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Estratégias para abordar a Judicialização da Saúde no Brasil: uma síntese de evidências
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Floriano, Fabiana Raynal

; Boeira, Laura

; Biella, Carla de Agostino

; Pereira, Viviane Cássia

; Carvalho, Marcel

; Barreto, Jorge Otávio Maia

; Oliveira, Sandra Maria do Valle Leone de

Ciência & Saúde Coletiva

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jan 2023, Volume 28 N. 1 Pages 181 - 196

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo A fim de identificar e discutir opções informadas por evidências para abordar a judicialização da saúde no Brasil, utilizou-se as Ferramentas SUPPORT (Supporting Policy Relevant Reviews and Trials). A busca foi realizada nas bases PubMed; Health Systems Evidence; Campbell Collaboration; Cochrane Library; Rx for Change Database e PDQ-Evidence. A seleção e avaliação da qualidade metodológica foi feita por dois revisores independentes. Os resultados foram apresentados numa síntese narrativa. Dezenove revisões sistemáticas apontam quatro opções: 1) Serviço de respostas rápidas; 2) Programa de educação permanente; 3) Serviço de mediação entre as partes envolvidas; e 4) Adoção de ferramenta online (baseada em computador) de suporte à decisão e de intervenções mediadas por pacientes. Conclusões: Apresentamos e caracterizamos quatro opções que podem ser consideradas para abordar a judicialização da saúde. A implementação dessas opções deve garantir a participação de diferentes atores, refletindo sobre variados contextos. Recursos humanos e financeiros, capacitação das equipes, são os principais pontos críticos.

Abstract This article seeks to identify and discuss evidence-informed options to address the judicialization of health. The Supporting Policy Relevant Reviews and Trials Tools were used to define the problem and the search strategy, which was carried out in the following databases: PubMed, Health Systems Evidence, Campbell, Cochrane Collaboration, Rx for Change Database, and PDQ-Evidence. Selection and assessment of methodological quality was performed by two independent reviewers. The results were presented in a narrative synthesis. This study selected 19 systematic reviews that pointed out four strategies to address the judicialization of health in Brazil: 1) Rapid response service, 2) Continuous education program, 3) Mediation service between the parties involved, and 4) Adoption of a computer-based, online decision-making support tool and patient-mediated interventions. This study therefore presented and characterized four options that can be considered to address the judicialization of health. The implementation of these options must ensure the participation of different actors, reflecting on different contexts and the impact on the health system. The availability of human and financial resources and the training of teams are critical points for the successful implementation of the options.

https://doi.org/10.1590/1413-81232023281.09132022

Estratégias para abordar a Judicialização da Saúde no Brasil: uma síntese de evidências
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Floriano, Fabiana Raynal

; Boeira, Laura

; Biella, Carla de Agostino

; Pereira, Viviane Cássia

; Carvalho, Marcel

; Barreto, Jorge Otávio Maia

; Oliveira, Sandra Maria do Valle Leone de

Ciência & Saúde Coletiva

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jan 2023, Volume 28 N. 1 Pages 181 - 196

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

https://doi.org/10.1590/1413-81232023281.09132022

Follow-up of patients diagnosed with and treated for tuberculosis in Brazil: financial burden on the household
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Loureiro, Rafaela Borge

; Guidoni, Leticia Molino

; Fregona, Geisa Carlesso

; Oliveira, Sandra Maria do Valle Leone de

; Sacramento, Daniel

; Pinheiro, Jair dos Santos

; Gomes, Denise

; Maciel, Ethel Leonor Noia

Jornal Brasileiro de Pneumologia

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2023, Volume 49 N. 4 elocation e20220368

