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Study of social determinants of health in multidrug-resistant patients hospitalized for treatment

Grant number: 19/04426-9
Support Opportunities:Scholarships in Brazil - Scientific Initiation
Effective date (Start): July 01, 2019
Effective date (End): December 31, 2019
Field of knowledge:Health Sciences - Nursing - Public Health Nursing
Principal Investigator:Jaqueline Garcia de Almeida Ballestero
Grantee:Isabela Zaccaro Rigolin
Host Institution: Universidade de Araraquara (UNIARA). Associação São Bento de Ensino. Araraquara , SP, Brazil


Tuberculosis remains an important public health problem worldwide, closely related to social determinants of health. Such scenario is even more complex with respect to cases of antimicrobial resistance, with multidrug-resistant tuberculosis representing the most severe form. However, even in cases of multiresistance, the recommended treatment should preferably be outpatient, with hospitalization being reserved for more difficult cases. Thus, the present study aims to describe the social determinants of health related to multidrug-resistant tuberculosis in patients under long-term hospitalization at Hospital Nestor Goulart Reis in the city of Américo Brasiliense, São Paulo. Through an epidemiological, observational, descriptive, survey study with a quantitative approach, the records of all patients, of all age groups admitted to the hospital for treatment of multidrug-resistant tuberculosis, regardless of the year of hospitalization. Patients who changed the diagnosis, and those with incomplete data will be excluded. A systematic medical records consultation will be carried out, characterizing the clinical histories profile and the social determinants of the patients. Sites as DATA-SUS, Brazilian Institute of Geography and Statistics, Special Tuberculosis Treatment Information System, National Registry of Health of Brazil will be used. For the analysis of the obtained data, a double digitation of database; a descriptive analyses; construction of tables and graphs that illustrate the findings of the study and calculation of indices of association between the variables will be performed obtaining, hence, an understanding of how the social determinants are related to the process of illness due to tuberculosis, particularly multidrug resistant, and the difficulties of adherence to drug therapy, finally culminating in the hospitalization to complete the entire drug treatment.

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