Infecção latente por tuberculose: uma análise dos componentes e indicadores epidemiológicos do tratamento preventivo da tuberculose em Goiás
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFG |
Texto Completo: | http://repositorio.bc.ufg.br/tede/handle/tede/7559 |
Resumo: | Tuberculosis is still a major global health problem. One of the strategies recommended for the control of tuberculosis is the identification and early treatment of individuals with latent M. tuberculosis infection (ILTB). In Brazil, ILTB is not part of the compulsory notification aggravations, but there is a recommendation for States to create instruments for notification and follow-up of cases. In Goiás, a notification form for ILTB was developed in 2012 by the State Department of Health. The objective of the research is to analyze the epidemiological profile of ILTB cases and to characterize the surveillance processes related to the diagnosis and treatment of this disease in this state. The reports of ILTB cases treated between 2013 and 2015 were analyzed. A database linking was carried out considering the cases of tuberculosis reported in the SINAN NET Notification System and the ILTB records. To evaluate the technical and structure aspects of ILTB control services, a structured questionnaire was applied to the supervisors of health surveillance in the 18 health regions of the State. A descriptive and exploratory data analysis was carried out using software SPSS 13.0 and TABWIN 1.6 EPI INFO. 345 cases of ILTB were reported in the study period. The patients' ages ranged from 0 to 92 years (median age 38 years); 65.2% were adults and 10.1% were up to 10 years. Five municipalities (Goiânia, Aparecida de Goiânia, Jataí, Anápolis and Formosa) reported 77.7% of the cases. In 24.6% of the cases, the criterion for treatment of ILTB was the result of Tuberculin Test (TT)> 10mm. In this group all cases were asymptomatic and 78.8% had contact with active tuberculosis. It was identified that 39 cases were HIV positive, corresponding to 12.7% of indications for ILTB treatment. According to health surveillance supervisors, all 246 municipalities had a Tuberculosis Control Program. Concerning the specific training on ILTB, 74 municipalities (30.1%) received this training, reaching 141 health professionals. In relation to the specific training for the application of TT, only three (16.7%) health regions were trained, of which two managed to decentralize this training to some of their jurisdictions. Eleven regional health (61.1%) reported that the number of TT provided by the State Department of Health was inadequate to meet the demands of municipalities. According to supervisors, 88.2% of the municipalities in Goiás do not have the tools to monitor cases of co-infection with HIV. The present study contributed to the knowledge of the epidemiological profile of the reported cases of ILTB, as well as to the process of control of this aggravation in the State. Failures were identified in the ILTB control process in the different regions of the State of Goiás. This study is expected to support effective actions to control tuberculosis in the State. |
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Turchi, Marília Dalvahttp://lattes.cnpq.br/3769826743537934Guilarde, Adriana de OliveiraOliveira, Ellen Synthia Fernandes deTurchi, Marília Dalvahttp://lattes.cnpq.br/7514267579520149Gomes, Daniel Batista2017-07-10T14:14:40Z2016-12-20GOMES, D. B. Infecção latente por tuberculose: uma análise dos componentes e indicadores epidemiológicos do tratamento preventivo da tuberculose em Goiás. 2016. 179 f. Dissertação (Mestrado em Saúde Coletiva) - Universidade Federal de Goiás, Goiânia, 2016.http://repositorio.bc.ufg.br/tede/handle/tede/7559Tuberculosis is still a major global health problem. One of the strategies recommended for the control of tuberculosis is the identification and early treatment of individuals with latent M. tuberculosis infection (ILTB). In Brazil, ILTB is not part of the compulsory notification aggravations, but there is a recommendation for States to create instruments for notification and follow-up of cases. In Goiás, a notification form for ILTB was developed in 2012 by the State Department of Health. The objective of the research is to analyze the epidemiological profile of ILTB cases and to characterize the surveillance processes related to the diagnosis and treatment of this