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

ABSTRACT Objective: To evaluate the implications of the proportion of annual family income spent in the pre- and post-diagnosis periods in tuberculosis patients followed for after at least one year after completing tuberculosis treatment in Brazil. Methods: This was a cross-sectional study of tuberculosis patients followed for at least one year after completing tuberculosis treatment in five Brazilian capitals (one in each region of the country). Results: A total of 62 patients were included in the analysis. The overall average cost of tuberculosis was 283.84 Brazilian reals (R$) in the pre-diagnosis period and R$4,161.86 in the post-diagnosis period. After the costs of tuberculosis disease, 71% of the patients became unemployed, with an overall increase in unemployment; in addition, the number of patients living in nonpoverty decreased by 5%, the number of patients living in poverty increased by 6%, and the number of patients living in extreme poverty increased by 5%. The largest proportion of annual household income to cover the total costs of tuberculosis was for the extremely poor (i.e., 40.37% vs. 11.43% for the less poor). Conclusions: Policies to mitigate catastrophic costs should include interventions planned by the health care system and social protection measures for tuberculosis patients with lower incomes in order to eliminate the global tuberculosis epidemic by 2035-a WHO goal in line with the United Nations Sustainable Development Goals.

RESUMO Objetivo: Avaliar as implicações da proporção da renda familiar anual gasta nos períodos pré e pós-diagnóstico em pacientes com tuberculose acompanhados durante pelo menos um ano após o término do tratamento da tuberculose no Brasil. Métodos: Estudo transversal com pacientes com tuberculose acompanhados durante pelo menos um ano após o término do tratamento da tuberculose em cinco capitais brasileiras (uma em cada região do país). Resultados: Foram incluídos na análise 62 pacientes. O custo médio global da tuberculose foi de R$ 283,84 no período pré-diagnóstico e de R$ 4.161,86 no período pós-diagnóstico. Após os custos da doença tuberculosa, 71% dos pacientes ficaram desempregados, com um aumento global do desemprego; além disso, o número de pacientes não pobres diminuiu 5%, o número de pacientes pobres aumentou 6% e o número de pacientes extremamente pobres aumentou 5%. A maior proporção de renda familiar anual para cobrir os custos totais da tuberculose foi observada nos pacientes extremamente pobres (40,37% vs. 11,43% nos menos pobres). Conclusões: As políticas para mitigar os custos catastróficos devem incluir intervenções planejadas pelo sistema de saúde e medidas de proteção social para pacientes de baixa renda com tuberculose, a fim de eliminar a epidemia global de tuberculose até 2035, uma meta da OMS alinhada com os Objetivos de Desenvolvimento Sustentável propostos pela Organização das Nações Unidas.

https://doi.org/10.36416/1806-3756/e20220368

Late peripheral facial paralysis after COVID-19: a rapid systematic review and two case reports
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Cavalcante, Thalitta Mendes

; Gubert, Vanessa Terezinha

; Lima, Carolina de Deus

; Luciano, Larissa Anjos

; Croda, Mariana Garcia

; Venturini, James

; Gasparoto, Antonio Luiz Dal Bello

; Santiago, Wellyngton Matheus Souza

; Motta-Castro, Ana Rita Coimbra

; Reis, Fernanda Paes

; Marques, Ana Paula da Costa

; Lorenz, Aline Pedroso

; Fava, Wellington Santos

; Zardin, Marina Castilhos Souza Umaki

; Chaves, Cláudia Elizabeth Volpe

; Braga, Gabriel Pereira

; Paniago, Anamaria Mello Miranda

; Oliveira, Sandra Maria do Valle Leone de

Journal of Venomous Animals and Toxins including Tropical Diseases

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2022, Volume 28 elocation e20220020

Abstract: En | Text: En | PDF: En

Abstract Peripheral facial paralysis (PFP) has been shown to be a neurological manifestation of COVID-19. The current study presents two cases of PFP after COVID-19, along with a rapid review of known cases in the literature. Both case reports were conducted following CARE guidelines. We also performed a systematic review of PFP cases temporally related to COVID-19 using PubMed, Embase, and Cochrane Library databases on August 30, 2021, using a rapid review methodology. The two patients experienced PFP 102 and 110 days after COVID-19 symptom onset. SARS-CoV-2 RNA was detected in nasal samples through reverse-transcription real-time polymerase chain reaction (RT-qPCR) testing. Anosmia was the only other neurological manifestation. PFP was treated with steroids in both cases, with complete subsequent recovery. In the rapid review, we identified 764 articles and included 43 studies. From those, 128 patients with PFP were analyzed, of whom 42.1% (54/128) were male, 39.06% (50/128) female, and in 23 cases the gender was not reported. The age range was 18 to 59 (54.68%). The median time between COVID-19 and PFP was three days (ranging from the first symptom of COVID-19 to 40 days after the acute phase of infection). Late PFP associated with COVID-19 presents mild symptoms and improves with time, with no identified predictors. Late PFP should be added to the spectrum of neurological manifestations associated with the long-term effects of SARS-CoV-2 infection as a post COVID-19 condition.

