Avaliação da orientação profissional relacionada ao exame bacteriológico de escarro em unidades de saúde do município de Vitória/ ES

• Autor(a) principal: Bezerra, Dijoce Prates
• Data de Publicação: 2013
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da Universidade Federal do Espírito Santo (riUfes)
• Texto Completo: http://repositorio.ufes.br/handle/10/5688
• topic: Tuberculosis; Diagnosis; Sputum; Tuberculose - Diagnóstico; Escarros; Orientação profissional; Saúde Coletiva; 614

Tuberculosis infection represents a major problem in public health a baciliferous patient may infect an average of 12 to 15 people a year. In order to have an effective control of TB, it is necessary to early detect, identify and quantify its causing agent throughthe diagnostic methods of skin smear and mycobacterial culture. An appropriate professional training becomes essential to avoid mistakes in the diagnostic process, such as the increase of contamination rates and decrease of sensitiveness in the tests. Thus, the aim of this study is to analyze the health professional s knowledge related to sputum collection, transportation and storage in public health centers of Vitoria, ES, and to evaluate the completeness of the filling out of requisition forms for bacteriological examinations. The results of this study were divided in two papers: the firststudywasa cross sectional studyperformed in a sample of 251 health professionals in 12 health centers in the municipality of Vitoria.The sample was stratified into two groups: one with PCT (Programa de Controle de Tuberculose) comprehending the centersthat use the TB control programand the other group without PCT , comprehending the health centers which do not have such program. The non-parametric Mann Whitney test, Pearson s Chi squared test and Odds Ratio were used, considering as statistically relevant the pvalue< 0,05. The gross and net odds ratios were calculated using the logistic regression model. Comparing the instructions provided by the health professionals who work in health centers which have a TCP in relation to the centers that do not have this program for the collection, transportation and storage of sputum test, within nineteen variables, only three presented statistically relevant difference: to cough up straight into the jar (p: 0,031),to collect it in a labeled jar (p: 0,015) and keep the sample in the refrigerator (p: 0,016). The results suggest lack of specific knowledge about the bacteriological examination of sputum, from both health professionals who work directly with the TB control and from those who work in PHC. This finding makes clear thenecessityof training the health professionals responsible for the Tuberculosis Control in order to ensure the reliability of this diagnostic method. For the second study we used a sample of 181 requisitions from two health centers of excellence for the Tuberculosis Program in the municipality of Vitoria, ES. In order to evaluate the completeness of the filling out of fields, the following variables were analyzed: patient s full name (97,81% were filled out), type of sample (97,27%), request of mother s name (96,72%), data to locate the patient (96,72%), request of patient s age (85,25%) and request of patient s ID number which was the least filled out information (42,27%). 85,2% of the requisitions were evaluated as Good, 14,3% as Average and 0,5% as Bad. The information found in the requisition of sputum test presented a high degree of completeness, suggesting an appropriate and timely filling out, except for the request of patient s ID numberwhich still demands the health professional s attention in order to ensure the quality and post processing of data.