disease in this state. The reports of ILTB cases treated between 2013 and 2015 were analyzed. A database linking was carried out considering the cases of tuberculosis reported in the SINAN NET Notification System and the ILTB records. To evaluate the technical and structure aspects of ILTB control services, a structured questionnaire was applied to the supervisors of health surveillance in the 18 health regions of the State. A descriptive and exploratory data analysis was carried out using software SPSS 13.0 and TABWIN 1.6 EPI INFO. 345 cases of ILTB were reported in the study period. The patients' ages ranged from 0 to 92 years (median age 38 years); 65.2% were adults and 10.1% were up to 10 years. Five municipalities (Goiânia, Aparecida de Goiânia, Jataí, Anápolis and Formosa) reported 77.7% of the cases. In 24.6% of the cases, the criterion for treatment of ILTB was the result of Tuberculin Test (TT)> 10mm. In this group all cases were asymptomatic and 78.8% had contact with active tuberculosis. It was identified that 39 cases were HIV positive, corresponding to 12.7% of indications for ILTB treatment. According to health surveillance supervisors, all 246 municipalities had a Tuberculosis Control Program. Concerning the specific training on ILTB, 74 municipalities (30.1%) received this training, reaching 141 health professionals. In relation to the specific training for the application of TT, only three (16.7%) health regions were trained, of which two managed to decentralize this training to some of their jurisdictions. Eleven regional health (61.1%) reported that the number of TT provided by the State Department of Health was inadequate to meet the demands of municipalities. According to supervisors, 88.2% of the municipalities in Goiás do not have the tools to monitor cases of co-infection with HIV. The present study contributed to the knowledge of the epidemiological profile of the reported cases of ILTB, as well as to the process of control of this aggravation in the State. Failures were identified in the ILTB control process in the different regions of the State of Goiás. This study is expected to support effective actions to control tuberculosis in the State.A tuberculose ainda é um grande problema de saúde global. Uma das estratégias preconizada para controle da tuberculose consiste na identificação e tratamento precoce dos indivíduos com infecção latente pelo M. tuberculosis (ILTB). No Brasil, a ILTB não faz parte dos agravos de notificação compulsória, porém existe recomendação para que os Estados criem instrumentos para notificação e acompanhamento dos casos. Em Goiás, uma ficha de notificação para ILTB foi desenvolvida em 2012 pela Secretaria de Estadual da Saúde. O objetivo da pesquisa consiste em analisar o perfil epidemiológico dos casos de ILTB e caracterizar os processos de vigilância relacionados ao diagnóstico e tratamento dessa doença neste estado. Foram analisadas as notificações de casos de ILTB tratados entre 2013 e 2015. Foi realizada a vinculação de base de dados considerando os casos de tuberculose notificados no Sistema de Informação de Agravos de Notificação (SINAN NET) e os registros de ILTB. Para avaliar aspectos técnicos e de estrutura de serviços de controle de ILTB foi aplicado questionário estruturado para os supervisores de vigilância em saúde das 18 regiões de saúde do Estado. Foi realizada análise descritiva e exploratória de dados por meio dos softwares SPSS 13.0 e TABWIN 1.6 EPI INFO. 345 casos de ILTB foram notificados, no período de estudo. A idade dos pacientes variou de 0 a 92 anos (mediana de 38 anos); 65,2% eram adultos e 10,1% tinham até 10 anos. 05 municípios (Goiânia, Aparecida de Goiânia, Jataí, Anápolis e Formosa) notificaram 77,7% dos casos. Em 24,6% dos casos, o critério para tratamento da ILTB foi o resultado do Teste Tuberculínico (TT) >10mm. Nesse grupo todos os casos eram assintomáticos e 78,8% tinham contato com caso de tuberculose ativa. Identificou-se que 39 casos eram HIV positivos, correspondendo a 12,7% das indicações para tratamento ILTB. De acordo com os supervisores de vigilância em saúde, todos os 246 municípios contavam com Programa de Controle da Tuberculose. 74 municípios (30,1%), receberam treinamento sobre ILTB, alcançando 141 profissionais de saúde. Em relação ao treinamento especifico para aplicação do TT apenas 03 (16,7%) regiões de saúde foram capacitadas, das quais duas conseguiram descentralizar esta capacitação para alguns de seus municípios jurisdicionados. 