https://doi.org/10.1590/1678-9199-jvatitd-2022-0020

[SciELO Preprints] - Catastrophic costs and social sequels resulting from the diagnosis and treatment of tuberculosis in Brazil
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Guidoni, Leticia Molino Zandonade, Eliana Fregona, Geisa Negri, Letícya dos Santos Almeida Oliveira, Sandra Maria do Valle Leone de Prado, Thiago Nascimento do Sales, Carolina Maia Martins Coimbra, Raisa da Silveira Galavote, Heletícia Scabelo Maciel, Ethel Leonor Noia

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Publication date: 2021-03-25

Abstract: En Pt

Objective: To assess the impact of catastrophic costs on the unfavorable outcome of tuberculosis treatment. Methods: This is prospective cohort made in five capitals of Brazilian states (Manaus, Recife, Vitória, Campo Grande and Porto Alegre) between June 2016 and July 2018. Logistic regression was used to calculate odds ratios (OR) and 95% confidence intervals (95%CI). Results: The 350 participants, 310 were included, and 30 had unfavorable outcome. Catastrophic cost (OR=2.53 – 95%CI 1.13;5.67) and divorce episode (OR=5.29 – 95%CI 1.39;20.05) increased the chance of unfavorable outcome. Conclusion: financial difficulties faced during the treatment of tuberculosis can impair the treatment outcome. The determinants for the treatment outcome were catastrophic cost and divorce.

Objetivo: Avaliar o impacto dos custos catastróficos no desfecho desfavorável do tratamento da tuberculose. Métodos: Estudo de coorte prospectiva, realizado em cinco capitais de estados brasileiros (Manaus, Recife, Vitória, Campo Grande e Porto Alegre) no período de junho de 2016 a julho de 2018. Empregou-se regressão logística para calcular a razão de chances (odds ratio, OR) e os intervalos de confiança de 95% (IC95%). Resultados: Dos 350 participantes, 310 foram incluídos, dos quais 30 apresentaram desfecho desfavorável. Custo catastrófico (OR=2,53 – IC95% 1,13;5,67) e divórcio (OR=5,29 – IC95% 1,39;20,05) aumentaram as chances de desfecho desfavorável. Conclusão: Dificuldades financeiras durante o tratamento da tuberculose podem prejudicar seu desfecho. Os fatores determinantes para o desfecho do tratamento foram custo catastrófico e divórcio.

https://doi.org/10.1590/s1679-49742021000300012

Custos catastróficos e sequelas sociais decorrentes do diagnóstico e tratamento da tuberculose no Brasil
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Guidoni, Leticia Molino

; Zandonade, Eliana

; Fregona, Geisa

; Negri, Letícya dos Santos Almeida

; Oliveira, Sandra Maria do Valle Leone de

; Prado, Thiago Nascimento do

; Sales, Carolina Maia Martins

; Coimbra, Raisa da Silveira

; Galavote, Heletícia Scabelo

; Maciel, Ethel Leonor Noia

Epidemiologia e Serviços de Saúde

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2021, Volume 30 N. 3 elocation e2020810

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

Resumo Objetivo: Avaliar o impacto dos custos catastróficos no desfecho desfavorável do tratamento da tuberculose. Métodos: Estudo de coorte prospectiva, realizado em cinco capitais de estados brasileiros (Manaus, Recife, Vitória, Campo Grande e Porto Alegre) no período de junho de 2016 a julho de 2018. Empregou-se regressão logística para calcular a razão de chances (odds ratio, OR) e os intervalos de confiança de 95% (IC95%). Resultados: Dos 350 participantes, 310 foram incluídos, dos quais 30 apresentaram desfecho desfavorável. Custo catastrófico (OR=2,53 - IC95% 1,13;5,67) e divórcio (OR=5,29 - IC95% 1,39;20,05) aumentaram as chances de desfecho desfavorável. Conclusão: Dificuldades financeiras durante o tratamento da tuberculose podem prejudicar seu desfecho. Os fatores determinantes para o desfecho do tratamento foram custo catastrófico e divórcio.

