| Tuberculin skin test: operational research in the state of Mato Grosso do Sul, Brazil. | |
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MedLine Citation:
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PMID: 22042397 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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OBJECTIVE: To investigate operational aspects of tuberculin skin test (TST) use in tuberculosis control programs and at specialized Brazilian National Sexually Transmitted Diseases/AIDS and Viral Hepatitis Program health care clinics in priority municipalities for tuberculosis control in the state of Mato Grosso do Sul, Brazil. METHODS: This was a descriptive, cross-sectional, epidemiological survey. Data on qualifications/training of professionals administering TSTs, timing of the TST, procedures in cases of loss to follow-up (reading), material availability, and material storage were collected through interviews and technical visits. For the 2008-2009 period, we determined the numbers of screenings in vulnerable populations, of TSTs performed, and of patients treated for latent tuberculosis. RESULTS: We interviewed 12 program managers in six municipalities. Some programs/clinics did not perform TSTs. Nursing teams administered the TSTs, results were read by non-specialists, and specialization/refresher courses were scarce. The PPD RT23 was stored in 5-mL flasks under appropriate conditions. Insulin syringes were commonly used. Testing was available during business hours, three times a week. In cases of loss to follow-up, telephone calls or home visits were made. Of the 2,305 TSTs evaluated, 1,053 (46%) were performed in indigenous populations; 831 (36%) were screenings in prisons, performed for training; and only 421 (18%) involved contacts of tuberculosis patients or vulnerable populations. Four vulnerable patients and 126 indigenous subjects were treated for latent tuberculosis. CONCLUSIONS: These priority municipalities showed operational difficulties regarding human resources, materials, and data records. |
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Authors:
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Sandra Maria do Valle Leone de Oliveira; Antônio Ruffino-Netto; Anamaria Mello Miranda Paniago; Olcinei Alves de Oliveira; Marli Marques; Rivaldo Venâncio da Cunha; Renato Andreotti |
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Publication Detail:
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Type: JOURNAL ARTICLE |
Journal Detail:
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Title: Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia Volume: 37 ISSN: 1806-3756 ISO Abbreviation: - Publication Date: 2011 Oct |
Date Detail:
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Created Date: 2011-11-1 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101222274 Medline TA: J Bras Pneumol Country: - |
Other Details:
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Languages: ENG; POR Pagination: 646-654 Citation Subset: - |
Affiliation:
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Programa de Pós-Graduação em Doenças Infecciosas e Parasitárias, Universidade Federal de Mato Grosso do Sul, Campo Grande, MS, Brasil. |
Vernacular Title:
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Teste tuberculínico: pesquisa operacional no Mato Grosso do Sul. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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