Infecção latente por tuberculose entre pessoas com HIV/AIDS, fatores associados e progressão para doença ativa em município no Sul do Brasil

Santos, Danielle Talita dos; Garcia, Maria Concebida da Cunha; Costa, Arlete Alves Nunes Fragoso da; Pieri, Flávia Meneguetti; Meier, Denise Andrade Pereira; Albanese, Silvia Paulino Ribeiro; Arcêncio, Ricardo Alexandre; Dessunti, Elma Mathias

doi:10.1590/0102-311x00050916

Cited by 18 publications

(24 citation statements)

References 31 publications

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“…In the study conducted by Saraceni et al 30 in Rio de Janeiro, only 17 of 67 eligible PLHIV (25.4%) had access to PTI; adherence to PTI was 53% among Brazilian patients enrolled in general healthcare facilities 31 . Santos et al 32 showed that 53 out of 66 eligible PLHIV had access to PTI (80.3%), but only 26 completed PTI (49.1%). In our own institution, a cross-sectional study conducted in 2005 showed that only 59% of eligible PLHIV had access to TST and only 55% of eligible patients had access to PTI 11 .…”

Section: Discussionmentioning

confidence: 99%

Access and adherence to isoniazid preventive therapy and occurrence of active TB in a cohort of people living with HIV: a retrospective cohort study in Sao Paulo, Brazil

Picone

Freitas

Gutierrez

et al. 2020

Rev. Inst. Med. trop. S. Paulo

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Tuberculosis (TB) is still a leading cause of morbidity and mortality among people living with HIV (PLHIV). The diagnosis of latent TB is required for the implementation of prophylactic therapy with isoniazid (PTI). However, low access to diagnosis of latent TB and non-adherence to PTI may hinder potential benefits of this essential intervention. In this study, we addressed the access and adherence to PTI in a cohort of PLHIV with positive tuberculin skin test (TST) in a reference HIV clinic in Sao Paulo, Brazil. We have also analyzed the occurrence of active TB over a median of 131 months after a positive TST among study participants. Our findings revealed that 88.3% of the 238 TST-positive patients had access to PTI, and 196 (93.3%) of those with access adhered to PTI. Active tuberculosis was diagnosed in three of the 196 TST-positive patients who adhered to PTI (1.5%; 95% confidence interval [CI] 0.3-4.4%), whereas seven cases were detected among 42 patients without access or who did not adhere to PTI (16.6%; 95% CI 7.0-31.3%). The apparent beneficial effect of PTI in our cohort is consistent with previous studies including PLHIV, and highlights the importance of reliably delivering each of the steps between screening for latent TB and provision of PTI.

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Section: Discussionmentioning

confidence: 99%

Access and adherence to isoniazid preventive therapy and occurrence of active TB in a cohort of people living with HIV: a retrospective cohort study in Sao Paulo, Brazil

Picone

Freitas

Gutierrez

et al. 2020

Rev. Inst. Med. trop. S. Paulo

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“…In this perspective, TB has been one of the main factors which contributed to death in people with HIV, with a national growth of 9.8% in the incidence of TB/HIV co-infection (27) . The city of Porto Alegre has stood out for its high rates of TB/HIV co-infection.…”

Section: Descriptoresmentioning

confidence: 99%

Social determinants of health and community health agent work

Broch

Riquinho

Vieira

et al. 2020

Rev. esc. enferm. USP

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Objective: To understand the social determinants of health from the perspective of the work of community health agents. Method: A qualitative study conducted in a Health District Management in the city of Porto Alegre/Rio Grande do Sul, Brazil, through focus groups and semi-structured interviews with community health agents. The analysis took place through thematic categorization, and the social determinants of health were adopted as the analytical category. Results: Twenty-five (25) community health agent workers participated. Overlapping individual and collective themes emerged, from violence and drug trafficking to lack of sanitation, improperly disposed garbage, illiteracy and the health problems themselves. Conclusion: The study revealed a complex relationship between the work of community health agents and the social determinants of health, reinforcing the need for a cohesive health team with intersectoral initiatives to address the different demands of the territories which are worked and lived in.

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“…In the dimension of health education, few amenities were quantified when compared to the difficulties. The literature states that when it comes to the empowerment of TB patients as a strategy for disease control, it is emphasized the importance of health education as a political act, which can promote dialogue between health professionals and users, autonomy and incentive to an active posture of these subjects in their political and social environments (Fernandes et al, 2010;Santos et al, 2017). In this aspect, it was found that:…”

Section: Lack Of Necessary Resources To Perform Educational Activities Sputum Collection Laboratory Support Difficult Access To Medicatiomentioning

confidence: 99%

Tuberculosis, difficulties and facilities for Nurses

Nunes

Berezin

2020

RSD

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The study proposed to analyze the amenities and difficulties faced by nurses’ professionals in the fight against tuberculosis within the field of primary health care. This was a cross-sectional study with a qualitative approach. The sample consisted of 36 participants, all of whom were nurses. The statistical program IRaMuTeQ was applied and we also applied Laurence Bardin and Minayo content analysis to discuss both aprioristic and non-aprioristic categories. In the study it was clear that the difficulties are diversified, such as: personal matters from the professionals, physical and organizational structure, awareness of patients and family about the therapeutic process and the administration, the latter being the one most pointed out as difficult; regarding the amenities, the multi-professional work and protocols defined by the National Tuberculosis Control Program were pointed out. The study proves that the administrative question is the key to the function of the entire process of fighting tuberculosis, serving as a reference for improvements and adjustments.

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Infecção latente por tuberculose entre pessoas com HIV/AIDS, fatores associados e progressão para doença ativa em município no Sul do Brasil

Cited by 18 publications

References 31 publications

Access and adherence to isoniazid preventive therapy and occurrence of active TB in a cohort of people living with HIV: a retrospective cohort study in Sao Paulo, Brazil

Access and adherence to isoniazid preventive therapy and occurrence of active TB in a cohort of people living with HIV: a retrospective cohort study in Sao Paulo, Brazil

Social determinants of health and community health agent work

Tuberculosis, difficulties and facilities for Nurses

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