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Polanco Pasaje JE, Benjumea Bedoya D, del Corral Londoño H. Conhecimentos sobre tuberculoses em trabalhadores da saúde do departamento do Cauca, Colômbia . Hacia Promoc. Salud [Internet]. 1º de janeiro de 2023 [citado 23º de novembro de 2024];28(1):68-82. Disponível em: https://revistasojs.ucaldas.edu.co/index.php/hacialapromociondelasalud/article/view/8302
Fomatos de Citação
Autores
Jhon Edwin Polanco Pasaje
Universidad de Antioquia
Dione Benjumea Bedoya
Universidad de AntioquiaHelena del Corral Londoño
Universidad de AntioquiaResumo
Objetivos: descrever o nível de conhecimentos de médicos e profissionais de enfermagem respeito a fatores de risco, quadro clínico, diagnóstico e medidas de isolamento para tuberculoses. Metodologia: estudo transversal realizada em 8 instituições prestadoras de serviços de saúde (IPS) de baixa complexidade de atenção durante o 2017 mediante a aplicação dum questionário auto preenchido. Resultados: em total 72 pessoas foram entrevistadas (48 médicos e 24 profissionais de enfermagem), dos quais 51,4 % foram mulheres e 44,4 % menores de 35 anos. Um 59,7 % trabalham em IPS públicas e 40,3 % em IPS particulares (incluindo 9,7 % em IPS indígenas). O 64,4 % dos entrevistados acertaram em perguntas relacionadas com a conduta ou medidas de cuidado inicial ao paciente e 60,8 % acertaram em sua impressão diagnóstica. Houve 66,7 % de acertos sobre fatores de risco, 69,4 % respeito ao quadro clínico da doença, 67,0 % em perguntas relacionadas com o diagnóstico e 47,5 % sobre medidas de isolamento. De acordo com a profissão, os médicos tiveram mais porcentagem de acertos em perguntas sobre fatores de risco, quadro clínico e diagnóstico enquanto que os profissionais de enfermagem tiveram melhores médias nas perguntas sobre medidas de isolamento. Conclusões: o nível de acertos geral foi de 62,6 %. As porcentagens de acerto mais baixas se presentaram em perguntas relacionadas com medidas de isolamento. Estas deficiências em conhecimento podem influir sobre a oportunidade no diagnóstico e o controle da doença, pelo que os programas de capacitação continuam sobre tuberculoses devem ser fortalecidos nestes profissionais.
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Referências
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12. Getnet F, Demissie M, Assefa N, Mengistie B, Worku A. Delay in diagnosis of pulmonary tuberculosis in low-and middle income settings: systematic review and meta-analysis. BMC Pulm Med. 2017; 17(202).
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14. Roberts DJ, Mannes T, Verlander NQ, Anderson C. Factors associated with delay in treatment initiation for pulmonary tuberculosis. ERJ Open Res. 2019; 6(00161-2019).
15. Ulin PR, Robinson ET, Tolley EE. Investigación aplicada en salud pública: métodos cualitativos. Washington, D.C.: OPS; 2006.
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18. Buregyeya E, Kasasa S, Mitchell EMH. Tuberculosis infection control knowledge and attitudes among health workers in Uganda: a cross-sectional study. BMC Infect Dis. 2016;16(416).
19. Wilches-luna EC. Conocimientos, actitudes, prácticas y educación sobre tuberculosis en estudiantes de una facultad de salud. Rev Salud Pública. 2016; 18(1):129-41.
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21. Romani Romani RF, Roque Henríquez J, Catacora López F, Hilasaca Yngas G. Conocimientos, percepciones y prácticas de personal de salud en la detección de sintomáticos respiratorios en una región de muy alto riesgo de trasmisión de tuberculosis en el Perú. Fac Med. 2016; 77(2):123-7.
22. Alotaibi B, Yassin Y, Mushi A, Maashi F, Thomas A, Mohamed G, et al. Tuberculosis knowledge, attitude and practice among healthcare workers during the 2016 Hajj. PLoS ONE. 2019; 14(1):e0210913.
