Household symptomatic contact screening of newly diagnosed sputum smears positive tuberculosis patients - An effective case detection tool

Gupta, Mridul; Saibannavar, Anita A; Kumar, Vinod

doi:10.4103/0970-2113.177445

Cited by 31 publications

(38 citation statements)

References 10 publications

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“…É consenso na literatura atual associar o surgimento de linhagens de TBMR a falhas nos serviços de saúde, principalmente, no que diz respeito Continuação -Quadro 1 -Perfil socio demográfico e clínico dos pacientes com TBMR ao tratamento adequado dos casos notificados, deixando assim fluir a cadeia natural de transmissão do bacilo (7) . Diversas pesquisas apontam ainda a baixa adesão ao tratamento e/ou tratamento farmacológico inadequado como importantes fatores para o surgimento de TBMR (9) . No Brasil, em 2000, a taxa de abandono foi considerada alta e situou-se em torno de 17% (4) .…”

Section: Discussionunclassified

“…O problema da multirresistência no Brasil também é associado ao não cumprimento do esquema terapêutico. Este é um problema grave no contexto das ações de controle da TB, uma vez que os pacientes que abandonam o tratamento da TB e/ou a terapia irregular favorecem a persistência da transmissão do microrganismo na comunidade e a resistência medicamentosa, impactando negativamente o controle da doença (4,7,9) .…”

Section: Discussionunclassified

“…No entanto, o crescimento do número desses casos vem provocando preocupação em todo o mundo, e essa forma clínica de multirresistência vem sendo cada vez mais relacionada com a deficiência dos sistemas de saúde e apresenta-se nos dias de hoje como um grande desafio global do controle da TB (9) . O advento dos antibióticos para o tratamento da tuberculose (TB) corresponde a um elevado avanço na luta contra a doença.…”

Section: Introductionunclassified

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Abandono Da Terapia Do Tratamento Da Tuberculose Multirresistente: Desafios Para Os Profissionais Da Saúde

Volpe¹,

Mota²

2018

Rev. Enf. UFJF

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RESUMOObjetivo: Descrever as características dos casos de abandono do tratamento de tuberculose em pacientes que desenvolveram TBMR. Método: Estudo de abordagem quantitativa, desenvolvido em um hospital terciário de referência para tratamento de TBMR localizada no municipio do Rio de Janeiro. Foi utilizado instrumento estruturado com informações de oitenta prontuários entre os meses de fevereiro a dezembro de 2017. A análise dos dados foi realizada através do software SPSS. Resultados: Foi possível verificar que dos 80 pacientes estudados: 35% abandonaram tratamento anterior de Tuberculose, a média de idade foi de 43,6 anos; 67,5% dos pacientes eram do sexo masculino e 42,5% pardos. Conclusão:As evidências desse estudo apontam que é necessária a identificação precoce de pacientes que apresentam maior risco para abandono do tratamento, bem como a criação de um modelo de assistência voltado ao perfil dos usuários que abandonam o tratamento, com uma prática participativa dos profissionais de saúde, com grupos educativos que promovam ações preventivas, identificando, estudando estratégias para a superação de barreiras ligadas à realidade, de vida individual e coletiva. Palavras-chave: Tuberculose Resistente a Múltiplos Medicamentos. Adesão à medicação. Terapêutica. ABSTRACTObjective: To describe the characteristics about the cases of abandonment on tuberculosis treatment in patients who developed multirresistant tuberculosis (TBMR). Method: A quantitative approach, developed in a tertiary reference hospital for the treatment of TBMR located in Rio de Janeiro. A structured instrument with information from eighty medical records was used between February and December 2017. Data analysis was performed using SPSS software. Results: It was possible to verify that about the 80 patients studied, 35% abandoned previous treatment of Tuberculosis, the mean age was 43.6 years, 67.5% of the patients were male, 42.5% were mixed race. Conclusion: Evidence from this study indicates that it is necessary to identify patients at major risk for treatment abandonment, as well as to create a model of assistance aimed at the profile of users who abandon treatment, with a participative practice of the professionals of health, with educational groups that promote preventive actions, identifying, studying strategies for overcoming barriers linked to reality, individual and collective life.

