risco de infecção tuberculosa em agentes comunitários de saúde riesgo de infección tuberculosa en agentes comunitarios de salud risk of tuberculosis infection among community health agents
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2010
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Abstract
OBJETIVO: Estimar o risco de infecção tuberculosa em agentes comunitários de saúde envolvidos no controle da doença. MÉTODOS: Foi seguida uma coorte prospectiva, de abril de 2007 a maio de 2008, no município de Cachoeiro de Itapemirim, ES. A coorte foi composta por 61 agentes comunitários, divididos em não-expostos (n=37) e expostos (que acompanharam pacientes com tuberculose, n=24). Durante os 12 meses de seguimento, foi realizado teste tuberculínico, utilizando a tuberculina PPD RT23. Foi calculado o risco relativo e intervalo com 95% de confiança e foi avaliada a correlação entre a viragem tuberculínica e a história ocupacional dos agentes por meio do coeficiente de correlação de Pearson. RESULTADOS: A incidência da viragem foi de 41,7% no grupo dos expostos e 13,5% no grupo dos não expostos. O risco anual de infecção foi de 52,8% no grupo dos expostos e de 14,4% no grupo dos não expostos (p= 0,013). Observou-se associação entre viragem tuberculínica e exposição a paciente com tuberculose (RR= 3,08; IC 95%: 1,201;7,914). CONCLUSÕES: Os agentes que acompanharam pacientes com tuberculose em suas rotinas de serviço apresentaram risco de infecção maior que aqueles que não acompanharam pacientes com essa doença. A implementação de medidas administrativas de biossegurança de rotina, entre as quais a prova tuberculínica, devem ser priorizadas, considerando o alto risco de infecção tuberculosa entre os agentes comunitários de saúde.
OBJETIVO: Estimar el riesgo de infección tuberculosa en agentes comunitarios de salud envueltos en el control de la enfermedad. MÉTODOS: Fue seguida una cohorte prospectiva, de abril de 2007 a mayo de 2008, en el municipio de Cachoeiro de Itapemirim, Sureste de Brasil. La cohorte fue compuesta por 61 agentes comunitarios, divididos en no expuestos (n=37) y expuestos (que acompañaron pacientes con tuberculosis, n=24). Durante los 12 meses de seguimiento, fue realizada prueba tuberculínica, utilizando la tuberculina PPD RT23. Fue calculado el riesgo relativo e intervalo con 95% de confianza y fue evaluada la correlación entre el viraje tuberculínico y la historia ocupacional de los agentes por medio del coeficiente de correlación de Pearson. RESULTADOS: La incidencia del viraje fue de 41,7% en el grupo de los expuestos y 13,5% en el grupo de los no expuestos. El riesgo anual de infección fue de 52,8% en el grupo de los expuestos y de 14,4% en el grupo de los no expuestos (p=0,013). Se observó asociación entre viraje tuberculínico y exposición a paciente con tuberculosis (RR = 3,08; IC 95%: 1,201;7,914). CONCLUSIONES: Los agentes que acompañaron pacientes con tuberculosis en sus rutinas de servicio presentaron riesgo de infección mayor que aquellos que no acompañaron pacientes con esa enfermedad. La implementación de medidas administrativas de bioseguridad de rutina, entre ellas la prueba tuberculínica, deben ser priorizadas, considerando el alto riesgo de infección tuberculosa entre los agentes comunitarios de salud.