23. Shrestha A, Bhattarai D, Thapa B, Basel P, Raj Wagle R. Health care workers’ knowledge, attitudes and practices on tuberculosis infection control, Nepal. BMC Infect Dis. 2017; 17(724).
24. Naikoba S, Senjovu KD, Mugabe P, Mccarthy CF, Riley PL, Kadengye DT, et al. Improved HIV and TB Knowledge and Competence Among Mid-level Providers in a Cluster-Randomized Trial of One-on-One Mentorship for Task Shifting. J Acquir Immune Defic Syndr. 2017;75(5):120-7.
25. Weaver MR, Crozier I, Eleku S, Makanga G, Sebuyira LM, Nyakake J, et al. Capacity-Building and Clinical Competence in Infectious Disease in Uganda: A Mixed-Design Study with Pre/Post and Cluster-Randomized Trial Components. PLoS ONE. 2012; 7(12):e51319.
26. Alene KA, Adane AA, Yifiru S, Bitew BD, Adane A, Koye DN. Knowledge and practice of health workers about control and prevention of multidrug-resistant tuberculosis in referral hospitals, Ethiopia: a cross-sectional study. BMJ Open. 2019; 9:e022948.
27. Wambura Mbuthia G, Owour Olungah C, Gesora Ondicho T. Knowledge and perceptions of tuberculosis among patients in a pastoralist community in Kenya: a qualitative study. Pan Afr Med J. 2018; 30(287).
28. Alipanah N, Jarlsberg L, Miller C, Linh NN, Falzon D, Jaramillo E, et al. Adherence interventions and outcomes of tuberculosis treatment: A systematic review and meta-analysis of trials and observational studies. PLoS Med. 2018; e1002595-e1002595.
29. Kigozi NG, Heunis JC, Engelbrecht MC, Rensburg APJV, Rensburg HCJDV. Tuberculosis knowledge, attitudes and practices of patients at primary health care facilities in a South African metropolitan: research towards improved health education. BMC Public Health. 2017; 17(795).
30. Carvajal R, Hoyos PA, Varela MT, Angulo ES, Duarte C. Estigma y discriminación ante la tuberculosis por profesionales de la salud de la costa pacífica colombiana. Hacia Promoc Salud. 2018; 23(1):13-25.
31. Calixo-Aguilar L, Manrique-Zegarra M, Gotuzzo-Herencia E, Samalvides-Cuba F. Conductas frente al viraje de la prueba de tuberculina en estudiantes de Medicina de una universidad de Lima, Perú. Rev Peru Med Exp Salud Publica. 2016; 33(2):283-7.
32. Hassan AO, Olukolade R, Ogbuji QC, Afolabi S, Okwuonye LC, Kusimo OC, et al. Knowledge about Tuberculosis: A Precursor to Effective TB Control-Findings from a Follow-Up National KAP Study on Tuberculosis among Nigerians. Tuberc Res Treat. 2017.
33. Vanaja K, Banu R, Reddy L, Kumar PC, Srinivas C, Rajani T, et al. A study on knowledge and awareness about tuberculosis in senior school children in Bangalore, India. Indian J Tuberc. 2015;36.
34. Carvalho CF, Ponce MAZ, Silva-Sobrino RA, Mendez RDR, Santos MA, Santos EM, et al. Tuberculosis: knowledge among nursing undergraduate students. Rev Bras Enferm. 2018; 72(5):1279-87.
2. World Health Organization. Global strategy and targets for tuberculosis prevention, care and control after 2015 [Internet]. Geneva: WHO; 2015 p. 1-4. 2014 [citado 5 de noviembre de 2022]. Disponible en: https://apps.who.int/gb/ebwha/pdf_files/EB134/B134_12-en.pdf?ua=1
3. Instituto Nacional de Salud. Informe de evento tuberculosis [Internet]. Bogotá, D.C.: Instituto Nacional de Salud [citado 24 de abril de 2022]. Disponible en: https://bit.ly/3MpoW2c
4. Cubides Munevar Á, Daza Arana J, García Puerta M, Zapara Ossa H, Arenas Quintana B, Palacio S. Sintomáticos respiratorios desde un enfoque poblacional. Rev Cub Salud Publica . 2018;44(4):153-68.
