Manejo integrado de tuberculose e diabetes: uma revisão integrativa
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFMG |
Texto Completo: | https://doi.org/10.26633/RPSP.2019.21 http://hdl.handle.net/1843/58472 https://orcid.org/0000-0003-3161-717X |
Resumo: | Objective. To identify the evidence regarding the co-management of tuberculosis and diabetes available in the literature for the Latin-American context. Method. An integrative literature review was performed in the LILACS, Web of Science, and PubMed databases. The search strategy employed the terms “tuberculosis”, “diabetes mellitus,” and “integrated management.” Open access articles reporting studies performed in Latin America, published from 2011 to 2017 in English, Spanish or Portuguese were included. The following information was collected: authors, design, sample, main results, country of study, and year of publication. The studies were also classified according to level of evidence. Results. Twenty studies were included, 60% of which had low level of evidence (level IV). According to these studies, patients with diabetes are at increased risk for tuberculosis, especially those with poor glycemic control. In addition, tuberculosis-diabetes patients have delayed sputum conversion and higher probability of treatment failure and death. The prevalence of tuberculosis-diabetes comorbidity is higher in males. Information about tuberculosis and diabetes is poorly recorded or absent in medical charts or electronic files. The management of tuberculosis-diabetes comorbidity is associated with high cost. The multidisciplinary health care team plays a crucial role in the prevention and promotion of health at all levels of care. Conclusion. Bidirectional screening of tuberculosis-diabetes may facilitate the control of these disorders, especially in developing countries and endemic tuberculosis areas. |
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Manejo integrado de tuberculose e diabetes: uma revisão integrativaCo-management of tuberculosis and diabetes: an integrative reviewManejo integrado de la tuberculosis y la diabetes: revisión integrativaTuberculoseDiabetes mellitusDiagnósticoMonitoramento epidemiológicoAmérica LatinaDiabetes mellitusTuberculoseTuberculoseMonitoramento epidemiológicoAmérica LatinaObjective. To identify the evidence regarding the co-management of tuberculosis and diabetes available in the literature for the Latin-American context. Method. An integrative literature review was performed in the LILACS, Web of Science, and PubMed databases. The search strategy employed the terms “tuberculosis”, “diabetes mellitus,” and “integrated management.” Open access articles reporting studies performed in Latin America, published from 2011 to 2017 in English, Spanish or Portuguese were included. The following information was collected: authors, design, sample, main results, country of study, and year of publication. The studies were also classified according to level of evidence. Results. Twenty studies were included, 60% of which had low level of evidence (level IV). According to these studies, patients with diabetes are at increased risk for tuberculosis, especially those with poor glycemic control. In addition, tuberculosis-diabetes patients have delayed sputum conversion and higher probability of treatment failure and death. The prevalence of tuberculosis-diabetes comorbidity is higher in males. Information about tuberculosis and diabetes is poorly recorded or absent in medical charts or electronic files. The management of tuberculosis-diabetes comorbidity is associated with high cost. The multidisciplinary health care team plays a crucial role in the prevention and promotion of health at all levels of care. Conclusion. Bidirectional screening of tuberculosis-diabetes may facilitate the control of these disorders, especially in developing countries and endemic tuberculosis areas.Objetivo. Identificar as evidências sobre manejo integrado de tuberculose e diabetes disponíveis na literatura para o contexto latino-americano. Métodos. Foi realizada uma revisão integrativa da literatura com busca nas bases de dados LILACS, Web of Science e PubMed. A estratégia utilizou como termos de busca “tuberculose”, “diabetes mellitus” e “manejo integrado”. Foram incluídos artigos científicos sobre estudos realizados na América Latina, publicados de 2011 a 2017, com acesso livre ao texto integral e publicação em inglês, espanhol ou português. Foram coletados dados relativo aos autores, delineamento, amostra, principais resultados, país e ano da publicação. Finalmente, os estudos foram classificados em níveis de evidência. Resultados. Foram incluídos 20 estudos, dos quais 60% apresentaram baixa evidência científica (nível IV). Conforme esses estudos, os pacientes com diabetes possuem maior risco de desenvolver tuberculose, especialmente aqueles com controle glicêmico ineficaz. Além disso, pacientes com tuberculose-diabetes apresentam atraso na conversão do escarro e maior probabilidade de falha terapêutica e morte. Há maior prevalência da associação tuberculose-diabetes no sexo masculino. Em relação aos registros de tuberculose e diabetes em prontuários ou fichas eletrônicas de informação nos serviços de saúde, há falhas ou ausência de anotações. Foi identificado alto custo financeiro do manejo clínico em indivíduos com a comorbidade. A equipe multidisciplinar possui papel imprescindível na prevenção e promoção em saúde, nos três níveis de atenção. Conclusão. O rastreamento bidirecional de tuberculose-diabetes poderá implicar em melhor controle desses agravos, principalmente em países em desenvolvimento e em áreas endêmicas para tuberculose.FAPEMIG - Fundação de Amparo à Pesquisa do Estado de Minas GeraisUniversidade Federal de Minas GeraisBrasilENF - DEPARTAMENTO DE ENFERMAGEM BÁSICAUFMG2023-09-05T19:59:56Z2023-09-05T19:59:56Z2018info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlepdfapplication/pdfhttps://doi.org/10.26633/RPSP.2019.211680-5348http://hdl.handle.net/1843/58472https://orcid.org/0000-0003-3161-717XporPan American Journal of Public HealthCintia Vieira do NascimentoSônia Maria Soaresinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMG2023-09-05T19:59:56Zoai:repositorio.ufmg.br:1843/58472Repositório InstitucionalPUBhttps://repositorio.ufmg.br/oairepositorio@ufmg.bropendoar:2023-09-05T19:59:56Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false |
