Linkage to primary health care for new tuberculosis cases diagnosed in secondary and tertiary health care
DOI:
https://doi.org/10.5205/1981-8963.2024.261697Keywords:
Tuberculosis Pulmonary, Neglected Diseases, Public Health, Continuity of Patient Care, Health Information SystemsAbstract
Objective: to examine the association between linkage to primary care, sociodemographic characteristics, and treatment outcomes of new pulmonary tuberculosis cases diagnosed in secondary and tertiary care services. Method: this cross-sectional epidemiological study was conducted in a capital city in southern Brazil, using data from 344 new pulmonary tuberculosis cases reported between 2015 and 2020. Statistical analysis included Student’s t-test, Pearson’s chi-square test, and Fisher’s exact test, with a significance level of 5%. Results: linkage to primary care was associated with individuals under 30 years of age (p=0.005), health care workers (p=0.044), and treatment outcomes such as cure and medication use for at least one month (p<0.001). Conversely, non-linkage was associated with homeless individuals (p=0.016), diagnoses in 2019 and 2020 (p<0.001), and outcomes such as death and early treatment discontinuation (p<0.001). Conclusion: linkage to primary care is related to socioeconomic factors and better treatment outcomes.
References
World Health Organization (WHO). Global tuberculosis report 2023. Geneva: World Health Organization; 2023. [cited 2024 Jan. 16]. Available from: https://iris.who.int/bitstream/handle/10665/373828/9789240083851-eng.pdf?sequence=1
Ministério da Saúde (BR). Boletim Epidemiológico Tuberculose 2023. Brasília, 2023 [cited 2023 Oct. 15]. Available from: https://www.gov.br/saude/pt-br/centrais-de-conteudo/publicacoes/boletins/epidemiologicos/especiais/2023/boletim-epidemiologico-de-tuberculose-numero-especial-mar.2023
Terra AA, Silva GA, Silva MR, Giarola LT, Schiavon IC. Magnitude entre a acessibilidade, espaço de tempo e o diagnóstico da tuberculose. Acta Paulista de Enfermagem. [Internet]. 2022 [cited 2023 Ago. 20];35:eAPE02692. DOI: https://doi.org/10.37689/acta-ape/2022AO02692 DOI: https://doi.org/10.37689/acta-ape/2022AO02692
Ferreira MR, Bonfim RO, Siqueira TC, Orfão NH. Coordenação e elenco de serviços para o manejo da tuberculose: ótica dos profissionais de saúde. Physis [Internet]. 2022 [cited 2023 Oct. 29];32(1):e320111. DOI: https://doi.org/10.1590/S0103-73312022320111 DOI: https://doi.org/10.1590/s0103-73312022320111
Gheno, J, Weis, AH. Care Transition In Hospital Discharge For Adult Patients: Integrative Literature Review. Texto & contexto enfermagem [Internet]. 2021 [cited 2023 Oct. 13];30. DOI: https://doi.org/10.1590/1980-265x-Tce-2021-0030 DOI: https://doi.org/10.1590/1980-265x-tce-2021-0030
Sunpapoa C, Na-Ek N, Sommai S, Boonpattharatthiti K, Huynh NS, Kanchanasurakit S. Impact of Nursing Interventions on Hospital Readmissions in Patients With Pulmonary Tuberculosis: A Quasi-Experimental Study. Asian Nursing Research [Internet]. 2023 [cited 2024 Jan. 16]; 17(3). DOI: https://doi.org/10.1016/j.anr.2023.06.002 DOI: https://doi.org/10.1016/j.anr.2023.06.002
Lucena LA, Dantas GBS, Carneiro TV, Lacerda HG. Factors Associated with the Abandonment of Tuberculosis Treatment in Brazil: A Systematic Review. JRev Soc Bras Med. Trop [Internet]. 2023. [cited 2024 Jan. 16];56(1):e0155-2022. DOI: https://doi.org/10.1590/0037-8682-0155-2022 DOI: https://doi.org/10.1590/0037-8682-0155-2022
