Perfil epidemiológico dos casos notificados de tuberculose entre os profissionais de saúde no Hospital Universitário em Vitória (ES) Brasil

Abstract

Objective: To describe the epidemiological profile of tuberculosis cases reported among health care workers in the Tuberculosis Control Program of the Cassiano Antnio de Moraes University Hospital in Vitoria, Brazil. Methods: A retrospective descriptive study of secondary data was conducted between 2002 and 2006. Results: Twenty-five cases of health care workers with tuberculosis were reported: 8 in nursing technicians (32%); 4 in doctors (16%); 3 in nurses (12%); 2 in radiology technicians (8%) and 8 in professionals from other categories (32%). Of those 25 health care workers, 14 (56%) were male and 11 (44%) were female. The incidence of the disease was highest among those from 35 to 39 years of age. The predominant clinical presentation was extrapulmonary (12 cases, 48%), followed by pulmonary (11 cases, 44%) and a combination of the two (2 cases, 8%). Regarding comorbidities, AIDS, alcoholism and smoking, respectively, were present in 33.3% of the study population. Outcomes were as follows: 22 cases of cure (88%); 2 transfers (8%); and 1 death (4%). The proportion of health care workers diagnosed with tuberculosis in the period studied was 2.53%. Conclusions: The results show the need for heath care workers who work in the tuberculosis control program to fill out the field 'professional occupation' on the tuberculosis case registry database reporting forms. In addition, this situation draws attention to the need to implement an occupational tuberculosis control program. ; 4 médicos (16%); 3 enfermeiros (12%); 2 técnicos em radiologia (8%) e 8 profissionais pertencentes a outras categorias (32%); 14 do sexo masculino (56%) e 11 do sexo feminino (44%). A faixa etária com maior incidência foi a de 35-39 anos. A forma clínica predominante foi a extrapulmonar com 12 casos (48%), seguido da pulmonar com 11 casos (44%), e 2 casos (8%) apresentaram ambas as manifestações. Entre os agravos associados, AIDS, etilismo e tabagismo apresentaram a mesma proporção entre a população do estudo: 33,3%. Quanto ao desfecho, houve 22 casos de cura (88%), 2 transferências (8%) e 1 óbito (4%). A proporção de profissionais de saúde com diagnóstico de tuberculose no período estudado foi de 2,53%. Conclusões: Os resultados deste estudo apontam a necessidade de os profissionais de saúde que trabalham nos programas de controle da tuberculose preencherem o campo "ocupação profissional" nas fichas de notificação do Sistema de Informação de Agravos de Notificação. Além disso, apontam para a necessidade da implementação de um programa de controle de tuberculose ocupacional. in Campos, Brazil. (7,10) Despite the significant differences in prevalence and incidence of the infection, when compared to those reported at the beginning of last century, the values obtained in these recent studies suggest that these professionals are at greater risk than is the general population.Some studies conducted in developed countries have demonstrated that the risk of developing TB is lower among health care workers than in the general population. ...

Tuberculosis and AIDS co-morbidity in Brazil: linkage of the tuberculosis and AIDS databases

“…The databases used in this analysis were developed to support the improvement of health care systems in Brazil by increasing the capacity of health care workers to make decisions based on accurate surveillance information. Previous investigators in Brazil have used these techniques to merge databases for improving surveillance information and implementing health strategies [12,19–21]. We found that 23% of all AIDS cases used to initiate our linkage process were not reported to the national AIDS database (SINAN-AIDS) and a large proportion of patients had missing data regarding behavioral risk factors and CD4 cell counts.…”

Nursing’s role in tuberculosis control: a discussion from the perspective of equity

“…That knowledge as well as exposure time at work play an important role (33)(34) . A study at a university hospital in Brazil identified that 12% of cases occur among nurses and 32% among nursing technicians (35) . and HIV-AIDS, and the active search for cases outside health centers" (36) .…”

Prevalência e fatores associados à infecção pelo Mycobacterium tuberculosis entre agentes comunitários de saúde no Brasil, usando-se a prova tuberculínica

“…Considerando-se os grupos de risco para IL-TB, os profissionais da área da saúde estão entre os mais vulneráveis, como demonstram várias publicações 12,13,14,15,16,17,18,19,20 . Uma revisão sistemática encontrou que a incidência de ILTB, demonstrada por meio da conversão da prova tuberculínica (PT), pode chegar a 14% nesses profissionais, e o risco de evoluir para TB doença é de 5.361 casos/100 mil profissionais de saúde a cada ano, em virtude da exposição nosocomial 21 .…”