Análise clínica-epidemiológica da tuberculose diante do cenário pandêmico da Covid-19
Ano de defesa: | 2023 |
---|---|
Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | , |
Tipo de documento: | Dissertação |
Tipo de acesso: | Acesso embargado |
Idioma: | por |
Instituição de defesa: |
Universidade Estadual da Paraíba
|
Programa de Pós-Graduação: |
Programa de Pós-Graduação em Saúde Pública - PPGSP
|
Departamento: |
Pró-Reitoria de Pós-Graduação e Pesquisa - PRPGP
|
País: |
Brasil
|
Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://tede.bc.uepb.edu.br/jspui/handle/tede/4677 |
Resumo: | Introduction: Since 1993 Tuberculosis is considered an emergency with a global impact on public health, being considered between the years 2015 and 2020 the infectious disease that killed the most in the world. However, the 2020s brought a hitherto unknown challenge to the fight against Tuberculosis, the Covid-19 pandemic, which directly impacted the care and health strategies related to Tuberculosis, making it necessary to restructure the understanding of the factors that surround it. Tuberculosis, as well as its public health policies. Objective: To evaluate the temporal variation and trend of Tuberculosis pointing to the Covid-19 pandemic as a challenge for health services in the period from 2010 to 2022, in the capital of João Pessoa - Paraíba, Brazil. Materials and methods: This is an analytical study, with a cross-sectional approach and a quantitative approach. The study population consisted of all notified cases of Tuberculosis in the Notifiable Diseases Information System (Sinan) between the years 2010 to 2022 in the city of João Pessoa, Paraíba. The defined sample followed the census sampling criteria. Data collection was carried out in an exploratory manner in the period between November and December 2022 and January 2023. The study data were entered into Excel spreadsheets, subsequently, the information contained in this database was transferred to the SPSS statistical program, version 25.0, where the absolute and relative frequencies and rate of occurrence of tuberculosis were evaluated, using Pearson's Chi-square test or Fisher's Exact Test, Mann-Whitney Test and Likelihood Ratio Test. The study was submitted to the Research Ethics Committee, obtaining an approval opinion under CAAE nº 56637722.0.1001.5078 and complying with the guidelines of resolution 466/12 of the National Health Council. Results: It was possible to observe a trend of underreporting of Tuberculosis in the period studied and in comparison with the pre-pandemic period, in addition to the accentuation of social inequalities involved in the profile of the disease during the pandemic, as well as unprecedented results of increased entries due to re-entry after abandonment and the use of the rapid molecular test, and the decrease in the use of other laboratory diagnostic means for detecting the disease, as well as the increase in unfavorable outcomes of TB cases during the pandemic, which reflects the fragility of the health system and entails in the precariousness of assistance to users and in public health policies that define the needs for action in the fight against Tuberculosis. |
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Figueiredo, Tânia Maria Ribeiro Monteiro deSousa, Cláudia Santos Martiniano SousaGonzales, Roxana Isabel Cardozohttp://lattes.cnpq.br/4762791882832094Menezes, Ana Caroline Cavalcante de2023-06-27T12:19:35Z2999-12-312023-04-26MENEZES, Ana Caroline Cavalcante de. Análise clínica-epidemiológica da tuberculose diante do cenário pandêmico da Covid-19. 2023. 93 f. Dissertação (Programa de Pós-Graduação em Saúde Pública - PPGSP) - Universidade Estadual da Paraíba, Campina Grande, 2023.http://tede.bc.uepb.edu.br/jspui/handle/tede/4677Introduction: Since 1993 Tuberculosis is considered an emergency with a global impact on public health, being considered between the years 2015 and 2020 the infectious disease that killed the most in the world. However, the 2020s brought a hitherto unknown challenge to the fight against Tuberculosis, the Covid-19 pandemic, which directly impacted the care and health strategies related to Tuberculosis, making it necessary to restructure the understanding of the factors that surround it. Tuberculosis, as