Tuberculosis treatment and primary care: impact of the COVID-19 pandemic.

Objective: To analyze the impact of the COVID-19 pandemic on tuberculosis treatment actions in Primary Health Care in the city of São Paulo. Methods: A quantitative, cross-sectional study was conducted in 80 health units distributed proportionally across regional health coordination offices of São P...

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Publicado en:Acta Paulista de Enfermagem Vol. 38; no. 1; pp. 1 - 11
Autores principales: Souza, Katia Lacerda de, Takahashi, Erika Mayumi, Ribeiro, Stephanie, Yamamoto, Thais Tiemi, Fernandes, Hugo, Gonzales, Roxana Isabel Cardozo, Hino, Paula
Formato: research tables/charts Journal Article
Publicado: Universidade Federal de Sao Paulo, Escola Paulista de Enfermagem 2025
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Tuberculosis treatment and primary care: impact of the COVID-19 pandemic.
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        au:
          Souza, Katia Lacerda de
          Takahashi, Erika Mayumi
          Ribeiro, Stephanie
          Yamamoto, Thais Tiemi
          Fernandes, Hugo
          Gonzales, Roxana Isabel Cardozo
          Hino, Paula
        affil: Escola Paulista de Enfermagem, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
      sug:
        subj:
          Tuberculosis Therapy
          Primary Health Care
          COVID-19 Pandemic Psychosocial Factors
          Human
          Brazil
          Female
          Male
          Adult
          Middle Age
          Quantitative Studies
          Cross Sectional Studies
          Coronavirus Infections
          Coronavirus
          SARS-CoV-2
          Descriptive Statistics
          Data Analysis Software
          Post Hoc Analysis
          Comparative Studies
          Sputum
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Objective: To analyze the impact of the COVID-19 pandemic on tuberculosis treatment actions in Primary Health Care in the city of São Paulo. Methods: A quantitative, cross-sectional study was conducted in 80 health units distributed proportionally across regional health coordination offices of São Paulo. Participants were 80 health professionals working in tuberculosis control. Data collection was performed over a four-month period between 2022 and 2023. The Bonferroni post hoc test was used to compare the mean changes in treatment actions. The minimum measure of statistical significance adopted was p < 0.05. The Jamovi statistical program, version 2.3.28, was used in data analysis. Results: Changes in the request for sputum culture and collection of medication were reported in 2020 (21.2% and 47.4%), 2021 (21.2% and 39.5%) and 2022 (11.2% and 15.8%). Most units performed directly observed treatment of people with tuberculosis during the COVID-19 pandemic (91.3%), presenting a high level of change in 2020 (38.4%), a moderate level of change in 2021 (28.7%) and a low level of change in 2022 (8.2%). When evaluating the association of year, type of unit, regional health coordination office, change in the work process and increase in the workload, the association was only found for year and type of unit. Conclusion: This study showed that tuberculosis treatment actions in Primary Health Care in the city of São Paulo were impacted by the COVID-19 pandemic, although to a lesser extent than expected.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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