Alterações na composição corporal do indivíduo portador de tuberculose durante o tratamento: uma revisão da literatura
Autor(a) principal: | |
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Data de Publicação: | 2024 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Brazilian Journal of Implantology and Health Sciences |
Texto Completo: | https://bjihs.emnuvens.com.br/bjihs/article/view/1606 |
Resumo: | Brazil remains among the thirty countries with a high burden of tuberculosis in the world and is therefore considered a priority for the control of the disease worldwide by the World Health Organization. In 2020, 66,819 new cases of tuberculosis were recorded, and in 2019, for and a half thousand deaths from the disease were reported, with a mortality coefficient of 2.2 deaths per a hundred thousand inhabitants. Tuberculosis is diagnosed by direct sputum smear microscopy (BAAR testing), which is currently the most widely used technique in Brazil, not only for diagnosis, but also for treatment control, using the Zeel-Neelsen methodology with the smear fixed on the slide and duly stained with fuchsin, cleaned with alcohol-acid, and then stained with methylene blue with a subsequent reading of one hundred fields. The basic tuberculosis treatment regimen recommended by the Ministry of Health consists of an attack or intensive phase and a maintenance phase lasting a total of six months. The attack phase lasts two months and uses four drugs (Rifampicin, Isoniazid, Pyrazinamide and Ethambutol or 2RHZE). The aim of these drugs is to rapidly reduce the bacillary population in order to contain infection as much as possible. Monitoring the patient's nutritional profile during anti-TB therapy prevents complications related to the infection, reducing the chances and length of hospitalization and additional costs for the health system. The relationship between tuberculosis and nutritional status is bidirectional, as the disease leads to a nutritional imbalance and this imbalance predisposes the patient to greater risks and aggravations of the disease. Objective: To identify the relationship between the body composition of individuals with tuberculosis during the treatment recommended by the Unified Health System. Methodology: For this study, an integrative literature review was carried out to verify the relationship between changes in the body composition of patients with tuberculosis during the treatment recommended by the Unified Health System. Results and discussion: fifteen publications were found on the subject of "Changes in the body composition of individuals with tuberculosis during treatment". Tuberculosis control involves a series of actions related to clinical practices, the organization of services, interactions with other areas within and outside the health sector and the information and surveillance system. Poor nutrition leads to energy-protein malnutrition and micronutrient deficiencies that lead to immunodeficiency. This secondary immunodeficiency increases the host's susceptibility to infection and thus increases the risk of developing tuberculosis. Tuberculosis itself leads to reduced appetite, malabsorption of nutrients and micronutrients, and altered metabolism leading to consumption and poor nutritional status. |
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Alterações na composição corporal do indivíduo portador de tuberculose durante o tratamento: uma revisão da literaturaAlterações na composição corporal. Tuberculose. Tratamento da tuberculoseBrazil remains among the thirty countries with a high burden of tuberculosis in the world and is therefore considered a priority for the control of the disease worldwide by the World Health Organization. In 2020, 66,819 new cases of tuberculosis were recorded, and in 2019, for and a half thousand deaths from the disease were reported, with a mortality coefficient of 2.2 deaths per a hundred thousand inhabitants. Tuberculosis is diagnosed by direct sputum smear microscopy (BAAR testing), which is currently the most widely used technique in Brazil, not only for diagnosis, but also for treatment control, using the Zeel-Neelsen methodology with the smear fixed on the slide and duly stained with fuchsin, cleaned with alcohol-acid, and then stained with methylene blue with a subsequent