Differences in clinical and epidemiological features between tuberculosis cases notified in primary and tertiary health care

Detalhes bibliográficos
Autor(a) principal: Curbani, Pâmela
Data de Publicação: 2014
Outros Autores: Moreira, Claudia Maria Marques, Guidoni, Leticia Molino, Loureiro, Rafaela Borges, Prado, Thiago Nascimento do, Nobrega, Renata Lyrio Peres, Maciel, Ethel Leonor Noia
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista Brasileira em Promoção da Saúde
Texto Completo: https://ojs.unifor.br/RBPS/article/view/2911
Resumo: Objective: To compare, on the basis of clinical, radiological and epidemiological aspects, all cases of tuberculosis (TB) diagnosed in the tertiary healthcare services to those diagnosed at the primary healthcare providers in the municipality of Vitória-ES. Methods: Cross- sectional, retrospective study, with analysis of the SINAN’s database, to identify all cases among residents of the municipality of Vitória-ES and diagnosed with TB in 2006 and 2007. Patients were divided into two groups: cases diagnosed in Primary Health Care (PHC) and those diagnosed in Tertiary Health Care (THC). For statistical analysis, it was used the software STATA CORP 9.0. Results: 338 patients were identified; 207 (61.24%) of these were diagnosed in PHC and 131 (38.76%) in THC. The pulmonary form was predominant in both groups. However, the extrapulmonary form presented higher frequency in the THC group. When analyzing the results of sputum smear, the positivity was found in 114 (55.07%) patients of the PHC and in 57 (43.51%) of THC. Regarding the positive cultures, 119 (57.48%) patients diagnosed in PHC and only 38 (29%) in THC tested positive. Conclusion: There is evidence of high proportion of patients with TB communicated as “new cases” in THC in the city and it was observed a predominance of the pulmonary form in both groups - PHC and THC, although the extrapulmonary form was more frequent in the latter. doi:10.5020/18061230.2013.p251
id UFOR-2_2ed432d8a3d9a0e833e4669165d0366c
oai_identifier_str oai:ojs.ojs.unifor.br:article/2911
network_acronym_str UFOR-2
network_name_str Revista Brasileira em Promoção da Saúde
repository_id_str
spelling Differences in clinical and epidemiological features between tuberculosis cases notified in primary and tertiary health careDiferencias de las caracteristicas clinicas y epidemiológicas de los casos notificados de tuberculosis en la atención primaria y terciariaDiferenças nas características clínicas e epidemiológicas entre os casos notificados por tuberculose na atenção primária e terciáriaTuberculosisPrimary Health CareTertiary Health Care.TuberculosisAtención Primaria de SaludAtención Terciaria de SaludTuberculoseAtenção Primária à SaúdeAtenção Terciária à SaúdeObjective: To compare, on the basis of clinical, radiological and epidemiological aspects, all cases of tuberculosis (TB) diagnosed in the tertiary healthcare services to those diagnosed at the primary healthcare providers in the municipality of Vitória-ES. Methods: Cross- sectional, retrospective study, with analysis of the SINAN’s database, to identify all cases among residents of the municipality of Vitória-ES and diagnosed with TB in 2006 and 2007. Patients were divided into two groups: cases diagnosed in Primary Health Care (PHC) and those diagnosed in Tertiary Health Care (THC). For statistical analysis, it was used the software STATA CORP 9.0. Results: 338 patients were identified; 207 (61.24%) of these were diagnosed in PHC and 131 (38.76%) in THC. The pulmonary form was predominant in both groups. However, the extrapulmonary form presented higher frequency in the THC group. When analyzing the results of sputum smear, the positivity was found in 114 (55.07%) patients of the PHC and in 57 (43.51%) of THC. Regarding the positive cultures, 119 (57.48%) patients diagnosed in PHC and only 38 (29%) in THC tested positive. Conclusion: There is evidence of high proportion of patients with TB communicated as “new cases” in THC in the city and it was observed a predominance of the pulmonary form in both groups - PHC and THC, although the extrapulmonary form was more frequent in the latter. doi:10.5020/18061230.2013.p251Objetivo: Comparar todos los casos de tuberculosis (TB) diagnosticados en los servicios terciarios de salud con aquellos diagnosticados en nivel primario de salud del municipio de Vitoria-ES acerca de los aspectos clínicos, radiológicos y epidemiológicos Métodos: Estudio trasversal, retrospectivo, con análisis del banco de datos del SINAN para identificar todos los casos residentes en el municipio de Vitoria-ES y