Efeito do incentivo alimentício sobre o desfecho do tratamento de pacientes com tuberculose em uma unidade primária de saúde no município de Duque de Caxias, Rio de Janeiro

Filho, João Paulo Cantalice

doi:10.1590/s1806-37132009001000008

Cited by 33 publications

(24 citation statements)

References 6 publications

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“…Assim, a consulta em menos de 24 horas se efeito adverso, faz com que a taxa de abandono diminua, aumentando a adesão. Sobre a oferta de cesta básica ou vale alimentação, autores afirmam que, com o oferecimento de cestas básicas, houve um aumento significativo da adesão ao tratamento 16,17 . Os autores pressupõem que o fornecimento de alimentação, de alguma forma interfere nos fatores de abandono como a baixa escolaridade, desemprego, renda e fome, influenciando diretamente na adesão ao tratamento.…”

Section: Resultsunclassified

Tuberculose: Adesão Ao Tratamento E Os Fatores Que Desencadeiam Em Abandono.

Júnior¹,

Santos²,

Gibaut³

et al. 2016

REC

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A tuberculose é uma doença infectocontagiosa, que se caracteriza como uma emergência mundial. O tratamento dessa doença no Brasil é oferecido pelo Sistema Único de Saúde gratuitamente. O abandono do tratamento é um dos aspectos que mais repercutem no aumento dos índices de mortalidade, incidência e aumento da resistência às drogas. Conhecer os fatores de adesão e abandono do tratamento da tuberculose pode guiar práticas de saúde no controle da doença. Objetivo: Descrever fatores de adesão e abandono do tratamento da tuberculose, de acordo com a literatura nacional. Metodologia: Trata-se de revisão bibliográfi ca sistemática de abordagem qualitativa, descritiva, através de busca online na Biblioteca Virtual de Saúde (BVS), sendo incluídos artigos disponíveis em texto completo, publicados em português, e excluídos os que não abordavam o tema proposto, artigos repetidos nas bases de dados e revisões bibliográfi cas. Resultados: Os principais fatores de adesão encontrados foram a oferta de medicação, a consulta em menos de 24 horas e a oferta de vale transporte e cesta básica ou vale alimentação. Já os fatores de abandono foram a acessibilidade, o uso de drogas lícitas e ilícitas, a baixa escolaridade, a coinfecção tuberculose/HIV, a baixa classe econômica e os efeitos adversos das medicações. Considerações fi nais: Para o aumento da adesão e consequentemente, a diminuição do abandono, são necessários profi ssionais capacitados, disponibilidade dos serviços, medicações e auxílios. Com esses incentivos, espera-se uma efetiva procura do serviço e continuidade do tratamento, levando à cura dos pacientes.

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Section: Resultsunclassified

Tuberculose: Adesão Ao Tratamento E Os Fatores Que Desencadeiam Em Abandono.

Júnior¹,

Santos²,

Gibaut³

et al. 2016

REC

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“…The findings showed that food basket allocation could be a beneficial approach to improve adherence to TB treatments in primary care. 50 nUtrıtıonal sUpport and cUre rate A retrospective comparative study was carried out among 142 patients at the Duque de Caxias primary hospital in Brazil. There were 2 groups of samples:…”

Section: Nutrıtıonal Status and Adherence/complıance Of Treatmentmentioning

confidence: 99%

“…The analysis between the two groups found that the cure rate was higher compared to standard regime group (87.1% vs. 69.7%) in food basket group. 50…”

Section: Nutrıtıonal Status and Adherence/complıance Of Treatmentmentioning

confidence: 99%

“…A unit cost of R$30.00 in Brazilian reals (R$) was distributed monthly to the food baskets. 50 There was a study in two Indian TB units by a non-profit organization (NGO) supplied TB patients with monthly rice (13 kg) and lentil beans (3 kg) for 60 to 90 days at no price. Of the 173 patients receiving dietary incentive for TB, only 15 (9%) had negative results.…”

Section: Trial Of Nutritional Support Programme Worldwıdementioning

confidence: 99%

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Nutritional Burden in Tuberculosis and Inter-sectoral Nutritional Management for Tuberculosis Patients in Malaysia