Abstract Objective: To evaluate the impact of catastrophic costs on unfavorable tuberculosis treatment outcomes. Methods: This was a prospective cohort study, conducted in five Brazilian state capitals (Manaus, Recife, Vitória, Campo Grande and Porto Alegre) from June 2016 to July 2018. Logistic regression was used to calculate the odds ratio (OR) and 95% confidence intervals (95%CI). Results: Of the 350 participants, 310 were included, of whom 30 presented unfavorable outcomes. Catastrophic cost (OR=2.53 -95% CI 1.13;5.67) and divorce (OR=5.29 -95% CI 1.39;20.05) increased the chances of unfavorable outcomes. Conclusion: Financial difficulties during tuberculosis treatment may impair its outcome. Catastrophic cost and divorce were determining factors for treatment outcomes.

Resumen Objetivo: Evaluar el impacto de los costos catastróficos en el resultado desfavorable del tratamiento de la tuberculosis. Métodos: Estudio de cohorte prospectiva realizado en cinco capitales de estados brasileños (Manaus, Recife, Vitória, Campo Grande y Porto Alegre) entre junio de 2016 y julio de 2018. Se utilizó la regresión logística para calcular los odds ratios (OR) y los intervalos de confianza del 95% (IC95%). Resultados: De los 350 participantes, se incluyeron 310, y 30 tuvieron resultado desfavorable. El costo catastrófico (OR=2,53 - IC95% 1,13;5,67) y el divorcio (OR=5,29 - IC95% 1,39;20,05) aumentaron la obtención de un resultado desfavorable. Conclusión: Dificultades económicas enfrentadas durante el tratamiento de la tuberculosis pueden perjudicar el resultado del tratamiento. Las determinantes del tratamiento fueron el costo catastrófico y el divorcio.

https://doi.org/10.1590/s1679-49742021000300012 268 downloads

Custos catastróficos e sequelas sociais decorrentes do diagnóstico e tratamento da tuberculose no Brasil
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Guidoni, Leticia Molino

; Zandonade, Eliana

; Fregona, Geisa

; Negri, Letícya dos Santos Almeida

; Oliveira, Sandra Maria do Valle Leone de

; Prado, Thiago Nascimento do

; Sales, Carolina Maia Martins

; Coimbra, Raisa da Silveira

; Galavote, Heletícia Scabelo

; Maciel, Ethel Leonor Noia

Epidemiologia e Serviços de Saúde

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2021, Volume 30 N. 3 elocation e2020810

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

https://doi.org/10.1590/s1679-49742021000300012

A summary of the proceedings of a meeting on the treatment of latent tuberculosis infection in target populations in Brazil
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Rolla, Valeria

; Trajman, Anete

; Kawamura, Masae

; Cavalcante, Solange

; Soares, Elizabeth

; Perini, Filipe de Barros

; Carvalho, Anna Cristina Calçada

; Croda, Julio

; Silva, Jose Roberto Lapa e

; Schmaltz, Carolina Arana Stanis

; Sant’Anna, Flavia Marinho

; Bastos, Mayara

; Gomes, Adriano

; Durovni, Betina

; Saraceni, Valeria

; Silva, Elisangela

; Mello, Fernanda Carvalho de Queiroz

; Santos, Marcelo Cordeiro dos

; Pinto, Marcia

; Santos, Marisa

; Sanches, Fernando Augusto Dias e

; Oliveira, Sandra Maria do Valle Leone de

Jornal Brasileiro de Pneumologia

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2020, Volume 46 N. 4 elocation e20200023

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

https://doi.org/10.36416/1806-3756/e20200023 296 downloads

Treatment compliance of patients with paracoccidioidomycosis in Central-West Brazil
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Andrade, Ursulla Vilella

; Oliveira, Sandra Maria do Valle Leone de

; Chang, Marilene Rodrigues

; Pereira, Edy Firmina

; Marques, Ana Paula da Costa

; Carvalho, Lidia Raquel de

; Mendes, Rinaldo Poncio

; Paniago, Anamaria Mello Miranda

Jornal Brasileiro de Pneumologia

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2019, Volume 45 N. 2 elocation e20180167