Arcêncio RA, Palha PF, Maciel ELN. The diagnosis and treatment of latent tuberculosis by nurses in Brazil: a necessary strategy. Rev Bras Enferm [Internet]. 2023. [cited 2024 Jan. 16];76(1):e760101. DOI: https://doi.org/10.1590/0034-7167.2023760101 DOI: https://doi.org/10.1590/0034-7167.2023760101esp
Dudley L, Mukinda F, Dyers R, Marais F, Sissolak D. Mind The Gap! Risk factors for poor continuity of care of TB patients discharged from a hospital in the Western Cape, South Africa. PLOS ONE [Internet]. 2018 [cited 2021 Oct. 20];13(1):e0190258. Available from: http://dx.doi.org/10.1371/Journal.Pone.0190258 DOI: https://doi.org/10.1371/journal.pone.0190258
Lima LV, Pavinati G, Palmieri IGS, Vieira JP, Blasque JC, Higarashi IH, et al. Factors associated with loss to follow-up in tuberculosis treatment in Brazil: a retrospective cohort study. Rev. Gaúcha Enferm [Internet]. 2023 [cited 2024 Jan. 18];44:e20230077. DOI: https://doi.org/10.1590/1983-1447.2023.20230077.en DOI: https://doi.org/10.1590/1983-1447.2023.20230077.pt
Jesus GA, Reis IM, Miranda ML, Silva MR. Acompanhamento e Situação de Encerramento de Casos de Tuberculose Notificados. Rev Enferm UFPE Line [Internet]. 2021 [cited 2021 Oct. 13];15(1). DIU: https://doi.org/10.5205/1981-8963.2021.246020 DOI: https://doi.org/10.5205/1981-8963.2021.246020
Oliveira GC, Silva AC, Regazzi IC, Nasser MD, Brust RS, Knupp VM. Perfil Epidemiológico da População com Tuberculose no Estado do Rio de Janeiro. Rev Pesqui Cuid E Fundam Online [Internet]. 2021 [cited 2021 Oct. 30];13:197-204. DOI: https://doi.org/10.9789/2175-5361.rpcfo.v13.821 DOI: https://doi.org/10.9789/2175-5361.rpcfo.v13.8211
Canto VB, Nedel FB. Completude dos registros de tuberculose no Sistema de Informação de Agravos de Notificação (Sinan) em Santa Catarina, Brasil, 2007-2016. Epidemiologia Serv Saude [Internet]. 2020 [cited 2021 Sep. 19];29(3). DOI: https://doi.org/10.5123/S1679-49742020000300020 DOI: https://doi.org/10.5123/S1679-49742020000300020
Silva, TO, Vianna PJ, Almeida MV, Santos SD, Nery JS. População em situação de rua no Brasil: estudo descritivo sobre o perfil sociodemográfico e da morbidade por tuberculose, 2014-2019. Epidemiologia Serv Saude [Internet]. 2021 [cited 2021 Oct. 22];30(1). DOI: https://doi.org/10.1590/S1679-49742021000100029 DOI: https://doi.org/10.1590/s1679-49742021000100029
Martins MB, Carbonai, D. Atenção Primária à Saúde: A trajetória brasileira e o contexto local em Porto Alegre. Revista Eletrônica de Administração [Internet]. 2021 [cited 2022 Aug. 4];27(3):725-748. DOI: https://doi.org/10.1590/1413-2311.331.107905 DOI: https://doi.org/10.1590/1413-2311.331.107905
Paula MN, Pereira W, Giordani RC. A COVID-19 em meio a uma “tempestade perfeita” no capitalismo neoliberal: reflexões críticas sobre seus impactos no Brasil. Ciência & Saúde Coletiva [Internet]. 2023 [cited 2023 Sep. 22];28(3):761-770. DOI: https://doi.org/10.1590/1413-81232023283.10262022 DOI: https://doi.org/10.1590/1413-81232023283.10262022
Hino P, Yamamoto TT, Magnabosco GT, Bertolozzi MR, Taminato M. Impacto Da Covid-19 No Controle e Reorganização da Atenção à Tuberculose. Acta Paulista De Enfermagem [Internet]. 2021 [cited 2022 Sep 20];34:eAPE002115. DOI: http://dx.doi.org/10.37689/Acta-Ape/2021ar02115 DOI: https://doi.org/10.37689/acta-ape/2021AR02115
Silva DR, Mello FC, D'Ambrosio L. Centis R, Dalcolmo, MP, Migliori, GB. Tuberculosis And Covid-19, The New Cursed Duet: What Differs Between Brazil And Europe? J Bras Pneumol [Internet]. 2021 [cited 2022 Aug. 23];47(2):E20210044. DOI: https://doi.org/10.36416/1806-3756/e20210044 DOI: https://doi.org/10.36416/1806-3756/e20210044