well as its public health policies. Objective: To evaluate the temporal variation and trend of Tuberculosis pointing to the Covid-19 pandemic as a challenge for health services in the period from 2010 to 2022, in the capital of João Pessoa - Paraíba, Brazil. Materials and methods: This is an analytical study, with a cross-sectional approach and a quantitative approach. The study population consisted of all notified cases of Tuberculosis in the Notifiable Diseases Information System (Sinan) between the years 2010 to 2022 in the city of João Pessoa, Paraíba. The defined sample followed the census sampling criteria. Data collection was carried out in an exploratory manner in the period between November and December 2022 and January 2023. The study data were entered into Excel spreadsheets, subsequently, the information contained in this database was transferred to the SPSS statistical program, version 25.0, where the absolute and relative frequencies and rate of occurrence of tuberculosis were evaluated, using Pearson's Chi-square test or Fisher's Exact Test, Mann-Whitney Test and Likelihood Ratio Test. The study was submitted to the Research Ethics Committee, obtaining an approval opinion under CAAE nº 56637722.0.1001.5078 and complying with the guidelines of resolution 466/12 of the National Health Council. Results: It was possible to observe a trend of underreporting of Tuberculosis in the period studied and in comparison with the pre-pandemic period, in addition to the accentuation of social inequalities involved in the profile of the disease during the pandemic, as well as unprecedented results of increased entries due to re-entry after abandonment and the use of the rapid molecular test, and the decrease in the use of other laboratory diagnostic means for detecting the disease, as well as the increase in unfavorable outcomes of TB cases during the pandemic, which reflects the fragility of the health system and entails in the precariousness of assistance to users and in public health policies that define the needs for action in the fight against Tuberculosis.Introdução: Desde 1993 a Tuberculose é considerada uma emergência de impacto global para a saúde pública, sendo considerada entre os anos de 2015 e 2020 a doença infecciosa que mais matou no mundo. No entanto, a década de 2020 trouxe um desafio até então desconhecido ao combate à Tuberculose, a pandemia da Covid-19, a qual impactou diretamente nos cuidados e nas estratégias de saúde relativas à Tuberculose, tornando necessária a reestruturação da compreensão dos fatores que cercam a Tuberculose, bem como de suas políticas públicas de saúde. Objetivo: Avaliar a variação temporal e a tendência da Tuberculose apontando a pandemia Covid-19 como desafio para os serviços de saúde no período de 2010 a 2022, na capital de João Pessoa – Paraíba, Brasil. Materiais e métodos: Trata-se de um estudo analítico, com recorte transversal e abordagem quantitativa. A população do estudo consistiu de todos os casos notificados de Tuberculose no Sistema de Informação de Agravos de Notificação (Sinan) entre os anos de 2010 a 2022 no município de João Pessoa, Paraíba. A amostra definida seguiu o critério de amostragem censitária. A coleta de dados foi realizada de forma exploratória no período entre novembro e dezembro de 2022 e janeiro de 2023. Os dados do estudo foram digitados em planilhas do software Excel, posteriormente, as informações contidas neste banco foram transferidas para o programa estatístico SPSS, versão 25.0, onde foram avaliadas as frequências absolutas, relativas e taxa de ocorrência da tuberculose, utilizando-se os testes Quiquadrado de Pearson ou o Teste Exato de Fisher, Teste de Mann-Whitney e Teste de Razão de Verossimilhança. O estudo foi submetido ao Comitê de Ética em Pesquisa obtendo parecer de aprovação sob CAAE nº 56637722.0.1001.5078 e atendendo às orientações da resolução 466/12 do Conselho Nacional de Saúde. Resultados: Foi possível observar tendência de subnotificação da Tuberculose no período estudado e em comparação com o período prépandêmico, além da acentuação das inequidades sociais envoltas no perfil da doença durante a pandemia, bem como resultados inéditos de aumento de entradas por reingresso após abandono e da utilização do teste rápido molecular, e a