diagnosticados con tuberculosis en los años 206 y 2007. Los pacientes fueron divididos en dos grupos: los diagnosticados en la Atención Primaria en Salud (APS) y los diagnosticados en la Atención Terciaria en Salud (ATS). Para el análisis estadístico se utilizó el programa Stata Corp 9.0. Resultados: Se identificó un total de 338 pacientes; de esos, 207 (61,24%) fueron diagnosticados en la APS y 131 (38,76%) en la ATS. Se observó un predominio de la forma clínica pulmonar en ambos grupos, sin embargo, la extra pulmonar presentó mayor frecuencia en el grupo de la ATS. Cuando analizados los resultados de la baciloscopia de esputo, la positividad fue encontrada en 114 (55,07%) de los pacientes de la APS y en 57 (43,51%) de la ATS. Respecto la positividad de la cultura, 119 (57,48%) pacientes diagnosticados en la APS y apenas 38 (29%) en la ATS tuvieron resultado positivo. Conclusión: Hay evidencia de elevada proporción de pacientes con TB notificados como “casos nuevos” en la Atención Terciaria del municipio y fue observado un predominio de la forma clínica pulmonar en ambos grupos – APS y ATS. Sin embargo, la extra pulmonar presentó mayor frecuencia en este. doi:10.5020/18061230.2013.p251Objetivo: Comparar, quanto aos aspectos clínicos,radiológicos e epidemiológicos, todos os casos de tuberculose (TB) diagnosticados nos serviços terciários de atenção à saúde com aqueles diagnosticados no nível primário de atenção à saúde do município de Vitória-ES. Métodos: Estudo de corte transversal, retrospectivo, com análises do banco de dados do SINAN, para identificar todos os casos residentes no município de Vitória-ES e diagnosticados com tuberculose nos anos de 2006 e 2007. Os pacientes foram divididos em dois grupos: os diagnosticados na Atenção Primária à Saúde (APS) e os diagnosticados na Atenção Terciária à Saúde (ATS). Para análise estatística, utilizou-se o programa Stata Corp 9.0. Resultados: Identificou-se um total de 338 pacientes; destes, 207 (61,24%) diagnosticados na APS e 131 (38,76%) na ATS. Observou-se um predomínio da forma clínica pulmonar em ambos os grupos, todavia, a extrapulmonar apresentou maior frequência no grupo da ATS. Quando analisados os resultados da baciloscopia de escarro, a positividade foi encontrada em 114 (55,07%) dos pacientes da APS e em 57 (43,51%) da ATS. Com relação à positividade da cultura, 119 (57,48%) pacientes diagnosticados na APS e apenas 38 (29%) na ATS tiveram resultado positivo. Conclusão: Há evidência de elevada proporção de pacientes com TB notificados como “casos novos” na Atenção Terciária no município e foi notado um predomínio da forma clínica pulmonar em ambos os grupos – APS e ATS. Todavia, a extrapulmonar apresentou maior frequência neste. doi:10.5020/18061230.2013.p251Universidade de Fortaleza2014-04-25info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion"Peer-reviewed Article""Avaliado pelos pares""Avaliado pelos pares"application/pdfapplication/pdfhttps://ojs.unifor.br/RBPS/article/view/291110.5020/2911Brazilian Journal in Health Promotion; Vol. 26 No. 2 (2013); 251-257Revista Brasileña en Promoción de la Salud; Vol. 26 Núm. 2 (2013); 251-257Revista Brasileira em Promoção da Saúde; v. 26 n. 2 (2013); 251-2571806-1230reponame:Revista Brasileira em Promoção da Saúdeinstname:Universidade de Fortaleza (Unifor)instacron:UFORporenghttps://ojs.unifor.br/RBPS/article/view/2911/pdfhttps://ojs.unifor.br/RBPS/article/view/2911/pdf_1Curbani, PâmelaMoreira, Claudia Maria MarquesGuidoni, Leticia MolinoLoureiro, Rafaela BorgesPrado, Thiago Nascimento doNobrega, Renata Lyrio PeresMaciel, Ethel Leonor Noiainfo:eu-repo/semantics/openAccess2022-02-16T11:27:18Zoai:ojs.ojs.unifor.br:article/2911Revistahttps://periodicos.unifor.br/RBPS/oai1806-12301806-1222opendoar:2022-02-16T11:27:18Revista Brasileira em Promoção da Saúde - Universidade de Fortaleza (Unifor)false
dc.title.none.fl_str_mv Differences in clinical and epidemiological features between tuberculosis cases notified in primary and tertiary health care
Diferencias de las caracteristicas clinicas y epidemiológicas de los casos notificados de tuberculosis en la atención primaria y terciaria
Diferenças nas características clínicas e epidemiológicas entre os casos notificados por tuberculose na atenção primária e terciária
title Differences in clinical and epidemiological features between tuberculosis cases notified in primary and tertiary health care
spellingShingle Differences in clinical and epidemiological features between tuberculosis cases notified in primary and tertiary health care
Curbani, Pâmela
Tuberculosis
Primary Health Care
Tertiary Health Care.