reading of one hundred fields. The basic tuberculosis treatment regimen recommended by the Ministry of Health consists of an attack or intensive phase and a maintenance phase lasting a total of six months. The attack phase lasts two months and uses four drugs (Rifampicin, Isoniazid, Pyrazinamide and Ethambutol or 2RHZE). The aim of these drugs is to rapidly reduce the bacillary population in order to contain infection as much as possible. Monitoring the patient's nutritional profile during anti-TB therapy prevents complications related to the infection, reducing the chances and length of hospitalization and additional costs for the health system. The relationship between tuberculosis and nutritional status is bidirectional, as the disease leads to a nutritional imbalance and this imbalance predisposes the patient to greater risks and aggravations of the disease. Objective: To identify the relationship between the body composition of individuals with tuberculosis during the treatment recommended by the Unified Health System. Methodology: For this study, an integrative literature review was carried out to verify the relationship between changes in the body composition of patients with tuberculosis during the treatment recommended by the Unified Health System. Results and discussion: fifteen publications were found on the subject of "Changes in the body composition of individuals with tuberculosis during treatment". Tuberculosis control involves a series of actions related to clinical practices, the organization of services, interactions with other areas within and outside the health sector and the information and surveillance system. Poor nutrition leads to energy-protein malnutrition and micronutrient deficiencies that lead to immunodeficiency. This secondary immunodeficiency increases the host's susceptibility to infection and thus increases the risk of developing tuberculosis. Tuberculosis itself leads to reduced appetite, malabsorption of nutrients and micronutrients, and altered metabolism leading to consumption and poor nutritional status.O Brasil continua entre os 30 países de alta carga para tuberculose no mundo sendo, portanto, considerado prioritário para o controle da doença no mundo pela Organização Mundial de Saúde. Em 2020 foram registrados 66.819 novos casos de tuberculose, e em 2019 foram notificados 4,5mil óbitos pela doença, com coeficiente de mortalidade de 2,2 óbitos por 100 mil habitantes. A tuberculose é diagnosticada pela baciloscopia direta (pesquisa do BAAR) que é a técnica atualmente mais utilizada no Brasil, não somente para o diagnóstico, mas para controle do tratamento, utilizando a metodologia de Zeel-Neelsen com o esfregaço fixado na lâmina e devidamente corado com fucsina, limpo com álcool-ácido e então corando-se com azul metileno com posterior leitura de 100 campos. O esquema básico de tratamento da tuberculose preconizado pelo Ministério da Saúde consiste em uma fase de ataque ou intensiva e uma fase de manutenção com duração total de 6 meses. A fase de ataque ocorre por dois meses e são utilizados quatro fármacos (Rifampicina, Isoniazida, Pirazinamida e Etambutol ou 2RHZE). Esses medicamentos têm como objetivo de diminuir rapidamente a população bacilar, visando conter ao máximo o contágio. O monitoramento do perfil nutricional do paciente durante a terapia antiTB evita complicações relacionadas a infecção diminuindo chances e tempo de internação e custos adicionais para o sistema de saúde. A relação entre tuberculose e estado nutricional é bidirecional, pois a doença leva ao quadro de desequilíbrio nutricional e este desequilíbrio predispõe o paciente a maiores riscos e agravos da doença. Objetivo: Identificar a relação existente na literatura acerca da composição corporal do indivíduo portador de tuberculose durante o tratamento preconizado pelo Sistema Único de Saúde. Metodologia: Para esse estudo foi realizado uma revisão integrativa da literatura para verificar as relações existentes entre as alterações na composição corporal do paciente com tuberculose durante o tratamento preconizado pelo Sistema Único de Saúde. Resultados e discussão: foram encontradas 15 publicações referentes ao assunto proposto pelo estudo que versa sobre as “Alterações na composição corporal do indivíduo portador de tuberculose