5. Vigenschow A, Edoa JR, Adegbite BR, Agbo PA, Adegnika AA, Alabi A, et al. Knowledge, attitudes and practices regarding tuberculosis amongst healthcare workers in Moyen-Ogooué Province, Gabon. BMC Infect Dis. 2021; 21(1):486.
6. Alene KA, Adane AA, Yifiru S, Bitew BD, Adane A, Koye DN. Knowledge and practice of health workers about control and prevention of multidrug-resistant tuberculosis in referral hospitals, Ethiopia: a cross-sectional study. BMJ Open. 2019; 9(2):e022948.
7. Carvajal-Barona R, Varela-Arévalo M, Hoyos P, Angulo-Valencia E, Duarte-Alarcón C. Conocimientos, actitudes y prácticas frente a la tuberculosis en trabajadores del sector salud en municipios prioritarios de la Costa Pacífica colombiana. Revista ciencias de la salud. 2014;12(3):339-52.
8. Cruz Martinez ÓA, Flórez Suancha ÉL, Muñoz Sánchez AI. Conocimientos sobre tuberculosis en trabajadores de la salud en una localidad de Bogotá D. C. Avances en enfermería. 2011; 29(1):143-51.
9. Wilches-luna EC. Conocimientos, actitudes, prácticas y educación sobre tuberculosis en estudiantes de una facultad de salud. Rev Salud Pública. 2016;18(1):129-41.
10. Ortega Barón GL, Rodríguez Quezada PA, Jiménez Beltrán EC, Muñoz Sánchez AI. Conocimientos sobre tuberculosis en estudiantes de enfermería de una universidad colombiana. Salud UIS. 2015;47(3):261-270.
11. Gobernación del Cauca Colombia. Comportamiento de la tuberculosis en el departamento del Cauca. Popayán: Secretaría de Salud Departamental del Cauca; 2020.
12. Getnet F, Demissie M, Assefa N, Mengistie B, Worku A. Delay in diagnosis of pulmonary tuberculosis in low-and middle income settings: systematic review and meta-analysis. BMC Pulm Med. 2017; 17(202).
13. Bogale S, Diro E, Shiferaw AM, Yenit MK. Factors associated with the length of delay with tuberculosis diagnosis and treatment among adult tuberculosis patients attending at public health facilities in Gordar town, Northwest, Ethiopia. BMC Infect Dis. 2017; 17(145).
14. Roberts DJ, Mannes T, Verlander NQ, Anderson C. Factors associated with delay in treatment initiation for pulmonary tuberculosis. ERJ Open Res. 2019; 6(00161-2019).
15. Ulin PR, Robinson ET, Tolley EE. Investigación aplicada en salud pública: métodos cualitativos. Washington, D.C.: OPS; 2006.
16. Sreeramareddy CT, Qin ZZ, Satyanarayana S, Subbaraman R, Pai M. Delays in diagnosis and treatment of pulmonary tuberculosis in India: a systematic review. Int J Tuberc Lung Dis. 2014; 18(3):255-66.
17. Gaviria MB, Henao HM, Martínez T, Bernal E. Papel del personal de salud en el diagnóstico tardío de la tuberculosis pulmonar en adultos de Medellín, Colombia. Rev Panam Salud Publica. 2010; 27(2):83-92.
18. Buregyeya E, Kasasa S, Mitchell EMH. Tuberculosis infection control knowledge and attitudes among health workers in Uganda: a cross-sectional study. BMC Infect Dis. 2016;16(416).
19. Wilches-luna EC. Conocimientos, actitudes, prácticas y educación sobre tuberculosis en estudiantes de una facultad de salud. Rev Salud Pública. 2016; 18(1):129-41.
20. Rajgopal P, Souza MD, Chandra R. Tuberculosis knowledge and attitude in aspiring doctors and nurses - Is it time for our TB teaching methods to evolve?. Indian J Tuberc. 2016; 137:1-6.