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Section: Discussionunclassified

Section: Introductionunclassified

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Abandono Da Terapia Do Tratamento Da Tuberculose Multirresistente: Desafios Para Os Profissionais Da Saúde

Volpe¹,

Mota²

2018

Rev. Enf. UFJF

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“…TB contact patients are the high-risk group to develop TB, especially children less than 5 years and people living with HIV are at higher risk (6)(7)(8). Household contacts with active TB cases are at high risk of getting TB disease (9,10).…”

Section: Introductionmentioning

confidence: 99%

House-hold contact tuberculosis screening adherence and associated factors among tuberculosis patients attending at Health facilities in Gondar town, Northwest, Ethiopia

Shiferaw¹,

Mekonnen²,

Abate

2019

Preprint

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Background Contacting patients with tuberculosis have a substantial risk of developing the disease. Household contact screening has recently been recommended as a strategy to enhance case detection in high-burden countries. But there is no enough information in Gondar town regarding household contact screening practice among TB patients.Objective The aim of this study was to assess the magnitude of household contact screening adherence and its associated factors among adult tuberculosis patients attending at health facilities in Gondar town, Northwest Ethiopia.Methods An institution-based cross-sectional study was conducted from March 1 to 30, 2019 on 404 tuberculosis patients attending at health facilities in Gondar Town. Epi-Info version 7 for data entry and SPSS version 20 for data analysis were used. Descriptive statistics were carried out to illustrate the means, standard deviations, and frequencies. Bivariable and multivariable logistic regression analyses were used to identify significantly associated variables with the dependent variable.Results From 412 study populations, 404 were completed the study with 98.06% response rate. The overall household contact TB screening adherence was 47.5% (95% CI: 43.1, 52.5). In the multivariable analysis, having certificate and above educational level (AOR=2.83, 95% CI:1.40,5.67), having sufficient knowledge about TB (AOR=8.26, 95% CI:4.34,15.71), being satisfied with health care service (AOR=3.26, 95% CI:1.58,6.76), health education given by health care workers (AOR=2.60, 95% CI:1.54,4.40),and having HIV/AIDS co-infection (AOR=3.54, 95% CI:1.70,7.39), were factors associated with household contact TB screening adherence.Conclusion Compared to other previous studies, the current finding was high but it was low as compared with WHO and Ethiopian Ministry of Health recommendations (all persons having TB contact should be screened). Educational status, knowledge on TB, satisfaction with delivered health care service, health education given by HCWs about TB and HIV/AIDS co-infection were factors associated with household contact TB screening practice. Thus, strengthening household TB contact screening and educational programs regarding the risk of getting TB infection from household contacts is crucial.

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“…Maximizing early case detection, prompt and effective treatment of tuberculosis are critical strategies for Tuberculosis (TB) control especially in high burden countries [1]. Early case finding is one of the pillars of End TB strategy approved by WHO for National TB control programmes to implement [2].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Contact Tracing of Index Tuberculosis Cases in Nigeria

Onuka¹,

Okezie²,

Agboola³

et al. 2018

AID

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Tuberculosis (TB) is a chronic disease that has impacted negatively on human history. The biology of the mycobacterium tuberculosis is complicated and has affected the control as well as elimination of the disease. Nigeria is one of the countries with high incidence and prevalence of TB. The late and low case detection has been a major problem with National TB control program, caused by passive case finding strategy practiced by the country. A shift from the passive and active case search has been recommended for detection of missing cases of TB and improved program performance. The proximity of TB contact is a major determinant of disease transmission. However, maximizing early case detection and prompt treatment of notified cases is very useful in (TB) control especially in high burden countries. The tracking of TB contacts provides a good platform for early diagnosis, educating the household on TB disease and infection control as well as breaking the chain of transmission. The objective of the study is to ascertain effectiveness of contact tracing on Tuberculosis case detection. The study is a retrospective quasi experimental with quantitative arm. The study was conducted in Abia State, one of the South Eastern States of Nigeria. A pre-tested questionnaire was used for data collection and analyzed with SPSS. A total of 168 and 162 index cases of TB were recruited for both intervention and control facilities.

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Household symptomatic contact screening of newly diagnosed sputum smears positive tuberculosis patients - An effective case detection tool

Cited by 31 publications

References 10 publications

Abandono Da Terapia Do Tratamento Da Tuberculose Multirresistente: Desafios Para Os Profissionais Da Saúde

Abandono Da Terapia Do Tratamento Da Tuberculose Multirresistente: Desafios Para Os Profissionais Da Saúde

House-hold contact tuberculosis screening adherence and associated factors among tuberculosis patients attending at Health facilities in Gondar town, Northwest, Ethiopia

Effectiveness of Contact Tracing of Index Tuberculosis Cases in Nigeria

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