11 regionais de saúde (61,1%) informaram que o número de TT disponibilizado pela Secretaria de Estado da Saúde foi inadequado para atender as demandas dos municípios. Ainda segundo os supervisores, 88,2% dos municípios goianos não dispõem de ferramentas para acompanhamento dos casos de co-infecção com HIV. O presente estudo contribuiu para o conhecimento do perfil epidemiológico dos casos notificados de ILTB, bem como para o processo de controle desse agravo no Estado. Foram identificadas falhas no processo de controle da ILTB, nas diferentes regiões de Saúde do Estado de Goiás. Espera-se que esse estudo possa subsidiar ações efetivas para o controle da tuberculose no Estado.Submitted by Cássia Santos (cassia.bcufg@gmail.com) on 2017-06-29T12:16:23Z No. of bitstreams: 2 Dissertação - Daniel Batista Gomes - 2016.pdf: 3477482 bytes, checksum: 39d73011b1245110ab18fca9b832b249 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2017-07-10T14:14:40Z (GMT) No. of bitstreams: 2 Dissertação - Daniel Batista Gomes - 2016.pdf: 3477482 bytes, checksum: 39d73011b1245110ab18fca9b832b249 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Made available in DSpace on 2017-07-10T14:14:40Z (GMT). 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dc.title.eng.fl_str_mv |
Infecção latente por tuberculose: uma análise dos componentes e indicadores epidemiológicos do tratamento preventivo da tuberculose em Goiás |
dc.title.alternative.eng.fl_str_mv |
Latent tuberculosis infection: an analysis of the components and epidemiological indicators of the preventive treatment of this tuberculosis in Goiás |
title |
Infecção latente por tuberculose: uma análise dos componentes e indicadores epidemiológicos do tratamento preventivo da tuberculose em Goiás |
spellingShingle |
Infecção latente por tuberculose: uma análise dos componentes e indicadores epidemiológicos do tratamento preventivo da tuberculose em Goiás Gomes, Daniel Batista Tuberculose Infecção latente por tuberculose Vigilância em saúde Saúde pública Tuberculosis Latent tuberculosis infection Health surveillance Public health CIENCIAS DA SAUDE::SAUDE COLETIVA |
title_short |
Infecção latente por tuberculose: uma análise dos componentes e indicadores epidemiológicos do tratamento preventivo da tuberculose em Goiás |
title_full |
Infecção latente por tuberculose: uma análise dos componentes e indicadores epidemiológicos do tratamento preventivo da tuberculose em Goiás |
title_fullStr |
Infecção latente por tuberculose: uma análise dos componentes e indicadores epidemiológicos do tratamento preventivo da tuberculose em Goiás |
title_full_unstemmed |
Infecção latente por tuberculose: uma análise dos componentes e indicadores epidemiológicos do tratamento preventivo da tuberculose em Goiás |
title_sort |
Infecção latente por tuberculose: uma análise dos componentes e indicadores epidemiológicos do tratamento preventivo da tuberculose em Goiás |
author |
Gomes, Daniel Batista |
author_facet |
Gomes, Daniel Batista |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Turchi, Marília Dalva |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/3769826743537934 |
dc.contributor.referee1.fl_str_mv |
Guilarde, Adriana de Oliveira |
dc.contributor.referee2.fl_str_mv |
Oliveira, Ellen Synthia Fernandes de |
dc.contributor.referee3.fl_str_mv |
Turchi, Marília Dalva |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/7514267579520149 |
dc.contributor.author.fl_str_mv |
Gomes, Daniel Batista |
contributor_str_mv |
Turchi, Marília Dalva Guilarde, Adriana de Oliveira Oliveira, Ellen Synthia Fernandes de Turchi, Marília Dalva |
dc.subject.por.fl_str_mv |
Tuberculose Infecção latente por tuberculose Vigilância em saúde Saúde pública |
topic |
Tuberculose Infecção latente por tuberculose Vigilância em saúde Saúde pública Tuberculosis Latent tuberculosis infection Health surveillance Public health CIENCIAS DA SAUDE::SAUDE COLETIVA |
dc.subject.eng.fl_str_mv |
Tuberculosis Latent tuberculosis infection Health surveillance Public health |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::SAUDE COLETIVA |
description |