diminuição no uso de outros meios de diagnóstico laboratoriais de detecção da doença, assim como o aumento de desfechos desfavoráveis dos casos de TB durante a pandemia, o que reflete a fragilidade do sistema de saúde e acarreta na precarização da assistência aos usuários e nas políticas públicas de saúde que definem as necessidades de atuação no combate à Tuberculose.Submitted by Ana Caroline Cavalcante de Menezes (ana.menezes@aluno.uepb.edu.br) on 2023-06-14T18:13:00Z No. of bitstreams: 2 DS - Ana Caroline Cavalcante de Menezes.pdf: 1194332 bytes, checksum: 85d618d8ab072f0ce3bc85b0548e5a74 (MD5) Termo de Depósito BDTD - Ana Caroline Cavalcante de Menezes.pdf: 230401 bytes, checksum: 667c9bfbf992fe07741d01691de7a93d (MD5)Approved for entry into archive by Jean Medeiros (jeanletras@uepb.edu.br) on 2023-06-14T18:44:19Z (GMT) No. of bitstreams: 2 DS - Ana Caroline Cavalcante de Menezes.pdf: 1194332 bytes, checksum: 85d618d8ab072f0ce3bc85b0548e5a74 (MD5) Termo de Depósito BDTD - Ana Caroline Cavalcante de Menezes.pdf: 230401 bytes, checksum: 667c9bfbf992fe07741d01691de7a93d (MD5)Made available in DSpace on 2023-06-27T12:19:35Z (GMT). No. of bitstreams: 2 DS - Ana Caroline Cavalcante de Menezes.pdf: 1194332 bytes, checksum: 85d618d8ab072f0ce3bc85b0548e5a74 (MD5) Termo de Depósito BDTD - Ana Caroline Cavalcante de Menezes.pdf: 230401 bytes, checksum: 667c9bfbf992fe07741d01691de7a93d (MD5) Previous issue date: 2023-04-26Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPESapplication/pdfporUniversidade Estadual da ParaíbaPrograma de Pós-Graduação em Saúde Pública - PPGSPUEPBBrasilPró-Reitoria de Pós-Graduação e Pesquisa - PRPGPTuberculosePandemiaSaúde públicaPolíticas públicas de saúdeTuberculosisPublic healthPandemicsSAUDE COLETIVA::SAUDE PUBLICAAnálise clínica-epidemiológica da tuberculose diante do cenário pandêmico da Covid-19info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis-4979121372796375736006006005248714503811102783112649244584600979info:eu-repo/semantics/embargoedAccessreponame:Biblioteca Digital de Teses e Dissertações da UEPBinstname:Universidade Estadual da Paraíba (UEPB)instacron:UEPBORIGINALDS - Ana Caroline Cavalcante de Menezes.pdfDS - Ana Caroline Cavalcante de Menezes.pdfapplication/pdf1194332http://tede.bc.uepb.edu.br/jspui/bitstream/tede/4677/2/DS+-+Ana+Caroline+Cavalcante+de+Menezes.pdf85d618d8ab072f0ce3bc85b0548e5a74MD52Termo de Depósito BDTD.pdfTermo de Depósito BDTD.pdfapplication/pdf230401http://tede.bc.uepb.edu.br/jspui/bitstream/tede/4677/3/Termo+de+Dep%C3%B3sito+BDTD.pdf667c9bfbf992fe07741d01691de7a93dMD53LICENSElicense.txtlicense.txttext/plain; charset=utf-81960http://tede.bc.uepb.edu.br/jspui/bitstream/tede/4677/1/license.txt6052ae61e77222b2086e666b7ae213ceMD51tede/46772023-06-27 10:53:11.393oai:tede.bc.uepb.edu.br: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Biblioteca Digital de Teses e Dissertaçõeshttp://tede.bc.uepb.edu.br/jspui/PUBhttp://tede.bc.uepb.edu.br/oai/requestbc@uepb.edu.br||opendoar:2023-06-27T13:53:11Biblioteca Digital de Teses e Dissertações da UEPB - Universidade Estadual da Paraíba (UEPB)false |
dc.title.por.fl_str_mv |
Análise clínica-epidemiológica da tuberculose diante do cenário pandêmico da Covid-19 |
title |
Análise clínica-epidemiológica da tuberculose diante do cenário pandêmico da Covid-19 |
spellingShingle |
Análise clínica-epidemiológica da tuberculose diante do cenário pandêmico da Covid-19 Menezes, Ana Caroline Cavalcante de Tuberculose Pandemia Saúde pública Políticas públicas de saúde Tuberculosis Public health Pandemics SAUDE COLETIVA::SAUDE PUBLICA |
title_short |
Análise clínica-epidemiológica da tuberculose diante do cenário pandêmico da Covid-19 |
title_full |
Análise clínica-epidemiológica da tuberculose diante do cenário pandêmico da Covid-19 |
title_fullStr |
Análise clínica-epidemiológica da tuberculose diante do cenário pandêmico da Covid-19 |
title_full_unstemmed |
Análise clínica-epidemiológica da tuberculose diante do cenário pandêmico da Covid-19 |
title_sort |
Análise clínica-epidemiológica da tuberculose diante do cenário pandêmico da Covid-19 |
author |
Menezes, Ana Caroline Cavalcante de |
author_facet |
Menezes, Ana Caroline Cavalcante de |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Figueiredo, Tânia Maria Ribeiro Monteiro de |
