LIMA, E. S.; http://lattes.cnpq.br/4933312759392075; LIMA, Eduardo Silva de.
Resumo:
Tuberculosis (TB) is considered some of the infectious diseases with great social magnitude and remains a serious public health problem in Brazil and worldwide. Despite advances in combating against disease, including the TB therapy, morbidity and mortality levels remain high. It evince as relevant strategies for disease control, the actions' decentralization Primary Health Care (PHC) and the implementation of the DOTS strategy and Directly Observed Treatment (DOT). In this context, treatment is a major factor in controlling the disease's spread and the PHC health professionals involved in these process must have appropriate professional conduct by early diagnosis and treatment as recommended, besides knowledge about the disease. The aim of this research was to evaluate the doctors and nurses practices in treatment tuberculosis, as part of the Family Health Strategy of towns belonging to Agreste Paraibano region . It is a descriptive study, transverse and quantitative approach. The sample was formed by doctors and nurses of twenty-seven Family Health Units (FHU) in the towns Belém, Bananeiras and Solânea , according to the following inclusion criteria: doctors and nurses who have worked for more than six months in FHUs and accept to collaborate in survey, totaling 44 professionals. Data were collected through questionnaires and, therefore, stored and analyzed in Software Epi Info verso in 3.5.2. The raised indicators were analyzed statistically through relative frequencies, absolute and it was accumulated and these datas were showed in tables and graphs. The research meets requirements of CNS Resolution 466/2012 and the subjects participation of this research was supported by Informed Consent Form. As a result, the emphasized was following: 47.7% professionals never participated in training on TB; 76.2% of them said they "always" or "almost always" community cases TB are treated in FHU service; 84.1% respondents pointed out who DOT is suitable for all cases of TB, but only 41.2% perform it "always" or "almost always", as recommended by HM; in relation to professionals who implement DOT in FHU, they stood out figure of nurse and ACS; main difficulties identified in the realization of DOT were TB carrier resistance in relation to take medication, reported by 65.9% study participants, and users who are at risk (chronic alcoholic and drug users ), mentioned by 63.6% of them; 70.5% of professionals said they "always" medicines are available at FHU; 90% reported "always" or "almost always" perform the monthly clinical follow up; and 47.7% agreed that "never" or "almost never" are offered financial incentives to users in treatment. It is noted which DOT operation still faces weaknesses due to lack knowledge’s professionals and lack of preparation thereof in handling of cases, given the problems associated with the carriers. Thus, should invest in Continuing Education in Health and implementing actions based on completeness and intersectoral approach in treatment cases.