Evaluation of a system for recording data of tuberculosis: proposed integration of services and actions

Author(s)

Nathalia Halax Orfão

• Document type: Doctoral Thesis
• Press: Ribeirão Preto.
• Institution: Universidade de São Paulo (USP). Escola de Enfermagem de Ribeirão Preto (PCARP/BC)
• Defense date: 2016-01-08

Examining board members

Tereza Cristina Scatena Villa; Maria Eugenia Firmino Brunello; Antonio Ruffino Netto; Reinaldo Antonio da Silva Sobrinho

• Advisor: Tereza Cristina Scatena Villa

Abstract

This study analized the instruments and tuberculosis (TB) treatment record systems in relation to the coordination of assistance to TB patients before and after the implementation of the Information System for Registration Assistance to TB (SISTB) in a Tuberculosis Control Program in Ribeirao Preto - SP. Descriptive and analytical epidemiological study, intervention type. It was utilized the instruments of record for monitoring of TB (Medical Records, Directly Observed Treatment (DOT) Registration, Record and Treatment Monitoring of TB Cases Book, TBWEB and SISTB) through a structured form, according to National Recommendations for the TB Control, as well as the lifting of non-compulsory variables\' TBWEB. Data collection occurred from March to June 2014, considering the period prior to implementation of SISTB and in April 2015, the period after the implementation of the same. The collected data were analyzed through frequency distribution and chi-square test or Fisher\'s exact with 5% significance level, after approval by the Ethics Committee (CAAE 15671713.9.1001.5393). It was observed that there was an association between the instruments of records and the period of SISTB deployment with filing in the medical record, and later with the phone contact and TB patient address (DOT Registration and SISTB); as well as higher record date of completion of treatment, the close situation, the result of the examination of sputum smears for monthly control and HIV testing (Record and Treatment Monitoring of TB Cases Book); and largest registry of monthly visits to the doctor, assistance with social worker, test requests made by the doctor, living conditions of the TB patient, communicating control, social incentives and use of alcohol and drugs (Medical Record). In addition, there was an improvement on the record date of the first symptoms, examining x-ray and communicating; and worsening record on the smear monthly control of the first month of treatment (TBWEB). An improvement in the registration of some variables after the implementation of SISTB, although the epidemiological surveillance activities, such as communicating control, are still marginal and the focus of attention is facing TB patients and centered on individual care (AU)