Tuberculosis
Atención Primaria de Salud
Atención Terciaria de Salud
Tuberculose
Atenção Primária à Saúde
Atenção Terciária à Saúde
title_short Differences in clinical and epidemiological features between tuberculosis cases notified in primary and tertiary health care
title_full Differences in clinical and epidemiological features between tuberculosis cases notified in primary and tertiary health care
title_fullStr Differences in clinical and epidemiological features between tuberculosis cases notified in primary and tertiary health care
title_full_unstemmed Differences in clinical and epidemiological features between tuberculosis cases notified in primary and tertiary health care
title_sort Differences in clinical and epidemiological features between tuberculosis cases notified in primary and tertiary health care
author Curbani, Pâmela
author_facet Curbani, Pâmela
Moreira, Claudia Maria Marques
Guidoni, Leticia Molino
Loureiro, Rafaela Borges
Prado, Thiago Nascimento do
Nobrega, Renata Lyrio Peres
Maciel, Ethel Leonor Noia
author_role author
author2 Moreira, Claudia Maria Marques
Guidoni, Leticia Molino
Loureiro, Rafaela Borges
Prado, Thiago Nascimento do
Nobrega, Renata Lyrio Peres
Maciel, Ethel Leonor Noia
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Curbani, Pâmela
Moreira, Claudia Maria Marques
Guidoni, Leticia Molino
Loureiro, Rafaela Borges
Prado, Thiago Nascimento do
Nobrega, Renata Lyrio Peres
Maciel, Ethel Leonor Noia
dc.subject.por.fl_str_mv Tuberculosis
Primary Health Care
Tertiary Health Care.
Tuberculosis
Atención Primaria de Salud
Atención Terciaria de Salud
Tuberculose
Atenção Primária à Saúde
Atenção Terciária à Saúde
topic Tuberculosis
Primary Health Care
Tertiary Health Care.
Tuberculosis
Atención Primaria de Salud
Atención Terciaria de Salud
Tuberculose
Atenção Primária à Saúde
Atenção Terciária à Saúde
description Objective: To compare, on the basis of clinical, radiological and epidemiological aspects, all cases of tuberculosis (TB) diagnosed in the tertiary healthcare services to those diagnosed at the primary healthcare providers in the municipality of Vitória-ES. Methods: Cross- sectional, retrospective study, with analysis of the SINAN’s database, to identify all cases among residents of the municipality of Vitória-ES and diagnosed with TB in 2006 and 2007. Patients were divided into two groups: cases diagnosed in Primary Health Care (PHC) and those diagnosed in Tertiary Health Care (THC). For statistical analysis, it was used the software STATA CORP 9.0. Results: 338 patients were identified; 207 (61.24%) of these were diagnosed in PHC and 131 (38.76%) in THC. The pulmonary form was predominant in both groups. However, the extrapulmonary form presented higher frequency in the THC group. When analyzing the results of sputum smear, the positivity was found in 114 (55.07%) patients of the PHC and in 57 (43.51%) of THC. Regarding the positive cultures, 119 (57.48%) patients diagnosed in PHC and only 38 (29%) in THC tested positive. Conclusion: There is evidence of high proportion of patients with TB communicated as “new cases” in THC in the city and it was observed a predominance of the pulmonary form in both groups - PHC and THC, although the extrapulmonary form was more frequent in the latter. doi:10.5020/18061230.2013.p251
publishDate 2014
dc.date.none.fl_str_mv 2014-04-25
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
"Peer-reviewed Article"
"Avaliado pelos pares"
"Avaliado pelos pares"
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://ojs.unifor.br/RBPS/article/view/2911
10.5020/2911
url https://ojs.unifor.br/RBPS/article/view/2911
identifier_str_mv 10.5020/2911
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://ojs.unifor.br/RBPS/article/view/2911/pdf
https://ojs.unifor.br/RBPS/article/view/2911/pdf_1
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade de Fortaleza
publisher.none.fl_str_mv Universidade de Fortaleza
dc.source.none.fl_str_mv Brazilian Journal in Health Promotion; Vol. 26 No. 2 (2013); 251-257
Revista Brasileña en Promoción de la Salud; Vol. 26 Núm. 2 (2013); 251-257
Revista Brasileira em Promoção da Saúde; v. 26 n. 2 (2013); 251-257
1806-1230
reponame:Revista Brasileira em Promoção da Saúde
instname:Universidade de Fortaleza (Unifor)
instacron:UFOR
instname_str Universidade de Fortaleza (Unifor)
instacron_str UFOR
institution UFOR
reponame_str Revista Brasileira em Promoção da Saúde
collection Revista Brasileira em Promoção da Saúde
repository.name.fl_str_mv Revista Brasileira em Promoção da Saúde - Universidade de Fortaleza (Unifor)
repository.mail.fl_str_mv
_version_ 1808844179982254080

Registros relacionados