Avaliação de um escore clínico para rastreamento de suspeitos de tuberculose pulmonar

Castro, Cristiano Bel Alves de; Costa, Paulo Albuquerque da; Ruffino-Netto, Antônio; Maciel, Ethel Leonor Nóia; Kritski, Afrânio Lineu

doi:10.1590/s0034-89102011005000071

Cited by 20 publications

(13 citation statements)

References 9 publications

(6 reference statements)

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“…Initially all volunteering HCWs were administered a TB symptom screening questionnaire [23] with symptomless HCWs being administered a second questionnaire collecting information on individual, occupational and administrative risk factors. This questionnaire of closed ended questions was designed using the TB risk assessment worksheet from United States Centers for Disease Control and Prevention (CDC) [24], validated and corrected in a pilot study.…”

Section: Methodsmentioning

confidence: 99%

Prevalence and risk factors for latent tuberculosis infection among healthcare workers in Nampula Central Hospital, Mozambique

Belo

Naidoo

2017

BMC Infect Dis

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BackgroundHealthcare workers in high tuberculosis burdened countries are occupationally exposed to the tuberculosis disease with uncomplicated and complicated tuberculosis on the increase among them. Most of them acquire Mycobacterium tuberculosis but do not progress to the active disease – latent tuberculosis infection. The objective of this study was to assess the prevalence and risk factors associated with latent tuberculosis infection among healthcare workers in Nampula Central Hospital, Mozambique.MethodsThis cross-sectional study of healthcare workers was conducted between 2014 and 2015. Participants (n = 209) were administered a questionnaire on demographics and occupational tuberculosis exposure and had a tuberculin skin test administered. Multivariate linear and logistic regression tested for associations between independent variables and dependent outcomes (tuberculin skin test induration and latent tuberculosis infection status).ResultsThe prevalence of latent tuberculosis infection was 34.4%. Latent tuberculosis infection was highest in those working for more than eight years (39.3%), those who had no BCG vaccination (39.6%) and were immunocompromised (78.1%). Being immunocompromised was significantly associated with latent tuberculosis infection (OR 5.97 [95% CI 1.89; 18.87]). Positive but non-significant associations occurred with working in the medical domain (OR 1.02 [95% CI 0.17; 6.37]), length of employment > eight years (OR 1.97 [95% CI 0.70; 5.53]) and occupational contact with tuberculosis patients (OR 1.24 [95% CI 0.47; 3.27]).ConclusionsPersonal and occupational factors were positively associated with latent tuberculosis infection among healthcare workers in Mozambique.

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“…Inicialmente, os indivíduos incluídos no estudo responderam a um escore clínico de alta sensibilidade para o diagnóstico presuntivo de TB (9) . Este instrumento é composto por questões de fácil resposta, sem causar constrangimento na entrevista de triagem; sua pontuação varia de zero a 22, o que gera um sistema de escore para a aplicação em pacientes com suspeita de TB.…”

Section: Métodosunclassified

Tuberculose pulmonar entre usuários de uma unidade de atenção básica

Oliveira

Jomar

Motta

2015

RBPS

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Pulmonary tuberculosis among users of a primary healthcare unit Tuberculosis pulmonar en los usuarios de una unidad de atención básica RESUMO Objetivo: Avaliar a prevalência de casos bacilíferos de tuberculose pulmonar entre usuários de uma unidade de atenção básica. Métodos: Estudo observacional, de corte transversal, realizado entre fevereiro e agosto de 2011 com 1.873 indivíduos maiores de 18 anos atendidos na Unidade Básica de Saúde (UBS), localizada na zona norte do município do Rio de Janeiro-RJ (Brasil), selecionados por conveniência de forma não probabilística. Inicialmente, aplicouse instrumento para o diagnóstico presuntivo de tuberculose pulmonar. Os indivíduos com escore positivo foram submetidos ao teste bacilífero. Realizou-se estatística descritiva com frequência simples e percentual, bem como teste exato de Fisher para avaliar a associação com sexo, idade e os resultados da baciloscopia de escarro. Resultados: Entre os indivíduos atendidos na UBS estudada, 157 (8,4%) apresentaram escore positivo para diagnóstico presuntivo de tuberculose. Nesses, os sintomas mais frequentes foram tosse (76,5%, n=13) e dor torácica (70,6%, n=12). Não houve associação significativa entre baciloscopia positiva com sexo (p=0,477) e idade (p=0,186). Conclusão: A ocorrência de casos bacilíferos de tuberculose pulmonar entre indivíduo com escore positivo de presunção dessa doença mostrou-se alta na unidade de saúde estudada.