dc.contributor.referee1.fl_str_mv |
Sousa, Cláudia Santos Martiniano Sousa |
dc.contributor.referee2.fl_str_mv |
Gonzales, Roxana Isabel Cardozo |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/4762791882832094 |
dc.contributor.author.fl_str_mv |
Menezes, Ana Caroline Cavalcante de |
contributor_str_mv |
Figueiredo, Tânia Maria Ribeiro Monteiro de Sousa, Cláudia Santos Martiniano Sousa Gonzales, Roxana Isabel Cardozo |
dc.subject.por.fl_str_mv |
Tuberculose Pandemia Saúde pública Políticas públicas de saúde |
topic |
Tuberculose Pandemia Saúde pública Políticas públicas de saúde Tuberculosis Public health Pandemics SAUDE COLETIVA::SAUDE PUBLICA |
dc.subject.eng.fl_str_mv |
Tuberculosis Public health Pandemics |
dc.subject.cnpq.fl_str_mv |
SAUDE COLETIVA::SAUDE PUBLICA |
description |
Introduction: Since 1993 Tuberculosis is considered an emergency with a global impact on public health, being considered between the years 2015 and 2020 the infectious disease that killed the most in the world. However, the 2020s brought a hitherto unknown challenge to the fight against Tuberculosis, the Covid-19 pandemic, which directly impacted the care and health strategies related to Tuberculosis, making it necessary to restructure the understanding of the factors that surround it. Tuberculosis, as well as its public health policies. Objective: To evaluate the temporal variation and trend of Tuberculosis pointing to the Covid-19 pandemic as a challenge for health services in the period from 2010 to 2022, in the capital of João Pessoa - Paraíba, Brazil. Materials and methods: This is an analytical study, with a cross-sectional approach and a quantitative approach. The study population consisted of all notified cases of Tuberculosis in the Notifiable Diseases Information System (Sinan) between the years 2010 to 2022 in the city of João Pessoa, Paraíba. The defined sample followed the census sampling criteria. Data collection was carried out in an exploratory manner in the period between November and December 2022 and January 2023. The study data were entered into Excel spreadsheets, subsequently, the information contained in this database was transferred to the SPSS statistical program, version 25.0, where the absolute and relative frequencies and rate of occurrence of tuberculosis were evaluated, using Pearson's Chi-square test or Fisher's Exact Test, Mann-Whitney Test and Likelihood Ratio Test. The study was submitted to the Research Ethics Committee, obtaining an approval opinion under CAAE nº 56637722.0.1001.5078 and complying with the guidelines of resolution 466/12 of the National Health Council. Results: It was possible to observe a trend of underreporting of Tuberculosis in the period studied and in comparison with the pre-pandemic period, in addition to the accentuation of social inequalities involved in the profile of the disease during the pandemic, as well as unprecedented results of increased entries due to re-entry after abandonment and the use of the rapid molecular test, and the decrease in the use of other laboratory diagnostic means for detecting the disease, as well as the increase in unfavorable outcomes of TB cases during the pandemic, which reflects the fragility of the health system and entails in the precariousness of assistance to users and in public health policies that define the needs for action in the fight against Tuberculosis. |
publishDate |
2023 |
dc.date.accessioned.fl_str_mv |
2023-06-27T12:19:35Z |
dc.date.issued.fl_str_mv |
2023-04-26 |
dc.date.available.fl_str_mv |
2999-12-31 |
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MENEZES, Ana Caroline Cavalcante de. Análise clínica-epidemiológica da tuberculose diante do cenário pandêmico da Covid-19. 2023. 93 f. Dissertação (Programa de Pós-Graduação em Saúde Pública - PPGSP) - Universidade Estadual da Paraíba, Campina Grande, 2023. |
dc.identifier.uri.fl_str_mv |
http://tede.bc.uepb.edu.br/jspui/handle/tede/4677 |
identifier_str_mv |
MENEZES, Ana Caroline Cavalcante de. Análise clínica-epidemiológica da tuberculose diante do cenário pandêmico da Covid-19. 2023. 93 f. Dissertação (Programa de Pós-Graduação em Saúde Pública - PPGSP) - Universidade Estadual da Paraíba, Campina Grande, 2023. |
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