Zago PTN, Maffacciolli R, Mattioni FC, Dalla-Nora CR, Rocha CMF. Nursing actions promoting adherence to tuberculosis treatment: scoping review. Rev Esc Enferm USP [Internet]. 2021[cited 2024 Jan. 17];55:e20200300. DOI: https://doi.org/10.1590/1980-220X-REEUSP-2020-0300 DOI: https://doi.org/10.1590/1980-220x-reeusp-2020-0300
Sulliman Q, Lim PY, Said SM, Tan KA, Zulkefli NAM. Risk factors for early TB treatment interruption among newly diagnosed patients in Malaysia. Sci Rep [Internet]. 2022 [cited 2024 Jan. 17]; 14;12(1):745. DOI: https://doi.org/doi: 10.1038/s41598-021-04742-2 DOI: https://doi.org/10.1038/s41598-021-04742-2
Navarro PD, Haddad JP, Rabelo JV, Silva CH, Almeida IN, Carvalho WS et al. The Impact Of The Stratification By Degree Of Clinical Severity And Abandonment Risk of Tuberculosis Treatment. Jornal Brasileiro De Pneumologia. 2021 [cited 2022 Aug. 20];e20210018. DOI: https://doi.org/10.36416/1806-3756/E20210018 DOI: https://doi.org/10.36416/1806-3756/e20210018
Soedarsono S, Mertaniasih NM, Kusmiati T, Permatasari A, Juliasih NN, Hadi C, et al. Determinant factors for loss to follow-up in drug-resistant tuberculosis patients: the importance of psycho-social and economic aspects. BMC Pulmonary Medicine [Internet]. 2021 [cited 2022 Aug. 18];21(1):360. DOI: https://doi.org/doi: 10.1186/s12890-021-01735-9 DOI: https://doi.org/10.1186/s12890-021-01735-9
Lima HSB, Sodré VRD, Souza CAA, Cardoso MD, Gonçalves CCM, Nogueira LMV, et al. Access of people with pulmonary tuberculosis to government programs: Primary Care professionals’ perceptions. Rev Bras Enferm[Internet]. 2023 [cited 2024 Jan. 18];76(Suppl 2):e20220716. DOI: https://doi.org/10.1590/0034-7167-2022-0716pt DOI: https://doi.org/10.1590/0034-7167-2022-0716pt
Moreira AS, Kritski AL, Carvalho AC. Social Determinants Of Health And Catastrophic Costs Associated With The Diagnosis And Treatment Of Tuberculosis. J Bras Pneumol [Internet]. 2020 [cited 2021 Oct. 13];46(5):e20200015. DOI: https://dx.doi.org/10.36416/1806-3756/E20200015 DOI: https://doi.org/10.36416/1806-3756/e20200015
Gallo, VL, Khalaf DK, Hammerschmidt KS, Santiago ML, Vendruscolo C. Estratégias De Transição Para Alta Hospitalar Utilizadas Por Enfermeiros: Revisão Integrativa. Revista De Enfermagem Da UFSM [Internet]. 2021 [cited 2022 Aug. 18];11:e79. DOI: http://dx.doi.org/10.5902/2179769264383 DOI: https://doi.org/10.5902/2179769264383
Santos MM, Peradotto BC, Micheletti VC, Treviso P. Transição Do Cuidado Da Atenção Terciária Para A Atenção Primária: Revisão Integrativa Da Literatura. Nursing [Internet]. 2022 [cited 2022 Aug. 18];25(290):8173-82. Available from: https://doi.org/10.36489/Nursing.2022v25i290p8173-8182 DOI: https://doi.org/10.36489/nursing.2022v25i290p8173-8182
Prado Junior JC, Medronho RD. Spatial analysis of tuberculosis cure in primary care in Rio de Janeiro, Brazil. BMC Public Health [Internet]. 2021 [cited 2022 Jul. 22];21(1). DOI: https://doi.org/10.1186/s12889-021-11834-1 DOI: https://doi.org/10.1186/s12889-021-11834-1
Mauro AD, Cucolo DF, Perroca MG. Nursing actions for continuity of care in primary health care: a validation study. Texto contexto - enferm [Internet]. 2023 [cited 2024 Jan. 18];32:e20230058. DOI: https://doi.org/10.1590/1980-265X-TCE-2023-0058en DOI: https://doi.org/10.1590/1980-265x-tce-2023-0058en
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