Tuberculosis is still a major global health problem. One of the strategies recommended for the control of tuberculosis is the identification and early treatment of individuals with latent M. tuberculosis infection (ILTB). In Brazil, ILTB is not part of the compulsory notification aggravations, but there is a recommendation for States to create instruments for notification and follow-up of cases. In Goiás, a notification form for ILTB was developed in 2012 by the State Department of Health. The objective of the research is to analyze the epidemiological profile of ILTB cases and to characterize the surveillance processes related to the diagnosis and treatment of this disease in this state. The reports of ILTB cases treated between 2013 and 2015 were analyzed. A database linking was carried out considering the cases of tuberculosis reported in the SINAN NET Notification System and the ILTB records. To evaluate the technical and structure aspects of ILTB control services, a structured questionnaire was applied to the supervisors of health surveillance in the 18 health regions of the State. A descriptive and exploratory data analysis was carried out using software SPSS 13.0 and TABWIN 1.6 EPI INFO. 345 cases of ILTB were reported in the study period. The patients' ages ranged from 0 to 92 years (median age 38 years); 65.2% were adults and 10.1% were up to 10 years. Five municipalities (Goiânia, Aparecida de Goiânia, Jataí, Anápolis and Formosa) reported 77.7% of the cases. In 24.6% of the cases, the criterion for treatment of ILTB was the result of Tuberculin Test (TT)> 10mm. In this group all cases were asymptomatic and 78.8% had contact with active tuberculosis. It was identified that 39 cases were HIV positive, corresponding to 12.7% of indications for ILTB treatment. According to health surveillance supervisors, all 246 municipalities had a Tuberculosis Control Program. Concerning the specific training on ILTB, 74 municipalities (30.1%) received this training, reaching 141 health professionals. In relation to the specific training for the application of TT, only three (16.7%) health regions were trained, of which two managed to decentralize this training to some of their jurisdictions. Eleven regional health (61.1%) reported that the number of TT provided by the State Department of Health was inadequate to meet the demands of municipalities. According to supervisors, 88.2% of the municipalities in Goiás do not have the tools to monitor cases of co-infection with HIV. The present study contributed to the knowledge of the epidemiological profile of the reported cases of ILTB, as well as to the process of control of this aggravation in the State. Failures were identified in the ILTB control process in the different regions of the State of Goiás. This study is expected to support effective actions to control tuberculosis in the State. |
publishDate |
2016 |
dc.date.issued.fl_str_mv |
2016-12-20 |
dc.date.accessioned.fl_str_mv |
2017-07-10T14:14:40Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
GOMES, D. B. Infecção latente por tuberculose: uma análise dos componentes e indicadores epidemiológicos do tratamento preventivo da tuberculose em Goiás. 2016. 179 f. Dissertação (Mestrado em Saúde Coletiva) - Universidade Federal de Goiás, Goiânia, 2016. |
dc.identifier.uri.fl_str_mv |
http://repositorio.bc.ufg.br/tede/handle/tede/7559 |
identifier_str_mv |
GOMES, D. B. Infecção latente por tuberculose: uma análise dos componentes e indicadores epidemiológicos do tratamento preventivo da tuberculose em Goiás. 2016. 179 f. Dissertação (Mestrado em Saúde Coletiva) - Universidade Federal de Goiás, Goiânia, 2016. |
url |
http://repositorio.bc.ufg.br/tede/handle/tede/7559 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.program.fl_str_mv |
-5225680170177467598 |
dc.relation.confidence.fl_str_mv |
600 600 600 |
dc.relation.department.fl_str_mv |
-264539188392646063 |
dc.relation.cnpq.fl_str_mv |
-6173167103754495199 |
dc.rights.driver.fl_str_mv |
http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
http://creativecommons.org/licenses/by-nc-nd/4.0/ |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal de Goiás |
dc.publisher.program.fl_str_mv |
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UFG |
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Brasil |
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Pró-Reitoria de Pós-graduação (PRPG) |
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Universidade Federal de Goiás |
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Repositório Institucional da UFG |
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