O programa de controle da tuberculose em Pelotas/RS, Brasil: investigação de contatos intradomiciliares

Abstract

The aim of this study is to evaluate the investigation actions of home contacts of tuberculosis (TB) index cases in the Tuberculosis Control Program (TCP) of Pelotas/RS -Brazil. This cross-sectional descriptive study was based on data from the records of index cases. The sample consisted of 163 contacts of 68 subjects with pulmonary TB in treatment in the TCP between June and August, 2009. These contacts were predominantly female, over 10 years of age and the daughters of index cases. The requested examination was a chest radiography and bacilloscopy. Active TB was found in 1.8 % of contacts. Results show that assistance for TB patients in Pelotas-Brazil, which is centralized in a single specialized service, hinders the investigation of home contacts. Primary care is required to narrow the gap between professionals and the family, and facilitate early diagnosis and interruption of the TB transmission chain in a timely manner.Descriptors: Contact tracing. Tuberculosis. Health services evaluation. RESUMO Objetivou-se avaliar as ações de investigação dos contatos intradomiciliares dos casos índices de tuberculose (TB) no Programa de Controle da Tuberculose (PCT), de Pelotas/RS -

Latent Tuberculosis Infection Diagnostic and Treatment Cascade among Contacts in Primary Health Care in a City of Sao Paulo State, Brazil: Cross-Sectional Study

“…PHC services are ideal sites for the development of TB control activities because of their attributions of effectiveness (cognitive and technological capacity to address more than 85% of the population problems), communication (ability to order the flow of people, resources and information along the different components of the health system) and accountability (economic and health responsibility for the enrolled population) [ 28 , 29 , 30 , 31 ]. In our study, when compared to BHU, LTBI treatment was indicated more frequently among contacts who attended FHS.…”

Tuberculosis control program in the municipal context: performance evaluation

“…We question the process to produce the data used to calculate the indicator. The under detection of intra-household communicants, the gaps in the clinical evaluation of contacts, and the low number of tests are mentioned in a study carried out in the South of Brazil, which raises the need for more research to understand the results 10 .…”

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“…Outro ponto que também foi abordado e discutido refere-se a estudos [24][25][26][27] que abordaram sobre a existência e deficiência de programas voltados para o público de usuários diagnosticados com TB, além de seu ciclo familiar que está inserido nesse contexto. Como se pode observar em estudo realizado por Assis et al 27 , há destaque para a importância da análise da coordenação da assistência, na percepção dos doentes de TB, profissionais do Programa de Controle de Tuberculose e gerentes de unidades básicas.…”