Household members and health care workers as supervisors of tuberculosis treatment

Revista de Saúde Pública

Ethel Leonor Noia Maciel¹  Leticia Molino Guidoni¹  Ana Paula Brioshi¹  Thiago Nascimento Do Prado¹  Geisa Fregona²  David Jamil Hadad²  Lucilia Pereira Molino²  Moises Palaci²  John L Johnson¹  Reynaldo Dietze² 

[1] ,Universidade Federal do Espírito Santo Centro de Ciências da Saúde Núcleo de Doenças InfecciosasVitória ES ,Brasil

关键词: Tuberculosis;    Homebound Persons;    Family Nursing;    Caregivers;    Home Nursing;    Medication Therapy Management;    Treatment Outcome;    Cohort Studies;    Tuberculose;    Pacientes Domiciliares;    Enfermagem Familiar;    Cuidadores;    Assistência Domiciliar;    Conduta do Tratamento Medicamentoso;    Resultado de Tratamento;    Estudos de Coortes;    Dengue;    Factores de Riesgo;    Factores Socioeconómicos;    Vigilancia Epidemiológica;    Estudios Ecológicos;   

DOI  :  10.1590/S0034-89102010000200015

来源: SciELO

【 摘 要 】

OBJECTIVE: To compare tuberculosis cure rates among patients supervised by household members or health care workers. METHODS: Prospective cohort study of 171 patients treated by the program in Vitoria, Southeastern Brazil, from 2004 to 2007. Each patient was followed-up for six months until the end of the treatment. Of the patients studied, a household member supervised 59 patients and healthcare workers supervised 112 patients. Patients' sociodemographic and clinic data were analyzed. Differences between groups were assessed using chi-square test or Student's t-test. Significance level was set at 5%. RESULTS: Most patients had smear positive, culture confirmed pulmonary tuberculosis. Two patients were HIV-positive. There were more illiterate patients in the healthcare-supervised group, in comparison to those supervised by their families (p=0.01). All patients supervised by a household member were cured compared to 90% of the patients supervised by health care workers (p = 0.024). CONCLUSIONS: Successful tuberculosis treatment was more frequent when supervised by household members.

【 授权许可】

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