dc.title.none.fl_str_mv |
Manejo integrado de tuberculose e diabetes: uma revisão integrativa Co-management of tuberculosis and diabetes: an integrative review Manejo integrado de la tuberculosis y la diabetes: revisión integrativa |
title |
Manejo integrado de tuberculose e diabetes: uma revisão integrativa |
spellingShingle |
Manejo integrado de tuberculose e diabetes: uma revisão integrativa Cintia Vieira do Nascimento Tuberculose Diabetes mellitus Diagnóstico Monitoramento epidemiológico América Latina Diabetes mellitus Tuberculose Tuberculose Monitoramento epidemiológico América Latina |
title_short |
Manejo integrado de tuberculose e diabetes: uma revisão integrativa |
title_full |
Manejo integrado de tuberculose e diabetes: uma revisão integrativa |
title_fullStr |
Manejo integrado de tuberculose e diabetes: uma revisão integrativa |
title_full_unstemmed |
Manejo integrado de tuberculose e diabetes: uma revisão integrativa |
title_sort |
Manejo integrado de tuberculose e diabetes: uma revisão integrativa |
author |
Cintia Vieira do Nascimento |
author_facet |
Cintia Vieira do Nascimento Sônia Maria Soares |
author_role |
author |
author2 |
Sônia Maria Soares |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Cintia Vieira do Nascimento Sônia Maria Soares |
dc.subject.por.fl_str_mv |
Tuberculose Diabetes mellitus Diagnóstico Monitoramento epidemiológico América Latina Diabetes mellitus Tuberculose Tuberculose Monitoramento epidemiológico América Latina |
topic |
Tuberculose Diabetes mellitus Diagnóstico Monitoramento epidemiológico América Latina Diabetes mellitus Tuberculose Tuberculose Monitoramento epidemiológico América Latina |
description |
Objective. To identify the evidence regarding the co-management of tuberculosis and diabetes available in the literature for the Latin-American context. Method. An integrative literature review was performed in the LILACS, Web of Science, and PubMed databases. The search strategy employed the terms “tuberculosis”, “diabetes mellitus,” and “integrated management.” Open access articles reporting studies performed in Latin America, published from 2011 to 2017 in English, Spanish or Portuguese were included. The following information was collected: authors, design, sample, main results, country of study, and year of publication. The studies were also classified according to level of evidence. Results. Twenty studies were included, 60% of which had low level of evidence (level IV). According to these studies, patients with diabetes are at increased risk for tuberculosis, especially those with poor glycemic control. In addition, tuberculosis-diabetes patients have delayed sputum conversion and higher probability of treatment failure and death. The prevalence of tuberculosis-diabetes comorbidity is higher in males. Information about tuberculosis and diabetes is poorly recorded or absent in medical charts or electronic files. The management of tuberculosis-diabetes comorbidity is associated with high cost. The multidisciplinary health care team plays a crucial role in the prevention and promotion of health at all levels of care. Conclusion. Bidirectional screening of tuberculosis-diabetes may facilitate the control of these disorders, especially in developing countries and endemic tuberculosis areas. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018 2023-09-05T19:59:56Z 2023-09-05T19:59:56Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.26633/RPSP.2019.21 1680-5348 http://hdl.handle.net/1843/58472 https://orcid.org/0000-0003-3161-717X |
url |
https://doi.org/10.26633/RPSP.2019.21 http://hdl.handle.net/1843/58472 https://orcid.org/0000-0003-3161-717X |
identifier_str_mv |
1680-5348 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
Pan American Journal of Public Health |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
pdf application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal de Minas Gerais Brasil ENF - DEPARTAMENTO DE ENFERMAGEM BÁSICA UFMG |
publisher.none.fl_str_mv |
Universidade Federal de Minas Gerais Brasil ENF - DEPARTAMENTO DE ENFERMAGEM BÁSICA UFMG |
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reponame:Repositório Institucional da UFMG instname:Universidade Federal de Minas Gerais (UFMG) instacron:UFMG |
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Universidade Federal de Minas Gerais (UFMG) |
instacron_str |
UFMG |
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UFMG |
reponame_str |
Repositório Institucional da UFMG |
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Repositório Institucional da UFMG |
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Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG) |
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repositorio@ufmg.br |
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1816829601493549056 |