Artículos de revistas
Retreatment Of Tuberculosis: Aspects Of Previous Episodes, Brazil, 1993-1994 [abandono De Tratamento E Recidiva Da Tuberculose: Aspectos De Episódios Prévios, Campinas, Sp, Brasil, 1993-1994]
Registro en:
Revista De Saude Publica. , v. 34, n. 5, p. 437 - 443, 2000.
348910
2-s2.0-0442329795
Autor
De Oliveira H.B.
De Moreira Filho D.C.
Institución
Resumen
Objective: Recurrent patients due to treatment dropout or disease relapse have been congesting health centers and impeding treatment routines and services. The purpose is to study aspects of previous treatment and irregularities concerning the patient, medication and service organization and to evaluate the outcome of retreatment. Methods: A descriptive study of patient's personal characteristics, previous treatment and retreatment was carried out at Campinas. São Paulo State, in 1993 and 1994. Statistics analyses were performed using 95% confidence interval with Yates correction, exact Fisher test and Mantel Haenszel qui-square for stratification. Results: Retreatment sequence corroborated with the default rates (63%) that were lower, but still high among relapsed cases (28.4%). Only 34.1% of relapsed cases did not present irregularities at previous treatment. Conclusions: High proportions of retreatment and inadequate previous treatment are favouring drug resistance. Efforts should be taken to improving tuberculosis services efficiency because many irregularities are due to "failures" in health services routine. 34 5 437 443 Brudney, K., Dobkin, J., Resurgent tuberculosis in New York City (1991) Am Rev Respir Dis, 144, pp. 745-749 Dean, A.G., Dean, J.A., Burton, A., Dicher, R.C., (1990) Epi Info Version 5: A Word Processing Database and Statistics Program for Epidemiology on Microcomputers, , Stone Mountain, Georgia: USD Incorporated Edsall, J., Collins, J.G., Gray, J.A.C., The reactivation of tuberculosis in New York City in 1967 (1970) Am Rev Respir Dis, 102, pp. 725-736 Fox, W., General considerations in the choice and management of regimens of chemotherapy for tuberculosis (1972) Bull Int Union Tuberc, 47, pp. 49-67 Fujiwara, P.I., Larkin, C., Frieden, T.R., Directly observed therapy in New York City (1997) Clin Chest Med, 18, pp. 135-148 Glaziou, P., Chansin, R., Spiegel, A., Cartel, J.L., Utilité du suivi systématique des tuberculeux pour le dépistage des rechutes en Polynésie française entre 1971 et 1984 (1991) Rev Mal Respir, 8, pp. 387-390 Grzybowski, S., McKinnon, N.E., Tuters, L., Pinkus, G., Philipps, R., Reactivations in inactive pulmonary tuberculosis (1966) Am Rev Respir Dis, 93, pp. 352-361 Grzybowski, S., Enarson, D.A., El destino de los casos de tuberculosis pulmonar sometidos a diferentes formas de tratamiento (1978) Bol Union Int Tuberc, 53, pp. 66-71 Nogueira, P.A., Belluomini, M., Almeida, M.M.B., Lima, M.M., Nassar, J., Santos, L.R., Algumas características dos reingressantes ao Sistema Experimental de Vigilância, segundo tipo de alta anterior (1995) Anais do 4o Congresso Paulista de Saúde Pública, pp. A181. , 1993. São Paulo: Associação Paulista de Saúde Pública Nunn, P., Felten, M., Surveillance of resistance to antituberculosis drugs in developing countries (1994) Tuberc Lung Dis, 75, pp. 163-167 Oliveira, H.B., (1991) Estudo do Tratamento da Tuberculose na Rede Pública do Município de Campinas-SP, 1987, , Dissertação Campinas, Universidade Estadual de Campinas, Unicamp, SP Oliveira, H.B., Estudo da tuberculose notificada entre presidiários (1995) Anais do Congresso Brasileiro de Epidemiologia, pp. A667. , Salvador Pamra, S.P., Prasad, G., Mathur, G.P., Relapse in pulmonary tuberculosis (1976) Am Rev Respir Dis, 113, pp. 67-73 Rastogi, N., David, H.L., Mode of action of antituberculous drugs and mechanisms of drug resistance in Mycobacterium tuberculosis (1993) Res Microbiol, 144, pp. 133-143 Rudoy, N.M., Tuberculosis and alcoholism (1997) Semin Respir Crit Care Med, 18, pp. 503-508 Schlesselman, J., (1982) Case-control Studies: Design, Conduct, Analysis, , New York: Oxford University Press Stead, W.W., Tuberculosis among elderly persons: An outbreak in a nursing home (1981) Ann Intern Med, 94, pp. 606-610