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO Objetivo: Avaliar a adesão ao tratamento de paracoccidioidomicose. Métodos: Estudo conduzido com 188 pacientes com paracoccidioidomicose atendidos em um hospital terciário na Região Centro-Oeste do Brasil, de 2000 a 2010, para avaliar adesão ao tratamento. Foram considerados aderentes pacientes que tiveram o seguinte critério: retiraram os medicamentos na farmácia e autorrelataram a utilização de, no mínimo, 80% de dispensação dos antifúngicos prescritos na última consulta. Resultados: A maioria dos pacientes era homem (95,7%), tinha a forma crônica da doença (94,2%) e foi tratada com sulfametoxazol/trimetropim (86,2%). Apenas 44,6% dos pacientes aderiram ao tratamento. A maior perda de seguimento foi observada nos primeiros 4 meses de tratamento (p < 0,02). Adesão ao tratamento foi maior em pacientes com do que sem envolvimento pulmonar (RC: 2,986; IC95% 1,351-6,6599) e maior para os pacientes com do que sem tuberculose associada (RC 2,763; IC95% 1,004-7,604). Conclusões: A adesão ao tratamento da paracoccidioidomicose foi baixa e os primeiros 4 meses constituíram o período com maior evasão. Pacientes com envolvimento paracocidióidico pulmonar ou tuberculose associada revelaram maior adesão ao tratamento da paracoccidioidomicose.

ABSTRACT Objective: To evaluate the treatment compliance of patients with paracoccidioidomycosis. Methods: We studied 188 patients with paracoccidioidomycosis admitted to a tertiary referral hospital in the Central-West Region of Brazil from 2000 to 2010, to assess their compliance to treatment. In order to be considered compliant, patients needed to present two established criteria: (1) receive medicines from the pharmacy, and (2) achieve a self-reported utilization of at least 80% of the dispensed antifungal compounds prescribed since their previous appointment. Results: Most patients were male (95.7%), had the chronic form of the disease (94.2%), and were treated with cotrimoxazole (86.2%). Only 44.6% of patients were treatment compliant. The highest loss to follow-up was observed in the first 4 months of treatment (p < 0.02). Treatment compliance was higher for patients with than for those without pulmonary involvement (OR: 2.986; 95%CI 1.351-6.599), and higher for patients with than without tuberculosis as co-morbidity (OR: 2.763; 95%CI 1.004-7.604). Conclusions: Compliance to paracoccidioidomycosis treatment was low, and the period with the highest loss to follow-up corresponds to the first four months. Pulmonary paracoccidioidal involvement or tuberculosis comorbidity predicts a higher compliance to paracoccidioidomycosis therapy.

https://doi.org/10.1590/1806-3713/e20180167 1457 downloads

10.

Frequency of indeterminate results from an interferon-gamma release assay among HIV-infected individuals
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Oliveira, Sandra Maria do Valle Leone de

; Trajman, Anete

; Paniago, Anamaria Mello Miranda

; Motta-Castro, Ana Rita Coimbra

; Ruffino-Netto, Antonio

; Maciel, Ethel Leonor Noia

; Croda, Julio

; Bonecini-Almeida, Maria da Gloria

Jornal Brasileiro de Pneumologia

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jun 2017, Volume 43 N. 3 Pages 215 - 218

