Detecção da tuberculose: a estrutura da atenção primária à saúde

Abstract

Objective: To analyze the structure of primary health care for the detection of tuberculosis cases in two municipalities of Rio Grande do Sul. Method: Descriptive, evaluative mixed methods research, with direct observation of the physical structure of 69 primary health care units; and semi-structured interviews with 10 subjects. Conducted between 2014 and 2016. Using descriptive statistics and content analysis for data analysis. Results:In the 50 units in Pelotas there was an absence of: pots (24%); forms (53.1%), register books (48%) and of transportation of material to the laboratory (86%). In the 19 units of Sapucaia do Sul, these inputs were available. The absence of professionals, the turnover of human resources and the lack of training, emerged as the main structural deficiencies. Conclusion:There are structural differences between municipalities. The study suggests that Pelotas should adopt tuberculosis care coordination.

Professional skills for health promotion in caring for tuberculosis patients

“…In addition to the lack, in other units, of the specific location for bacilloscopy collection, collection at the users' residence was indicated by practitioners. It was found the presence of attributes that increase the possibilities of health care discontinuity and wide turnover of practitioners working in care for the population (25) .…”

Records in tuberculosis detection: perception of health professionals

“…Thus, health records have the essential information to assist in the coordination of assistance to the respiratory symptom, providing the professional with the necessary assistance to monitor the actions performed, and the planning and organization of individual and collective assistance. [5][6][7][8][9][10][16][17][18] In the results of this study, the LRSR was pointed out as the adjuvant instrument in care of person with respiratory symptoms of tuberculosis, providing a consolidated data on the assistance performed. Corroborating with the understanding of nurses interviewed in a study carried out in the municipality of Natal, between the years of 2013 and 2014, who considered that the records related to tuberculosis are instruments that allow access to information for all professionals, being important for the identification of the person with respiratory symptoms of tuberculosis, and the effectiveness of the diagnosis of the disease.…”

“…M1 7 and M2 2 also point out the difficulties in analyzing the epidemiological data for the monitoring of the scope of the goals proposed for the identification of symptomatic individuals and the detection of cases in the territory, attributing this difficulty to the organization of the records.…”

“…2 However, operational research on the topic of tuberculosis has shown weaknesses in the use of these instruments. [6][7][8][9][10] Studies developed in municipalities of Rio Grande do Sul 7 , of Rio Grande do Norte 8 and in the metropolitan region of Belém/PA 6 identified the absence of LRSR in the health services, the non-use of the book by professionals as the main instrument of monitoring, the incompleteness of data, the lack of readability and even the lack of information.…”

Material educativo para pacientes com tuberculose pulmonar frente a pandemia de COVID-19.

“…A atuação do profissional enfermeiro no manejo da tuberculose na atenção primária é complexa. Em síntese, consiste na utilização de recursos educativos objetivando a garantia de informação a comunidade sobre a apresentação clínica da doença e profilaxia, busca ativa dos sintomáticos respiratórios, detecção precoce dos casos através de métodos diagnósticos como baciloscopia e por fim, acompanhamento da terapêutica prescrita minimizando potenciais agravos 3 .…”