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Health services need to revise the diagnosis of tuberculosis, says survey

Study USP advocates improvements in the training and education of health professionals who work near the community

 
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Survey of Nursing School of Ribeirão Preto (EERP) USP indicates that it is necessary to review the work process of health services for the early detection of tuberculosis, called Search Symptomatic Respiratory (BSR). The discovery happens from questioning of respiratory symptoms such as cough for three or more weeks. For the search happens, the nurse Beatriz Scatolin Plaster, author of the study, advocates improvements in the training and education of health professionals in this area, especially the Community Health Agents (ACS) who maintain close ties with the community.

For the study interviewed 210 community health workers in two Brazilian cities, Natal (Rio Grande do Norte), and Ribeirão Preto (São Paulo), priority for TB control, the Ministry of Health

In Natal, the main weaknesses revealed by the study were compared with the structure of health services for the BSR. Among them, the low use of sputum smear microscopy test that confirms the diagnosis of pulmonary tuberculosis, no refrigerator to store the sputum sample and the lack of laboratories responsible for collecting the samples.

Already in Ribeirão Preto, and the low use of sputum smear microscopy, there was no register of respiratory symptoms, lack of the primary care team, responsible for the care of the patient, systematic and routine care to the suspect TB . Other factors of concern in both cities, says the researcher, are the weakness in action research cough home visits, lack of supply of pot sputum, lack of community partnerships for the BSR and discussions on tuberculosis.

<b> Community Agents </ b>

In the perception of Community Health Workers, there was satisfaction in the training and preparation of agents for the identification and control of tuberculosis. The good news is that information about the disease that reach the community, the involvement of stakeholders in discussions on tuberculosis in the health service and institutional support in situations of suspected disease are adequate, says the researcher.

According to Beatriz, to improve the situation found you have to emphasize the continuing health education, and empower and improve their training, especially community workers who maintain close ties with the community.

A shared action between the various social sectors as a means of strengthening actions to tuberculosis, especially the search for early symptoms, is also cited as important by the researcher. A nursing supervisor as the work of agents has a key role in the success BSR, Beatriz concludes.

Source: USP
   Palavras-chave:   Tuberculosis diagnosis    Health services    USP    Universidade de São Paulo   
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tuberculosis diagnosis    health services    USP    Universidade de São Paulo   
Comments:
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Sonia Aparecida Ribeiro
posted on:
21/10/2010 13:12:22
O que falta em nossa Atenção Basica é comprometimento dos profissionais em nossos programas, estou na Saúde há 34 anos.
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