Avaliação do acompanhamento e desfecho de casos de tuberculose em município do sul do Brasil

Lima, Lílian Moura de; Härter, Jenifer; Tomberg, Jéssica Oliveira; Vieira, Dagoberta Alves; Antunes, Muriel Lucero; Gonzáles, Roxana Isabel Cardozo

doi:10.1590/1983-1447.2016.01.51467

Cited by 13 publications

(10 citation statements)

References 10 publications

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“…The cure rate of full-time teachers with TB in our study was 77.10%, which is lower than that reported among all TB cases in China [ 41 ] and in other countries [ 42 , 43 ]. The results showed that the cure rate of patients under full-course supervision is significantly higher than that of patients under self-administration.…”

Section: Discussioncontrasting

confidence: 82%

Tuberculosis among Full-Time Teachers in Southeast China, 2005–2016

Bao

Liu

et al. 2018

IJERPH

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Objective: To explore the incidence rate and characteristics of tuberculosis (TB) among full-time teachers from 2005 to 2016 in southeast China and to provide a basis for TB prevention and control measures in schools. Methods: Information about full-time teachers with TB was obtained from the National Tuberculosis Information Management System (NTIMS). Population data were collected from the Zhejiang Statistical Yearbook and the Zhejiang Education Yearbook. The TB incidence rates and epidemiological characteristics of full-time teachers were analyzed and the Chi-square test was used to analyze influencing factors of epidemiological characteristics and clinical characteristics, case-finding delay, and treatment outcomes. Results: A total of 1795 teachers with TB were reported from 2005 to 2016, and the annual incidence rate was 28.87 per 100,000. The average annual PTB (pulmonary TB) incidence rate among full-time teachers was 25.43/100,000 from 2005 to 2016 and the average annual PTB incidence rate among students was 15.40/100,000 from 2005 to 2016. The highest average incidence rates were observed in the QZ (Quzhou) and HZ (Hangzhou) districts. The male-to-female ratio of the patients was 0.95:1. Approximately half of the patients were 15–40 years old. The mean case-finding interval was 45.3 days. Multivariable logistic regression analysis of TB case-finding delay among full-time teachers revealed that the older (OR = 1.44, 95% CI = 1.18–1.76, p < 0.01), not local (OR = 1.81, 95% CI = 1.20–2.73, p < 0.01), retreatment (OR = 2.06, 95% CI = 1.39–3.08, p < 0.01) and extra-pulmonary tuberculosis (OR = 1.71, 95% CI = 1.13–2.61, p = 0.01) cases were at high risk of case-finding delay. Compared to physical examination, patients detected by referrals and tracking (OR = 2.26, 95% CI = 1.16–4.38, p = 0.02) and patients who directly visited the designated TB hospital (OR = 2.00, 95% CI = 1.03–3.88, p = 0.04) were more prone to case-finding delay. The cure rate of full-time teachers with TB was 77.10%. The cure rates differed significantly between groups classified based on age, case-finding patterns, diagnostic results, treatment classifications, and strategies of patient management. Conclusion: The TB incidence rate among full-time teachers decreased from 2005 to 2016, but teachers suffered a higher risk of TB than students. Western Zhejiang was a hotspot for TB incidence among full-time teachers. Female teacher and young and middle-aged teacher cases account for the majority of the reported patients. There was a case-finding delay among full-time teachers with TB. We should conduct regular physical examinations and strengthen full-course supervision to reduce the risk of TB patients with case-finding delay and increase the TB cure rate.

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Section: Discussioncontrasting

confidence: 82%

Tuberculosis among Full-Time Teachers in Southeast China, 2005–2016

Bao

Liu

et al. 2018

IJERPH

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“…Inferese que o acompanhamento dos pacientes por meio das consultas favorece o sucesso do tratamento e consequente cura, especialmente por esclarecer dúvidas sobre a doença, o tratamento e a transmissão. A ausência do paciente nas consultas agendadas é indicativo de possível intenção de abandono do tratamento (18)(19) . Apesar do percentual de abandono do tratamento da TB se aproximar dos valores recomendados pela OMS (5%), é pertinente salientar que essa problemática deve ser enfatizada, uma vez que se caracteriza como uma das principais limitações para a cura dessa infecção, além de proporcionar implicações para a sociedade como o aumento do desenvolvimento de tuberculose multirresistente, mortalidade e recidivas (16,18) .…”