OBJECTIVE: To estimate the risk of tuberculosis infection among community health agents involved in disease control. METHODS: A prospective cohort was followed up from April 2007 to May 2008 in the municipality of Cachoeiro de Itapemirim, Southeastern Brazil. The cohort was composed of 61 community agents, divided between unexposed individuals (n = 37) and exposed individuals (who were following up tuberculosis patients; n = 24). Over the 12-month follow-up, the tuberculin test was performed, using the tuberculin PPD RT23. The relative risk and 95% confidence interval were calculated, and the correlation between tuberculin response and the agents' occupational history was evaluated by means of Pearson's correlation. RESULTS: The incidence of the response was 41.7% in the exposed group and 13.5% in the unexposed group. The annual risk of infection was 52.8% in the exposed group and 14.4% in the unexposed group (p = 0.013). An association between tuberculin response and exposure to patients with tuberculosis was observed (RR = 3.08; 95% CI: 1.201;7.914). CONCLUSIONS: The agents who followed up tuberculosis patients during their routine work presented a greater risk of infection than did those who were not following up such patients. Implementation of routine administrative biosafety measures, among which the tuberculin test, should be prioritized, given the high risk of acquiring tuberculous infection among community health agents.
OBJETIVO: Estimar el riesgo de infección tuberculosa en agentes comunitarios de salud envueltos en el control de la enfermedad. MÉTODOS: Fue seguida una cohorte prospectiva, de abril de 2007 a mayo de 2008, en el municipio de Cachoeiro de Itapemirim, Sureste de Brasil. La cohorte fue compuesta por 61 agentes comunitarios, divididos en no expuestos (n=37) y expuestos (que acompañaron pacientes con tuberculosis, n=24). Durante los 12 meses de seguimiento, fue realizada prueba tuberculínica, utilizando la tuberculina PPD RT23. Fue calculado el riesgo relativo e intervalo con 95% de confianza y fue evaluada la correlación entre el viraje tuberculínico y la historia ocupacional de los agentes por medio del coeficiente de correlación de Pearson. RESULTADOS: La incidencia del viraje fue de 41,7% en el grupo de los expuestos y 13,5% en el grupo de los no expuestos. El riesgo anual de infección fue de 52,8% en el grupo de los expuestos y de 14,4% en el grupo de los no expuestos (p=0,013). Se observó asociación entre viraje tuberculínico y exposición a paciente con tuberculosis (RR = 3,08; IC 95%: 1,201;7,914). CONCLUSIONES: Los agentes que acompañaron pacientes con tuberculosis en sus rutinas de servicio presentaron riesgo de infección mayor que aquellos que no acompañaron pacientes con esa enfermedad. La implementación de medidas administrativas de bioseguridad de rutina, entre ellas la prueba tuberculínica, deben ser priorizadas, considerando el alto riesgo de infección tuberculosa entre los agentes comunitarios de salud.
OBJECTIVE: To estimate the risk of tuberculosis infection among community health agents involved in disease control. METHODS: A prospective cohort was followed up from April 2007 to May 2008 in the municipality of Cachoeiro de Itapemirim, Southeastern Brazil. The cohort was composed of 61 community agents, divided between unexposed individuals (n = 37) and exposed individuals (who were following up tuberculosis patients; n = 24). Over the 12-month follow-up, the tuberculin test was performed, using the tuberculin PPD RT23. The relative risk and 95% confidence interval were calculated, and the correlation between tuberculin response and the agents' occupational history was evaluated by means of Pearson's correlation. RESULTS: The incidence of the response was 41.7% in the exposed group and 13.5% in the unexposed group. The annual risk of infection was 52.8% in the exposed group and 14.4% in the unexposed group (p = 0.013). An association between tuberculin response and exposure to patients with tuberculosis was observed (RR = 3.08; 95% CI: 1.201;7.914). CONCLUSIONS: The agents who followed up tuberculosis patients during their routine work presented a greater risk of infection than did those who were not following up such patients. Implementation of routine administrative biosafety measures, among which the tuberculin test, should be prioritized, given the high risk of acquiring tuberculous infection among community health agents.
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moreira2010revistarisco
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| Authors | ;Tiago Ricardo Moreira;Eliana Zandonade;Ethel Leonor Noia Maciel |
| Journal | proceedings - 2016 3rd international conference on information technology, computer, and electrical engineering, icitacee 2016 |
| Year | 2010 |
| DOI |
10.1590/S0034-89102010000200014
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