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO Objetivo: Avaliar a frequência de resultados indeterminados de um interferon-gamma release assay (IGRA, ensaio de liberação de interferon-gama) e os fatores relacionados com esses resultados em pessoas vivendo com HIV/AIDS (PVHA). Métodos: Foram avaliadas 81 PVHA na região Centro-Oeste do Brasil, por meio do teste tuberculínico e de um IGRA. Informações a respeito de variáveis sociodemográficas e clínicas foram obtidas por meio de questionários e prontuários médicos. A relação entre essas variáveis e os resultados indeterminados foi avaliada por meio do cálculo da OR ajustada em um modelo de regressão logística multivariada. A concordância foi avaliada por meio do coeficiente kappa. Resultados: Os resultados do teste tuberculínico e do IGRA foram positivos em 18 (22,2%) e 10 (12,3%), respectivamente, dos 81 pacientes avaliados (κ = 0,62). O resultado do IGRA foi indeterminado em 22 (27,1%) dos pacientes (IC95%: 17,8-38,1%). A chance de resultados indeterminados foi significativamente maior em fumantes (OR ajustada = 6,0; IC95%: 1,4-26,7) e em amostras armazenadas durante menos de 35 dias (OR ajustada = 14,0; IC95%: 3,1-64,2). Pacientes com imunossupressão avançada (contagem de células T CD4+ < 200 células/mm3) apresentaram maior risco de resultados indeterminados (OR ajustada para tabagismo e tempo inadequado de armazenamento das amostras = 4,7; IC95%: 0,91-24,0), embora a diferença não tenha sido significativa. Conclusões: A alta prevalência de resultados indeterminados pode ser um grande obstáculo ao uso rotineiro de IGRAs em PVHA. A necessidade de repetir o teste aumenta seu custo e deve ser levada em conta em estudos da relação entre custo e eficácia. O processamento das amostras pode alterar significativamente os resultados.

ABSTRACT Objective: To evaluate the frequency of and factors associated with indeterminate interferon-gamma release assay (IGRA) results in people living with HIV/AIDS (PLWHA). Methods: We tested 81 PLWHA in the central-west region of Brazil, using the tuberculin skin test and an IGRA. Information on sociodemographic and clinical variables was gathered through the use of questionnaires and from medical records. The association of those variables with indeterminate results was analyzed by calculating the adjusted ORs in a multivariate logistic regression model. Concordance was evaluated by determining the kappa statistic. Results: Among the 81 patients evaluated, the tuberculin skin test results were positive in 18 (22.2%) of the patients, and the IGRA results were positive in 10 (12.3%), with a kappa of 0.62. The IGRA results were indeterminate in 22 (27.1%) of the patients (95% CI: 17.8-38.1%). The odds of obtaining indeterminate results were significantly higher in smokers (adjusted OR = 6.0; 95% CI: 1.4-26.7) and in samples stored for less than 35 days (adjusted OR = 14.0; 95% CI: 3.1-64.2). Patients with advanced immunosuppression (CD4+ T-cell count < 200 cells/mm3) were at a higher risk for indeterminate results (OR adjusted for smoking and inadequate duration of sample storage = 4.7; 95% CI: 0.91-24.0), although the difference was not significant. Conclusions: The high prevalence of indeterminate results can be a major limitation for the routine use of IGRAs in PLWHA. The need to repeat the test increases its costs and should be taken into account in cost-effectiveness studies. The processing of samples can significantly alter the results.

https://doi.org/10.1590/s1806-37562016000000125 1643 downloads

11.

Work of family health strategy nurses in oncology care
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Souza, Geize Rocha Macedo de

; Cazola, Luiza Helena de Oliveira

; Oliveira, Sandra Maria do Valle Leone de

Escola Anna Nery

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2017, Volume 21 N. 4 elocation e20160380

Abstract: En Es Pt | Text: En Es Pt | PDF: En | PDF: Es | PDF: Pt

Abstract Objective: To identify the qualification of and to know the work of Family Health Strategy nurses in oncology care. Methods: A cross-sectional, descriptive study, using a quantitative approach, was conducted with 77 nurses working in the Family Health Strategy units of Campo Grande, state of Mato Grosso do Sul. Primary data were collected in structured interviews, using a form with closed-ended questions. Results: Professional training in oncology care is less frequent, reflecting a high lack of knowledge regarding the National Policy on Oncology Care. It was evidenced that 95% of the professionals assisted oncology patients, with home visits and nursing appointments being the most prevalent methods. Regarding the National Policy on Oncology Care, 96% of the nurses declared that they did not know about it. Conclusion: There was evidence of weakness in the care provided by the nurses to oncology patients and the need for investment in continuing education for professional nurses regarding oncology care.