Mokti¹,

Isa²,

Manaf³

et al. 2020

Turkiye Klinikleri J Med Sci

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ABS TRACT Undernutrition and tuberculosis (TB) are a vital issue in most developing countries of the world. Both of these medical problems tend to have interacted with each other and bidirectional. The undernutrition creates a more significant problem in patients with active TB rather than among healthy individuals. Despite that, there is no protocol available on nutritional support in Malaysia to tackle on this issue. The objective of this review is to explore the nutrition burden of TB disease and the management available in Malaysia. The treatment for TB lasts for six months and above. Hence, it causes a financial burden not only for the healthcare provider but for the patient and the family members. If treatment is not successful and extends to a few months, it will increase the cost of the treatment. Malnutrition in TB patients will cause a problem in the outcome of TB treatment. It includes worsening of the disease, delayed sputum conversion, and increased risk of mortality. Other problems include malabsorption of Rifampicin, drug-induced hepatotoxicity, increased rate of relapse, and persistent of positive cultures in MDR-TB. Benefits of nutritional support for tuberculosis patients include improved body weight, increase in adherence/compliance to the tuberculosis treatment and increase in the success of the treatment. Implementation of nutritional support protocol by the government and Non-profit organization (NGO) will be beneficial and improve the quality of life of tuberculosis patients.ÖZET Beslenme yetersizliği ve tüberküloz (TB) dünyanın gelişmekte olan birçok ülkesinde hayati bir konudur. Bu tıbbi sorunların her ikisi de birbirleriyle etkileşime girme ve çift yönlü olma eğilimindedir. Beslenme yetersizliği, sağlıklı bireylerden ziyade aktif TB'li hastalarda daha önemli bir problem yaratır. Buna rağmen, Malezya'da bu konuda mücadele edecek beslenme desteği konusunda protokol bulunmamaktadır. Bu derlemenin amacı TB hastalığının beslenme yükünü ve Malezya'da bulunan yönetimi araştırmaktır. TB tedavisi altı ay ve daha uzun sürer. Dolayısıyla, sadece sağlık hizmeti sağlayıcısı için değil, hasta ve aile üyeleri için finansal bir yüke neden olmaktadır. Eğer tedavi başarılı olmaz ve birkaç aya kadar uzarsa, tedavinin maliyetini yükseltir. TB hastalarındaki yetersiz beslenme, TB tedavisinin sonucunda bir soruna neden olacaktır. Hastalığın kötüleşmesini, balgam dönüşümünü geciktirmeyi ve ölüm riskini arttırmayı içerir. Diğer problemler arasında Rifampisin salgılanması, ilaca bağlı hepatotoksisite, artmış nüks oranı ve MDR-TB'de pozitif kültürlerin kalıcılığı bulunur. Tüberküloz hastaları için beslenme desteğinin faydaları arasında vücut ağırlığının iyileştirilmesi, tüberküloz tedavisine uyumun artması ve tedavinin başarısının artması yer alır. Devlet ve sivil toplum kuruluşları (STK) tarafından beslenme destek protokolünün uygulanması yararlı olacak ve tüberküloz hastalarının yaşam kalitesini artıracaktır.Anah tar Ke li me ler: Kötü beslenme; beslenme durumu; tüberküloz; Malezya ndernutrition and tuberculosi...

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“…There is also evidence showing a 7% higher cure rate among “Bolsa Família” beneficiares in Brazil [39], and a positive impact of social protection interventions (CRESIPT project) on catastrophic cost in poor households in Peru [40]. Siroka et al [40] also suggested a strong negative correlation between expenditures as gross domestic product (GDP) percentage in social protection programs for poverty alleviation and TB rates (for incidence, prevalence and mortality) [41]. …”

Section: Tuberculosis Control Among Migrantsmentioning

confidence: 99%

Migration to middle-income countries and tuberculosis—global policies for global economies

et al. 2017

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BackgroundInternational migration to middle-income countries is increasing and its health consequences, in particular increasing transmission rates of tuberculosis (TB), deserve consideration. Migration and TB are a matter of concern in high-income countries and targeted screening of migrants for active and latent TB infection is a main strategy to manage risk and minimize transmission. In this paper, we discuss some aspects of TB control and migration in the context of middle-income countries, together with the prospect of responding with equitable and comprehensive policies.Main bodyTB rates in middle-income countries remain disproportionally high among the poorest and most vulnerable groups in large cities where most migrant populations are concentrated. Policies that tackle migrant TB in high-income countries may be inadequate for middle-income countries because of their different socio-economic and cultural scenarios. Strategies to control TB in these settings must take into account the characteristics of middle-income countries and the complexity of TB as a disease of poverty. Intersectoral policies of social protection such as cash-transfer programs help reducing poverty and improving health in vulnerable populations. We address the development of new approaches to improve well-established strategies including contact tracing and active and latent TB screening as an ‘add on’ to the existing health care guidelines of conditional cash transfer programs. In addition, we discuss how it might improve health and welfare among both poor migrants and locally-born populations. Authorities from middle-income countries should recognise that migrants are a vulnerable social group and promote cooperation efforts between sending and receiving countries for mitigation of poverty and prevention of disease in this group.ConclusionsMiddle-income countries have long sent migrants overseas. However, the influx of large migrant populations into their societies is relatively new and a growing phenomenon and it is time to set comprehensive goals to improve health among these communities. Conditional cash transfer policies with TB screening and strengthening of DOTS are some strategies that deserve attention. Reduction of social and health inequality among migrants should be incorporated into concerted actions to meet TB control targets.

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Efeito do incentivo alimentício sobre o desfecho do tratamento de pacientes com tuberculose em uma unidade primária de saúde no município de Duque de Caxias, Rio de Janeiro

Cited by 33 publications

References 6 publications

Tuberculose: Adesão Ao Tratamento E Os Fatores Que Desencadeiam Em Abandono.

Tuberculose: Adesão Ao Tratamento E Os Fatores Que Desencadeiam Em Abandono.

Nutritional Burden in Tuberculosis and Inter-sectoral Nutritional Management for Tuberculosis Patients in Malaysia

Migration to middle-income countries and tuberculosis—global policies for global economies

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