Action Plan for the control of tuberculosis

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Action Plan for the control of tuberculosis

• Lia Likier Steinberg
• Valéria Aparecida Lopes
• Minervina Boaventura
• Mario Maia Bracco

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UBS Alto do Umuarama 20 / 100.000 (2003 2005)
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Action Plan
Objective increase the diagnosis rate for
tuberculosis on a primary health care unit.

• Plan
• Do
• Check
• Act

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What is our main problem? Low index of suspicion

• HUMAN FACTORS
• Patients take too long to look for help.
• Health professionals take too long to suspect of
  Tb.

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Information about tuberculosis
NO
Monthly home visits by the health agent
Cough for three weeks?
Result Positive for Mycobacterium?
Sputum smear two specimens notification on
paper sheet
YES
YES
NO
Information about Tb
NO

• Home visit within 24 hours
• Notification
• Supervised treatment
• HIV test
• Contacts Sputum smear and/or PPD thorax X-ray

Coughing, shortness of breath, weight
loss,fatigue?
Home visit to deliver the result
Medical appointment Sputum culture X-Ray, CT,
broncoscopy
YES
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• Training 900 hours/ 65 professionals Think TB
• - Suspect of Tb.
• - Raise awareness about nosocomial transmission.
• 2. Include active search in daily routine.

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MAIN DIFFICULTIES

• Work overload.
• Keeping / improving routines.

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CONCLUSIONS

• KEYS TO SUCCESS
• 1. Active search of baciliferous patients in the
  community.
• 2. Involvement of health care professionals and
  community

liasteinberg_at_hotmail.com