Resumen Objetivo: Identificar la calificación y conocer la actuación de los enfermeros de la Estrategia Salud de la Familia en atención oncológica. Métodos: Estudio transversal, de abordaje cuantitativo, integrado por 77 enfermeros actuantes en unidades de Estrategia Salud de la Familia de Campo Grande, Mato Grosso do Sul. Datos primarios recolectados mediante entrevista, utilizándose cuestionario con preguntas cerradas. Resultados: La capacitación en atención oncológica es poco frecuente, reflejando el elevado desconocimiento de la Política Nacional de Atención Oncológica. Se verificó que 95% de los profesionales realizaban atenciones a pacientes oncológicos, prevaleciendo la visita domiciliaria y la consulta de enfermería. Sobre la Política Nacional de Atención Oncológica, 96% de los enfermeros declaró desconocerla. Conclusión: Se evidenció falta de preparación de los enfermeros para atender a pacientes con cáncer, y la necesidad explícita de educación continua.

Resumo Objetivo: Identificar a qualificação e conhecer a atuação dos enfermeiros da Estratégia Saúde da Família na atenção oncológica. Métodos: Estudo transversal de abordagem quantitativa, constituído de 77 enfermeiros inseridos em unidades de Estratégia Saúde da Família de Campo Grande, Mato Grosso do Sul. A coleta de dados primários foi realizada por meio de entrevista, utilizando-se um formulário com questões fechadas. Resultados: A capacitação, em atenção oncológica, é pouco frequente, refletindo o elevado desconhecimento da Política Nacional de Atenção Oncológica. Verificou-se que 95% dos profissionais realizavam atendimentos aos pacientes oncológicos, sendo a visita domiciliar e a consulta de enfermagem as mais prevalentes. Sobre a Política Nacional de Atenção Oncológica, 96% dos enfermeiros declararam não a conhecer. Conclusão: Evidenciou-se despreparo dos enfermeiros para assistirem os pacientes portadores de câncer e a necessidade explícita de educação permanente.

https://doi.org/10.1590/2177-9465-ean-2016-0380 20 downloads

12.

Work of family health strategy nurses in oncology care
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Souza, Geize Rocha Macedo de

; Cazola, Luiza Helena de Oliveira

; Oliveira, Sandra Maria do Valle Leone de

Escola Anna Nery

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2017, Volume 21 N. 4 elocation e20160380

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

https://doi.org/10.1590/2177-9465-ean-2016-0380 5415 downloads

13.

DECREASING PREVALENCE OF THE ACUTE/SUBACUTE CLINICAL FORM OF PARACOCCIDIOIDOMYCOSIS IN MATO GROSSO DO SUL STATE, BRAZIL
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Fabris, Larissa Rodrigues

; Andrade, Úrsulla Vilella

; Santos, Aline Ferreira Dos

; Marques, Ana Paula da Costa

; Oliveira, Sandra Maria do Valle Leone de

; Mendes, Rinaldo Pôncio

; Paniago, Anamaria Mello Miranda

Revista do Instituto de Medicina Tropical de São Paulo

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apr 2014, Volume 56 N. 2 Pages 121 - 125

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Com o objetivo de avaliar o comportamento da paracoccidioidomicose nas últimas três décadas, dados clínicos e epidemiológicos de 595 pacientes atendidos dentre 1980 a 2009 no Hospital da Universidade Federal de Mato Grosso do Sul foram estudados. Sexo, faixa etária, forma clínica, associação com tuberculose ou AIDS e mortalidade foram comparados por década em que a doença foi diagnosticada. Observou-se, nas três décadas do estudo, uma redução do percentual de mulheres, de pacientes do grupo de 20 a 39 anos, assim como de casos com a forma aguda/subaguda. Estas alterações estão intimamente relacionadas e podem ser analisadas simultaneamente. Houve aumento de casos de coinfecção com AIDS da primeira para segunda década, coincidindo com o surgimento da epidemia, e manteve-se estável durante a década seguinte. Não houve alteração da taxa de coinfecção com tuberculose, que no geral foi de 6,9% o que reforça a importância desta comorbidade. A taxa geral de mortalidade foi de 6,7% e também não variou entre as décadas estudadas. A manutenção da taxa de óbitos chama a atenção para a relevância dessa doença negligenciada.

