População em situação de rua: perfil dos casos de coinfecção tuberculose e HIV

Nathália Halax Órfão, Kamila Maria Da Silva, Melisane Regina Lima Ferreira, Maria Eugênia Firmino Brunello
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引用次数: 2

Abstract

OBJECTIVE: to analyze the Homeless People profile with tuberculosis (TB)/HIV co-infection in Porto Velho - RO, between 2015 and 2018. MATERIALS AND METHODS: a descriptive, cross-sectional study with a quantitative approach carried out from the survey the sociodemographic, clinical variables and the treatment of cases in the National Information System on Notifiable Diseases, and later analysis by frequency distribution, after meeting the ethical precepts. RESULTS: seven cases of TB/HIV were reported among the Homeless People. Most were female, between 31 and 38 years old, brown, with low education, had associated diseases and conditions, were not a special population, notified in 2016, in the tertiary reference, it was a new case or reentry after abandonment, pulmonary clinical form, suspected chest X-ray, negative sputum smear microscopy, rapid molecular test for TB and culture not performed, sensitivity test and blank monthly control, up to three identified contacts and none examined, did not perform Directly Observed Treatment, treatment in the tertiary referral, from 61 to 120 days and more than 181 days, and a high percentage of abandonment. CONCLUSION: it is essential to review the strategies for access to services and actions offered to meet the health demands of the Homeless People, focused on both diseases.
街头人口:结核病和艾滋病毒合并感染病例概况
目的:分析2015年至2018年波尔图韦略-罗罗无家可归者结核病/艾滋病合并感染的概况。材料与方法:在符合伦理规范的前提下,通过对国家法定传染病信息系统的社会人口学、临床变量和病例治疗情况的调查,进行描述性、横断面定量研究,并进行频率分布分析。结果:无家可归者中共报告结核/艾滋病病例7例。多数为女性,年龄31 - 38岁,棕色皮肤,文化程度低,有相关疾病和条件,非特殊人群,2016年通报,三级参考文献中为新病例或遗弃后再入院,肺部临床表现,疑似胸片,痰涂片镜检阴性,结核病快速分子试验和未进行培养,敏感性试验和空白月度对照,最多3名确定接触者,未检查。未进行直接观察治疗的,在三级转诊治疗中,从61天到120天,超过181天,且放弃率高。结论:必须审查获得服务的战略和为满足无家可归者的保健需求而采取的行动,重点关注这两种疾病。
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