Tuberculosis control in people living with HIV/AIDS

Abstract

Objective: to analyze the offering of health actions and services for the control of tuberculosis for people living with HIV/AIDS being followed up in the Specialized Care Services for HIV/AIDS in Ribeirão Preto, SP, Brazil. Method: quantitative, exploratory survey study. Participated 253 people living with HIV/AIDS followed up by this service, considering as inclusion criteria: individuals older than 18 years living in the city and not inmates. Data collection was conducted from January 2012 to May 2013 through interviews with the support of a specific instrument. Data were analyzed using indicators and a composite index. Results: the offering of services for the control of tuberculosis in people living with HIV/AIDS by municipal services was considered as intermediate, reinforcing the need for better planning for comprehensive assistance, coordination of professionals in teams and among the services network, in addition to professional training and continuing education. Conclusion: it is necessary to implement strategies that promote shared actions between TB and HIV / AIDS programs and between different services in order to strengthen the local care network, aimed at producing an individualized care, comprehensive and responsive.

Desfecho dos casos de tuberculose em pessoas com HIV: subsídios para intervenção

“…However, factors such as male gender, economically active age, active employment status, recurrence and re-treatment of TB, pulmonary clinical form of TB, presence of comorbidities, use of drugs and alcohol, and irregular ART withdrawal. (14,15,22,27,29,39) This result prompts reflections on data quality of information systems used in this study and the truthfulness of the self-reported information. In this sense, it is believed that there may be an information bias due to secondary data sources use consulted for the study development.…”

“…TB involvement also shows the marginalization and predominance of cases in the most disadvantaged segments of society, (27) reinforcing the social character linked to the disease. (14) As for skin color, most of individuals were white, which also occurred in other investigations focusing on TB.…”

“…Guidelines on diseases based on the individual and comprehensive approach configure important elements for the education and empowerment of the person in the perception of signs and symptoms, for example, as well as to improve compliance to treatment and strengthening the link between the professional and the individual. (27) Regarding the treatment type performed, there was a predominance of DOT, however, there was a greater chance of treatment default and death among the cases whose records referring to treatment type were without information. These record failures occurred exactly in cases of self-administered treatment.…”

Perfil dos portadores de tuberculose em um município de Minas Gerais

“…Embora a maioria dos casos notificados tenham feito o teste para HIV, é importante salientar que pessoas infectadas por HIV estão de 21 a 34 vezes mais propensas a desenvolver TB quando comparadas a população geral, sendo esta, a principal causa de morte por doença infecciosa em pessoas com HIV. Devido à resposta imunológica deficiente, pessoas que vivem com o vírus HIV, possuem maior risco de reativação da doença podendo aumentar o risco de transmissão do bacilo da TB para a população geral 28,29 . Em relação a situação de encerramento, os índices encontrados não estão de acordo com o preconizado pela OMS 1 [30][31][32] .…”

HIV/AIDS care: analysis of actions and health services integration

“…4 In 2012, the health care network of the municipality was structured in five Health Districts, having 42 serviços de of Primary Health Care (Primary Health Care Unit-PHC and Family Health Unit-FHU), five units of Secondary/ Tertiary Care (District Health Units -DHU) that assist diverse spacialities and four of them offered emergency room (ER), an emergency care unit (ECU) and three hospitals. 14 With regard to the diagnosis of HIV/aids, all the health units of the public network of the municipality (PHC, DHU, ER e Hospitals) could ask for an anti-HIV exam and in case of positive diagnosis, the individual was sent to one of SCS of the municipality, which was distributed in five health districts and operated with specialized teams, providing services such as Home Care Service (HCS) and Testing and Counseling Centers (TCC). Five TCC of the municipality offered Quick Diagnosis Test for HIV with result emission in 30 minutes.…”