With the objective to evaluate the behavior of paracoccidioidomycosis in the last three decades, clinical and epidemiological data of 595 patients admitted to clinical services of the Federal University of Mato Grosso do Sul from 1980 to 2009 were investigated. Gender, age distribution, clinical form, comorbidity with tuberculosis or AIDS, and mortality were compared by decades of clinical admission. It was shown that during the three decades there was a decrease in women percentage, and the same manner occurred a reduction in participants in the age group of 20 to 39 years. Moreover, the acute/subacute forms have been diminished in the period. These fluctuations are closely related and can be simultaneously analyzed. Increased AIDS co-infection prevalence from the first to the second decade was also revealed, coinciding with the appearance of the retroviral epidemic and stabilizing during the third decade. No change in the tuberculosis co-infection rate was observed (overall = 6.9%). It reinforces the importance of this co-morbidity. The overall mortality rate remained steady at 6.7%, not varying significantly from one decade to another. The persistent mortality rate calls attention to the importance of this neglected disease.

https://doi.org/10.1590/S0036-46652014000200006 2486 downloads

14.

Prevalence of latent tuberculosis and treatment adherence among patients with chronic kidney disease in Campo Grande, State of Mato Grosso do Sul
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Chagas, Aucely Corrêa Fernandes

; Hans Filho, Günter

; Oliveira, Sandra Maria do Valle Leone de

; Ivo, Maria Lúcia

; Corrêa Filho, Ruy Alberto Caetano

; Donatti, Maria Ilizabeth

Revista da Sociedade Brasileira de Medicina Tropical

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apr 2014, Volume 47 N. 2 Pages 204 - 211

Abstract: En | Text: En | PDF: En

Introduction The primary strategy for tuberculosis control involves identifying individuals with latent tuberculosis. This study aimed to estimate the prevalence of latent tuberculosis in chronic kidney disease (CKD) patients who were undergoing hemodialysis in Campo Grande, State of Mato Grosso do Sul, Brazil, to characterize the sociodemographic and clinical profiles of patients with latent tuberculosis, to verify the association between sociodemographic and clinical characteristics and the occurrence of latent tuberculosis, and to monitor patient adherence to latent tuberculosis treatment. Methods This epidemiological study involved 418 CKD patients who were undergoing hemodialysis and who underwent a tuberculin skin test. Results The prevalence of latent tuberculosis was 10.3%. The mean patient age was 53.43±14.97 years, and the patients were predominantly men (63.9%). The population was primarily Caucasian (58.6%); half (50%) were married, and 49.8% had incomplete primary educations. Previous contact with tuberculosis patients was reported by 80% of the participants. Treatment adherence was 97.7%. Conclusions We conclude that the prevalence of latent tuberculosis in our study population was low. Previous contact with patients with active tuberculosis increased the occurrence of latent infection. Although treatment adherence was high in this study, it is crucial to monitor tuberculosis treatment administered to patients in health services to maintain this high rate.

https://doi.org/10.1590/0037-8682-0035-2014 3069 downloads

15.

Active and latent tuberculosis in prisoners in the Central-West Region of Brazil
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Estevan, Anderson Oliveira

; Oliveira, Sandra Maria do Valle Leone de

; Croda, Julio

Revista da Sociedade Brasileira de Medicina Tropical

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jul 2013, Volume 46 N. 4 Pages 515 - 518

Abstract: En | Text: En | PDF: En

Introduction Jailed populations exhibit high rates of tuberculosis (TB) infection and active disease. Methods A cross-sectional study was performed to estimate the prevalence of latent and active TB and to identify factors associated with latent infection in inmates. Results The prevalence of latent TB was 49%, and the prevalence of active TB was 0.4%. The presence of a Bacille Calmette-Guérin (BCG) scar (prevalence ratio (PR)=1.65; 95% confidence interval (CI): 1.09-2.50; p=0.0162) and the World Health Organization (WHO) score for active TB in prisons (PR=1.07; 95% CI: 1.01-1.14; p=0.0181) were correlated with infection. Conclusions The identification of associated factors and the prevalence of latent and active TB allows the development of plans to control this disease in jails.

https://doi.org/10.1590/0037-8682-1441-2013 2732 downloads Cited 7 times in SciELO

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