the most vulnerable populations.Keywords: Pulmonary tuberculosis. Spatio-temporal and spatial analysis. Death.Tuberculosis (TB) is one of the main causes of death among infectious contagious diseases and occurs mainly in developing countries (1) . In 2012, 1.3 million people died of TB worldwide. Brazil ranked 16 th in the number of cases and 109 th in terms of incidence rate(1) , with 36.1 cases per 100,000 inhabitants and a mortality rate of 2.4 deaths per 100,000 inhabitants (2) .It is notable that among the clinical forms of the disease, pulmonary tuberculosis (PTB) is on the list of avoidable causes of death because if the local health services established appropriate health promotion, protection and recovery actions for patients and their families, deaths from TB would be less common (3) .Considered a social disease (4) , TB should be studied from a microregional, local and focal viewpoint, according to the spatial distribution (5) . Therefore, a geo-epidemiological approach to the disease, using geoprocessing techniques, has been adopted in the international sphere (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) . Nevertheless, the introduction of this technology to support the action planning and decision making of health managers and workers is still restricted (18) .In Brazil, a series of studies was undertaken that considered the incidence of the disease and undoubtedly contributed to a better understanding of its dynamics in distinct territories (19) (20) (21) (22) (23) (24) (25) (26) (27) (28) ...

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Óbitos atribuídos à tuberculose no Estado do Rio de Janeiro

Cited by 51 publications

References 8 publications

Características da tuberculose em idosos no Recife (PE): contribuição para o programa de controle

Características da tuberculose em idosos no Recife (PE): contribuição para o programa de controle

Tuberculose: perfil de doentes, fluxo de atendimento e opinião de enfermeiros

Pulmonary tuberculosis in São Luis, State of Maranhão, Brazil: space and space-time risk clusters for death (2008-2012)

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