durante o tratamento”. O controle da tuberculose envolve uma série de ações relacionadas a práticas clínicas, organização de serviços, interações com outras áreas dentro e fora do setor saúde e sistema de informação e vigilância. A nutrição pobre leva à desnutrição energético-proteica e deficiências de micronutrientes que levam à imunodeficiência. Essa imunodeficiência secundária aumenta a suscetibilidade do hospedeiro à infecção e assim aumenta o risco de desenvolvimento de tuberculose. A tuberculose por si só leva à redução de apetite, má absorção de nutrientes e micronutrientes, e alteração do metabolismo levando à consumpção e pobre estado nutricional.Specialized Dentistry Group2024-03-24info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://bjihs.emnuvens.com.br/bjihs/article/view/160610.36557/2674-8169.2024v6n3p2113-2133Brazilian Journal of Implantology and Health Sciences ; Vol. 6 No. 3 (2024): BJIHS QUALIS B3; 2113-2133Brazilian Journal of Implantology and Health Sciences ; Vol. 6 Núm. 3 (2024): BJIHS QUALIS B3; 2113-2133Brazilian Journal of Implantology and Health Sciences ; v. 6 n. 3 (2024): BJIHS QUALIS B3; 2113-21332674-8169reponame:Brazilian Journal of Implantology and Health Sciencesinstname:Grupo de Odontologia Especializada (GOE)instacron:GOEporhttps://bjihs.emnuvens.com.br/bjihs/article/view/1606/1945Copyright (c) 2024 Joao Guilherme Do prado oliveira, Rafael Roberto Pegoretti, Caio Cirilo, Felipe Fazolo Bianchini, Fernanda Pataro Marsola Razera, Gabriela Romano de Oliveirahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessDo prado oliveira, Joao GuilhermeRoberto Pegoretti, RafaelCirilo, CaioFazolo Bianchini, FelipeRazera, Fernanda Pataro MarsolaOliveira, Gabriela Romano de2024-03-24T17:53:06Zoai:ojs.bjihs.emnuvens.com.br:article/1606Revistahttps://bjihs.emnuvens.com.br/bjihsONGhttps://bjihs.emnuvens.com.br/bjihs/oaijournal.bjihs@periodicosbrasil.com.br2674-81692674-8169opendoar:2024-03-24T17:53:06Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE)false |
dc.title.none.fl_str_mv |
Alterações na composição corporal do indivíduo portador de tuberculose durante o tratamento: uma revisão da literatura |
title |
Alterações na composição corporal do indivíduo portador de tuberculose durante o tratamento: uma revisão da literatura |
spellingShingle |
Alterações na composição corporal do indivíduo portador de tuberculose durante o tratamento: uma revisão da literatura Do prado oliveira, Joao Guilherme Alterações na composição corporal. Tuberculose. Tratamento da tuberculose |
title_short |
Alterações na composição corporal do indivíduo portador de tuberculose durante o tratamento: uma revisão da literatura |
title_full |
Alterações na composição corporal do indivíduo portador de tuberculose durante o tratamento: uma revisão da literatura |
title_fullStr |
Alterações na composição corporal do indivíduo portador de tuberculose durante o tratamento: uma revisão da literatura |
title_full_unstemmed |
Alterações na composição corporal do indivíduo portador de tuberculose durante o tratamento: uma revisão da literatura |
title_sort |
Alterações na composição corporal do indivíduo portador de tuberculose durante o tratamento: uma revisão da literatura |
author |
Do prado oliveira, Joao Guilherme |
author_facet |
Do prado oliveira, Joao Guilherme Roberto Pegoretti, Rafael Cirilo, Caio Fazolo Bianchini, Felipe Razera, Fernanda Pataro Marsola Oliveira, Gabriela Romano de |
author_role |
author |
author2 |
Roberto Pegoretti, Rafael Cirilo, Caio Fazolo Bianchini, Felipe Razera, Fernanda Pataro Marsola Oliveira, Gabriela Romano de |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Do prado oliveira, Joao Guilherme Roberto Pegoretti, Rafael Cirilo, Caio Fazolo Bianchini, Felipe Razera, Fernanda Pataro Marsola Oliveira, Gabriela Romano de |
dc.subject.por.fl_str_mv |
Alterações na composição corporal. Tuberculose. Tratamento da tuberculose |
topic |
Alterações na composição corporal. Tuberculose. Tratamento da tuberculose |
description |
