Epidemiological characterization of Tuberculosis care in a secondary Health care unit in the municipality of Botucatu/SP

Abstract

Tuberculosis is considered a serious global public health problem and in the context of Brazil, according to data from the Ministry of Health, in 2017, the country had 72,000 new cases with 4,500 deaths due to this disease. According to the Manual of Recommendations for the Control of Tuberculosis in Brazil, the programming of activities against tuberculosis must begin in the municipalities. Therefore, when profiling these patients, it is possible to detect the strengths and weaknesses of the control program and the internal and external determinants that hinder their better performance.Taking this analysis into account, a plan of actions and activities to improve tuberculosis control must be developed, directing public policies for prevention, early diagnosis, treatment, professional training strategies and reorganization of the care system, aiming to reduce the incidence of one of the most prevalent diseases in the municipality of Botucatu and whose long-term treatment (6 months or more) is too expensive for the public health system. The research project is a descriptive, retrospective study of a quantitative approach to the cases of tuberculosis in adult and pediatric patients seen at the Centro de Saúde Escola, a health unit linked to the Botucatu Medical School of the Universidade Estadual Paulista Júlio de Mesquita Filho - FMB / UNESP, in the city Botucatu-SP, from 2008 to 2019. From a questionnaire prepared by the researchers themselves, data will be collected from the medical records of these patients, including the Tuberculosis Notification Forms of the Center Epidemiological Surveillance "Prof. Alexandre Vranjac" - CVE (SES / SP), attached to the document. Variables related to age, sex, risk factors for tuberculosis, sputum smear microscopy, HIV seropositivity, origin of the patient, profession, contacts, diagnosis, among others, will be collected. From this, qualitative variables will be analyzed according to absolute and relative frequency and, for the analysis of quantitative variables, mean, standard deviation and median will be used. With a significance level of p <0.05, Pearson's chi-square test and Fisher's exact test will be used for the analysis of variables. Thus, subsidies can be raised to create measures to prevent tuberculosis, in addition to providing information to the health services involved with this reality, which is essential to improve the quality of care provided.