21. Romani Romani RF, Roque Henríquez J, Catacora López F, Hilasaca Yngas G. Conocimientos, percepciones y prácticas de personal de salud en la detección de sintomáticos respiratorios en una región de muy alto riesgo de trasmisión de tuberculosis en el Perú. Fac Med. 2016; 77(2):123-7.
22. Alotaibi B, Yassin Y, Mushi A, Maashi F, Thomas A, Mohamed G, et al. Tuberculosis knowledge, attitude and practice among healthcare workers during the 2016 Hajj. PLoS ONE. 2019; 14(1):e0210913.
23. Shrestha A, Bhattarai D, Thapa B, Basel P, Raj Wagle R. Health care workers’ knowledge, attitudes and practices on tuberculosis infection control, Nepal. BMC Infect Dis. 2017; 17(724).
24. Naikoba S, Senjovu KD, Mugabe P, Mccarthy CF, Riley PL, Kadengye DT, et al. Improved HIV and TB Knowledge and Competence Among Mid-level Providers in a Cluster-Randomized Trial of One-on-One Mentorship for Task Shifting. J Acquir Immune Defic Syndr. 2017;75(5):120-7.
25. Weaver MR, Crozier I, Eleku S, Makanga G, Sebuyira LM, Nyakake J, et al. Capacity-Building and Clinical Competence in Infectious Disease in Uganda: A Mixed-Design Study with Pre/Post and Cluster-Randomized Trial Components. PLoS ONE. 2012; 7(12):e51319.
26. Alene KA, Adane AA, Yifiru S, Bitew BD, Adane A, Koye DN. Knowledge and practice of health workers about control and prevention of multidrug-resistant tuberculosis in referral hospitals, Ethiopia: a cross-sectional study. BMJ Open. 2019; 9:e022948.
27. Wambura Mbuthia G, Owour Olungah C, Gesora Ondicho T. Knowledge and perceptions of tuberculosis among patients in a pastoralist community in Kenya: a qualitative study. Pan Afr Med J. 2018; 30(287).
28. Alipanah N, Jarlsberg L, Miller C, Linh NN, Falzon D, Jaramillo E, et al. Adherence interventions and outcomes of tuberculosis treatment: A systematic review and meta-analysis of trials and observational studies. PLoS Med. 2018; e1002595-e1002595.
29. Kigozi NG, Heunis JC, Engelbrecht MC, Rensburg APJV, Rensburg HCJDV. Tuberculosis knowledge, attitudes and practices of patients at primary health care facilities in a South African metropolitan: research towards improved health education. BMC Public Health. 2017; 17(795).
30. Carvajal R, Hoyos PA, Varela MT, Angulo ES, Duarte C. Estigma y discriminación ante la tuberculosis por profesionales de la salud de la costa pacífica colombiana. Hacia Promoc Salud. 2018; 23(1):13-25.
31. Calixo-Aguilar L, Manrique-Zegarra M, Gotuzzo-Herencia E, Samalvides-Cuba F. Conductas frente al viraje de la prueba de tuberculina en estudiantes de Medicina de una universidad de Lima, Perú. Rev Peru Med Exp Salud Publica. 2016; 33(2):283-7.
32. Hassan AO, Olukolade R, Ogbuji QC, Afolabi S, Okwuonye LC, Kusimo OC, et al. Knowledge about Tuberculosis: A Precursor to Effective TB Control-Findings from a Follow-Up National KAP Study on Tuberculosis among Nigerians. Tuberc Res Treat. 2017.
33. Vanaja K, Banu R, Reddy L, Kumar PC, Srinivas C, Rajani T, et al. A study on knowledge and awareness about tuberculosis in senior school children in Bangalore, India. Indian J Tuberc. 2015;36.
34. Carvalho CF, Ponce MAZ, Silva-Sobrino RA, Mendez RDR, Santos MA, Santos EM, et al. Tuberculosis: knowledge among nursing undergraduate students. Rev Bras Enferm. 2018; 72(5):1279-87.