Brazil remains among the thirty countries with a high burden of tuberculosis in the world and is therefore considered a priority for the control of the disease worldwide by the World Health Organization. In 2020, 66,819 new cases of tuberculosis were recorded, and in 2019, for and a half thousand deaths from the disease were reported, with a mortality coefficient of 2.2 deaths per a hundred thousand inhabitants. Tuberculosis is diagnosed by direct sputum smear microscopy (BAAR testing), which is currently the most widely used technique in Brazil, not only for diagnosis, but also for treatment control, using the Zeel-Neelsen methodology with the smear fixed on the slide and duly stained with fuchsin, cleaned with alcohol-acid, and then stained with methylene blue with a subsequent reading of one hundred fields. The basic tuberculosis treatment regimen recommended by the Ministry of Health consists of an attack or intensive phase and a maintenance phase lasting a total of six months. The attack phase lasts two months and uses four drugs (Rifampicin, Isoniazid, Pyrazinamide and Ethambutol or 2RHZE). The aim of these drugs is to rapidly reduce the bacillary population in order to contain infection as much as possible. Monitoring the patient's nutritional profile during anti-TB therapy prevents complications related to the infection, reducing the chances and length of hospitalization and additional costs for the health system. The relationship between tuberculosis and nutritional status is bidirectional, as the disease leads to a nutritional imbalance and this imbalance predisposes the patient to greater risks and aggravations of the disease. Objective: To identify the relationship between the body composition of individuals with tuberculosis during the treatment recommended by the Unified Health System. Methodology: For this study, an integrative literature review was carried out to verify the relationship between changes in the body composition of patients with tuberculosis during the treatment recommended by the Unified Health System. Results and discussion: fifteen publications were found on the subject of "Changes in the body composition of individuals with tuberculosis during treatment". Tuberculosis control involves a series of actions related to clinical practices, the organization of services, interactions with other areas within and outside the health sector and the information and surveillance system. Poor nutrition leads to energy-protein malnutrition and micronutrient deficiencies that lead to immunodeficiency. This secondary immunodeficiency increases the host's susceptibility to infection and thus increases the risk of developing tuberculosis. Tuberculosis itself leads to reduced appetite, malabsorption of nutrients and micronutrients, and altered metabolism leading to consumption and poor nutritional status. |
publishDate |
2024 |
dc.date.none.fl_str_mv |
2024-03-24 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://bjihs.emnuvens.com.br/bjihs/article/view/1606 10.36557/2674-8169.2024v6n3p2113-2133 |
url |
https://bjihs.emnuvens.com.br/bjihs/article/view/1606 |
identifier_str_mv |
10.36557/2674-8169.2024v6n3p2113-2133 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://bjihs.emnuvens.com.br/bjihs/article/view/1606/1945 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
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https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Specialized Dentistry Group |
publisher.none.fl_str_mv |
Specialized Dentistry Group |
dc.source.none.fl_str_mv |
Brazilian Journal of Implantology and Health Sciences ; Vol. 6 No. 3 (2024): BJIHS QUALIS B3; 2113-2133 Brazilian Journal of Implantology and Health Sciences ; Vol. 6 Núm. 3 (2024): BJIHS QUALIS B3; 2113-2133 Brazilian Journal of Implantology and Health Sciences ; v. 6 n. 3 (2024): BJIHS QUALIS B3; 2113-2133 2674-8169 reponame:Brazilian Journal of Implantology and Health Sciences instname:Grupo de Odontologia Especializada (GOE) instacron:GOE |
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Grupo de Odontologia Especializada (GOE) |
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GOE |
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GOE |
reponame_str |
Brazilian Journal of Implantology and Health Sciences |
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Brazilian Journal of Implantology and Health Sciences |
repository.name.fl_str_mv |
Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE) |
repository.mail.fl_str_mv |
journal.bjihs@periodicosbrasil.com.br |
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