Resumo Objetivou-se relatar a experiência no gerenciamento de pesquisa-ação sobre inquérito de hepatite C junto à comunidade carcerária no Triângulo Mineiro, Minas Gerais. A proposta foi desenvolvida entre março de 2019 e março de 2020, alcançando 240 pessoas, com o intuito de conter a disseminação do agravo por meio de inquérito, testagem e acompanhamento dos casos positivos. Adotou-se ação intersetorial, com articulação entre universidades, sociedade médica, hospital de ensino e Secretaria de Estado de Justiça e Segurança Pública. As estratégias para o gerenciamento da pesquisa-ação foram: cenários e atores do estudo, registro e formalização da atividade, aplicação dos testes e manejo dos internos reagentes. Dificuldades foram identificadas quanto à acomodação de rotinas entre equipe de pesquisadores e funcionamento próprio da penitenciária, o que exigiu treinamento ostensivo entre as partes e articulações gerenciais. Considera-se que o relato, quando destaca as estratégias adotadas para a condução da pesquisa, colabora para a organização de investigações futuras que visem acessar essa população ainda invisibilizada.

Síndrome colestática intra-hepática medicamentosa pelo uso de metildopa em gestante hipertensa-relato de caso Intrahepatic cholestatic syndrome, due to the use of methyldopa in a hypertensive pregnant woman-case report

We aimed to report the experience in managing action research on hepatitis C investigation in the prison community in the Triângulo Mineiro region, Minas Gerais, Brazil. The proposal was developed from March 2019 to March 2020, reaching 240 people to contain the spread of the disease through a survey, testing, and monitoring of positive cases. We adopted intersectoral action with articulation between Universities, Medical Society, Teaching Hospital, and State Secretariat for Justice and Public Security. Strategies for the management of action research are described: study settings and stakeholders, registration and formalization of the activity, application of tests, and management of reagent inmates. We identified difficulties regarding the accommodation of routines among the research team and the proper functioning of the penitentiary, which required extensive training between the parties and managerial articulations. We consider that the report collaborates with the organization of future research aimed at accessing this still invisible population, the prison community when it highlights the strategies adopted to conduct the research.

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Background Hepatitis C is a health problem in penitentiaries and its elimination must be strengthened. The study describes socio-epidemiological aspects of a hepatitis C investigation in a penitentiary in the region of Triângulo Mineiro in Minas Gerais, Brazil. Methods It is a cross-sectional and epidemiological survey, with an exploratory, observational, quantitative element. It was carried out in a state penitentiary with 1564 inmates. A semi-structured individual interview and anti-HCV testing were carried out between December 2019 and March 2020, in a simple random sample of 240 prisoners. Results The prevalence for HCV was 2.1% (anti-HCV test). Most participants were men (76.6%), with a mean age of 33.8 years, with incomplete high school educational level (80.5%). 93.8% self-reported heterosexuality, multiple sexual partners (mean of 6.5 partners/year) and inconsistent condom use. 54.2% had undergone a previous surgical procedure. Regarding alcohol use, 72.9% reported some consumption, at an average amount of 188.5 grams/day. Non-injecting drug use was reported by 70% of participants and cigarette by 56.3%. Other aspects were the recurrence of imprisonment (70.4%) and having the tattoos (75.8%). Conclusion The study supports the organization of epidemiological survey protocols, the construction of intersectoral health projects and the description of the prison population's vulnerabilities.