Sistema de Informação de Tratamentos Especiais de Tuberculose (SITE-TB): histórico, descrição e perspectivas*

Abstract

The Special Tuberculosis Treatment Information System (SITE-TB) arose mainly from the need to routinely monitor all persons with drug-resistant tuberculosis (DR-TB) in Brazil, as well as to qualify tuberculosis' drug control. Developed by the Professor Hélio Fraga Reference Center and the Management Sciences for Health/Brazil Project, this online system was implemented in 2013 in all Brazilian states. In addition to DR-TB, the system registers people with drug-sensitive tuberculosis with special regimen indications, and those with nontuberculous mycobacterial infections identified by differential diagnosis of tuberculosis. All confirmed tuberculosis cases should be notified on the Notifiable Diseases Information System (SINAN). In situations where treatment with special regimens is necessary, the case is closed on SINAN and notified on SITE-TB. Professionals from tuberculosis reference centers report and monitor these cases on the system, as well as manage tuberculosis' drugs.

Avaliação do Sistema de Vigilância da Tuberculose Drogarresistente, Brasil, 2013-2017*

“…Strengthening and decentralizing this surveillance system are goals that have already been achieved, to the extent that the system is comprised of decentralized and integrated workflows, with the participation of health service managers from different government levels and health facilities. Identification of studies and evaluations using SITETB data, 5,10,24,25 as well as stock control and control of medication shipments, which are activities routinely carried out by SITETB, enable the system's usefulness to be recognized.…”

“…The Multi-Resistant Tuberculosis (MRTB) Epidemiological Surveillance Program came into being in Brazil in the year 2000. [3][4][5] The MRTB Information System was implemented in 2004, having as its objectives (I) to enhance MRTB case notification and follow-up, (II) to strengthen and decentralize the MRTB Epidemiological Surveillance Program, (III) to enable evaluation and research by keeping the information system up to date and (IV) to control shipment of stocks of specific drugs at central and peripheral level. 4 The SITETB system was implemented in 2012/2013 and replaced the MRTB Information System.…”

“…4 The SITETB system was implemented in 2012/2013 and replaced the MRTB Information System. It is currently the online information system used in Brazil to achieve the objectives mentioned above: 5 initially the patient is notified on the SINAN system; when DRTB is diagnosed, the case is closed as a DRTB case on the SINAN system and is notified on the SITETB system. 2 The purpose of evaluating surveillance systems is (i) to verify performance and whether surveillance needs are being met, (ii) to verify whether important Public Health problems are being monitored efficiently and effectively, and (iii) to propose recommendations for system improvement.…”

“…[7][8][9] However, few studies relating to DRTB-SS evaluation have been conducted in Brazil and they have always been related to system decentralization, its history and control measures. 3,5,10 Considering the epidemiological relevance of DRTB within Public Health and the fact that the DRTB-SS has not been widely evaluated from a national perspective and on a national scale, the objective of this study was to evaluate the system, its qualitative and quantitative attributes and its usefulness. This evaluation will enable greater knowledge of DRTB-SS, recommendations for improvements to its performance and fulfilling the needs it is intended to address, bringing benefits for system users and drug-resistant tuberculosis patients.…”

Lacunas na vigilância da tuberculose drogarresistente: relacionando sistemas de informação do Brasil

“…O trabalho realizado pelas equipes de vigilância, para que se mantenha atualizada a situação de tratamento dos indivíduos que são acompanhados no SINAN, envolve: (i) emissão mensal de boletins de acompanhamento em papel para a busca do dado nas unidades de saúde, (ii) envio ao primeiro nível informatizado para inserção do dado no SINAN, e (iii) rotinas de vinculação de registros de indivíduos para aqueles que mudaram de unidade de saúde ao longo do tratamento 7 . No SITE-TB, a atualização dos dados pode ser feita durante a consulta pelo profissional que está atendendo a pessoa em tratamento, e as situações de transferência de unidade de saúde são realizadas diretamente no sistema pelas próprias unidades responsáveis pelo indivíduo 30 . Essas são características que contribuem para a qualidade das informações de acompanhamento dos casos de TB DR.…”