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“…Studies selected for analysis in this study showed that nursing staff need to have innovative and efficient tools for patients and their families for early diagnosis (Castro et al, 2011;Silva at al., 2011), as well as effective strategies for monitoring TB treatment (Maciel et al, 2010;Rodrigues et al, 2008).…”

Section: Ijrnmentioning

confidence: 99%

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

Firmino

Tavares

Arakawa

et al. 2012

International Journal of Research in Nursing

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As a disease of chronic evolution, Tuberculosis (TB) requires more health care professionals, especially nursing staff, to encourage the patient not to abandon the treatment and achieve a cure. Thus, this study aimed to describe the state of the art of scientific publications regarding the approach that is given to nursing aids regarding TB control. The literature search was performed on the database of the Virtual Health Library, The Lilacs, indexed with the following descriptors: tuberculosis, nursing, nursing care, nursing services and nursing team. We established the following inclusion criteria: Papers published in Brazil between 2002 and 2011. Selected articles were separated into three categories: "daily practice of nursing care or planning for TB control", "research and teaching in nursing" and "biosafety". We selected twenty-four articles which met the criteria of the study. It was observed that there was an increase in the number of publications since 2005, with 70.9% of articles published in specific nursing journals; 54.2% dealt with actions related to the daily practice of nursing in TB control, 37, 5% were related to the occupational hazard caused by the direct care of patients with TB and just over 8% were related to the teaching and research of the disease for nurses. These findings highlight the interest in understanding the role of nursing care for patients with TB, raising relevant issues with respect to knowledge and skills of these professionals to fulfill their task, including concern about the risk of disease, since they are so exposed to the disease they become part of the care plan for the patient and also to the family of which this patient belongs.

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“…6,19 As medidas de controle de infecção no Brasil concentravam-se nos ambientes hospitalares, porém a partir de 2010 as Estratégias de Saúde da Família (ESF) passaram a ser consideradas pelos formuladores de políticas públicas como importante ponto de controle da TB. 23 Além disso, as ESF foram consideradas como a primeira opção de procura quando os sintomas da TB surgem. 24 Considerando a relevância da TB como porta de entrada na Atenção Primária à Saúde (APS), objetiva-se neste estudo verificar a prevalência das notificações de TB no contexto das ESF do município de Santa Cruz do Sul, Rio Grande do Sul.…”

Section: Introductionunclassified

Prevalência De Notificação Dos Casos De Tuberculose Nas Estratégias De Saúde Da Família No Município De Santa Cruz Do Sul, Rs

Souza

Chaves

Gehm

et al. 2016

Rev Epidemiol Control Infect

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Exceto onde especificado diferentemente, a matéria publicada neste periódico é licenciada sob forma de uma licença Creative Commons -Atribuição 4. A prevalência de tuberculose, no total de ESF analisadas, foi de 0,51/1000 pessoas cadastradas. Conclusão: A taxa elevada de casos de TB no município pode estar relacionada a um aumento na qualidade da busca ativa dos pacientes, levando a um número elevado de notificações pelas ESF. Essa taxa elevada de notificações é relevante, uma vez que atenta para a importância das ESF na elaboração e adoção de medidas preventivas.Background and Objectives: Tuberculosis (TB), a communicable-infectious disease, is a major public health problem in Brazil and worldwide, integrating the National List of Compulsory Notification Diseases. Due to the high incidence observed, the city of Santa Cruz do Sul is one of the priority municipalities for disease notification control in the state of Rio Grande do Sul. In this context, the Family Health Strategies (FHS) are important contributors to the notification process, as they are being increasingly used as points of access into the health system and disease control units. This study aims to establish the prevalence of notification of TB cases in FHS units in Santa Cruz do Sul. Methods: The present was an observational, cross-sectional study. Data from families registered in 11 FHS units in the city of Santa Cruz do Sul, related to the year 2013, were used. Results: The total number of reported cases was 17, all of which were aged 15 years or older. The files did not specify the gender of the reported individuals. The prevalence of tuberculosis in the total FHS units analyzed was 0.51/1,000 registered individuals. Conclusion: The high rate of TB cases in the municipality may be related to an increase in the quality of active search of patients, leading to a higher number of notifications by the FHS units. This high rate of notifications is relevant, as it discloses the importance of the FHS in the creation and adoption of preventive measures. RESUMO ABSTRACT ARTIGO ORIGINALPrevalência de notificação dos casos de tuberculose nas estratégias de saúde da família no município de Santa Cruz do Sul, RS

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“…desenvolvimento e a avaliação de novos meios e estratégias de controle, diagnóstico e tratamento, com a finalidade de erradicar a doença (Selig, 2011;Castro et al, 2011).…”

Section: Aspectos Epidemiológicosunclassified

Tuberculose e diabetes mellitus: abordagens na trajetória espaço-temporal

Alencar¹

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Avaliação de um escore clínico para rastreamento de suspeitos de tuberculose pulmonar

Cited by 20 publications

References 9 publications

Prevalence and risk factors for latent tuberculosis infection among healthcare workers in Nampula Central Hospital, Mozambique

Tuberculose pulmonar entre usuários de uma unidade de atenção básica

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

Prevalência De Notificação Dos Casos De Tuberculose Nas Estratégias De Saúde Da Família No Município De Santa Cruz Do Sul, Rs

Tuberculose e diabetes mellitus: abordagens na trajetória espaço-temporal

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