Household members and health care workers as supervisors of tuberculosis treatment
OBJECTIVE: To compare tuberculosis cure rates among patients supervised by household members or health care workers. METHODS: Prospective cohort study of 171 patients treated by the program in Vitoria, Southeastern Brazil, from 2004 to 2007. Each patient was followed-up for six months until the end of the treatment. Of the patients studied, a household member supervised 59 patients and healthcare workers supervised 112 patients. Patients' sociodemographic and clinic data were analyzed. Differences between groups were assessed using chi-square test or Student's t-test. Significance level was set at 5%. RESULTS: Most patients had smear positive, culture confirmed pulmonary tuberculosis. Two patients were HIV-positive. There were more illiterate patients in the healthcare-supervised group, in comparison to those supervised by their families (p=0.01). All patients supervised by a household member were cured compared to 90% of the patients supervised by health care workers (p = 0.024). CONCLUSIONS: Successful tuberculosis treatment was more frequent when supervised by household members.
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Faculdade de Saúde Pública da Universidade de São Paulo
2010
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oai:scielo:S0034-891020100002000152010-04-22Household members and health care workers as supervisors of tuberculosis treatmentMaciel,Ethel Leonor NoiaGuidoni,Leticia MolinoBrioshi,Ana PaulaPrado,Thiago Nascimento doFregona,GeisaHadad,David JamilMolino,Lucilia PereiraPalaci,MoisesJohnson,John LDietze,Reynaldo Tuberculosis/nursing Homebound Persons Family Nursing Caregivers Home Nursing Medication Therapy Management Treatment Outcome Cohort Studies OBJECTIVE: To compare tuberculosis cure rates among patients supervised by household members or health care workers. METHODS: Prospective cohort study of 171 patients treated by the program in Vitoria, Southeastern Brazil, from 2004 to 2007. Each patient was followed-up for six months until the end of the treatment. Of the patients studied, a household member supervised 59 patients and healthcare workers supervised 112 patients. Patients' sociodemographic and clinic data were analyzed. Differences between groups were assessed using chi-square test or Student's t-test. Significance level was set at 5%. RESULTS: Most patients had smear positive, culture confirmed pulmonary tuberculosis. Two patients were HIV-positive. There were more illiterate patients in the healthcare-supervised group, in comparison to those supervised by their families (p=0.01). All patients supervised by a household member were cured compared to 90% of the patients supervised by health care workers (p = 0.024). CONCLUSIONS: Successful tuberculosis treatment was more frequent when supervised by household members.info:eu-repo/semantics/openAccessFaculdade de Saúde Pública da Universidade de São PauloRevista de Saúde Pública v.44 n.2 20102010-04-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102010000200015en10.1590/S0034-89102010000200015 |
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Maciel,Ethel Leonor Noia Guidoni,Leticia Molino Brioshi,Ana Paula Prado,Thiago Nascimento do Fregona,Geisa Hadad,David Jamil Molino,Lucilia Pereira Palaci,Moises Johnson,John L Dietze,Reynaldo |
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Maciel,Ethel Leonor Noia Guidoni,Leticia Molino Brioshi,Ana Paula Prado,Thiago Nascimento do Fregona,Geisa Hadad,David Jamil Molino,Lucilia Pereira Palaci,Moises Johnson,John L Dietze,Reynaldo Household members and health care workers as supervisors of tuberculosis treatment |
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Maciel,Ethel Leonor Noia Guidoni,Leticia Molino Brioshi,Ana Paula Prado,Thiago Nascimento do Fregona,Geisa Hadad,David Jamil Molino,Lucilia Pereira Palaci,Moises Johnson,John L Dietze,Reynaldo |
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Maciel,Ethel Leonor Noia |
title |
Household members and health care workers as supervisors of tuberculosis treatment |
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Household members and health care workers as supervisors of tuberculosis treatment |
title_full |
Household members and health care workers as supervisors of tuberculosis treatment |
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Household members and health care workers as supervisors of tuberculosis treatment |
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Household members and health care workers as supervisors of tuberculosis treatment |
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household members and health care workers as supervisors of tuberculosis treatment |
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OBJECTIVE: To compare tuberculosis cure rates among patients supervised by household members or health care workers. METHODS: Prospective cohort study of 171 patients treated by the program in Vitoria, Southeastern Brazil, from 2004 to 2007. Each patient was followed-up for six months until the end of the treatment. Of the patients studied, a household member supervised 59 patients and healthcare workers supervised 112 patients. Patients' sociodemographic and clinic data were analyzed. Differences between groups were assessed using chi-square test or Student's t-test. Significance level was set at 5%. RESULTS: Most patients had smear positive, culture confirmed pulmonary tuberculosis. Two patients were HIV-positive. There were more illiterate patients in the healthcare-supervised group, in comparison to those supervised by their families (p=0.01). All patients supervised by a household member were cured compared to 90% of the patients supervised by health care workers (p = 0.024). CONCLUSIONS: Successful tuberculosis treatment was more frequent when supervised by household members. |
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Faculdade de Saúde Pública da Universidade de São Paulo |
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2010 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102010000200015 |
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