Section: Discussionunclassified

Análise Epidemiológica Da Coinfecção Tuberculose/Hiv

et al. 2018

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RESUMO:Objetivo: analisar o perfil epidemiológico da coinfecção tuberculose e o vírus da imunodeficiência. Método: estudo descritivo, realizado com levantamento na base de dados do Sistema de Informação de Agravos de Notificação no estado do Piauí, no período de 2007 a 2016. A coleta ocorreu por meio de instrumento contendo características sociodemográficas e relacionadas à coinfecção Tuberculose/vírus da imunodeficiência. Realizouse análise descritiva simples. Resultados: A prevalência da coinfecção tuberculose e vírus da imunodeficiência foi de 6,1% pacientes (n=619). Os dados mostram a predominância de indivíduos do sexo masculino (n=467/ 75,4%), adultos com faixa etária entre 20 a 49 anos (n=492/ 79,5%) e pardos (n=457/ 73,8%). A forma clínica da tuberculose mais encontrada foi a pulmonar com n=412 (66,6%) casos. O percentual de cura dos destes pacientes foi de 60,8%. Conclusão: Os resultados apontaram uma alta prevalência dessa coinfecção e uma elevada detecção da infecção do vírus da imunodeficiência em pacientes com tuberculose. DESCRITORES: Tuberculose; HIV; Prevalência; Epidemiologia; Coinfecção. ANÁLISIS EPIDEMIOLÓGICO DE LA COINFECCIÓN TUBERCULOSIS/VIH RESUMEN: Objetivo: analizar el perfil epidemiológico de la coinfección por la tuberculosis y el virus de la inmunodeficiencia. Método: estudio descriptivo con búsqueda en la base de datos del Sistema de Información de Agravios de Notificación en el estado de Piauí, en el período de 2007 a 2016. Los datos fueron recolectados mediante instrumento con características sociodemográficas y relacionadas a la coinfección Tuberculosis/virus de la inmunodeficiencia. Fue aplicado análisis descriptivo simple. Resultados: La prevalencia de la coinfección tuberculosis y virus de la inmunodeficiencia correspondió al 6,1% de los pacientes (n=619). Los datos muestran la predominancia de individuos del sexo masculino (n=467/75,4%), adultos con rango de edad entre 20 y 49 años (n=492/ 79,5%) y pardos (n=457/73,8%). La forma clínica de la tuberculosis más encontrada fue la pulmonar con n=412 (66,6%) casos. El porcentaje de cura de estos pacientes fue del 60,8%. Conclusión: Los resultados indicaron alta prevalencia de esa coinfección y alta detección de la coinfección por el virus de la inmunodeficiencia en pacientes con tuberculosis.

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“…The results showed that such monitoring has been a priority in the city of Salgueiro, presenting favorable percentage levels (table 4). Corroborating with a study carried out by Lima et al 37 , who presented positive results regarding the performance of follow-up smear microscopy.…”

Section: Diagnosismentioning

confidence: 63%

Evaluation of the performance of tuberculosis control actions and services of the family health strategies

Santana¹,

Machado²,

Monhol³

et al. 2018

J. Hum. Growth Dev.

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Introduction: Front of the persistence of tuberculosis in several municipalities in the country, the Ministry of Health (MS) established the National Tuberculosis Control Plan (NTCP), whose goals were to integrate 100% of the Brazilian municipalities in the fight against the disease. Objective: To evaluate the performance of tuberculosis (TB) control actions and services of the Family Health Strategies in the city of Salgueiro-PE. Methods: Cross-sectional, quantitative and descriptive survey study that evaluated health services in the city of Salgueiro- Pe, involving 40 participants. The data were selected through the steps of specific questions for the evaluation of TB, in addition to the questions on the epidemiological situation and the current state of health. In order to know the conditions for the control of TB in the municipality, a script was also elaborated with orientations directed to the manager. Results: The results of our study showed a population aged from 34 to 59 years with a predominance of males (70%) and incomplete elementary school (37.5%). Regarding the place of diagnosis, the hospital had a higher prevalence of cases diagnosed with tuberculosis with 62.5%. 85,0% performed the Directly Observed Treatment. The averages of the evaluated actions showed that the municipality of Salgueiro-PE does not develop actions of health education and active search of symptomatic respiratory patients, The results were favorable only for the accomplishment of sputum bacilloscopy, monthly consultations of control and medical monitoring. Conclusion: The results showed weaknesses in the performance of actions and services by the Family Health Strategy in the municipality of Salgueiro, with damage to TB control and treatment.

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Avaliação do acompanhamento e desfecho de casos de tuberculose em município do sul do Brasil

Cited by 13 publications

References 10 publications

Tuberculosis among Full-Time Teachers in Southeast China, 2005–2016

Tuberculosis among Full-Time Teachers in Southeast China, 2005–2016

Análise Epidemiológica Da Coinfecção Tuberculose/Hiv

Evaluation of the performance of tuberculosis control actions and services of the family health strategies

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