Completitude do sistema de informação sobre tuberculose no Município de Parnamirim/RN
Introduction: The Primary Health Care services are the gateway to a possible suspected case of tuberculosis and after confirmation, the case notification must be carried out and inserted in the Information System for Notifiable Diseases for tuberculosis. Objective: This study aimed to evaluate th...
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| Formato: | Dissertação |
| Idioma: | pt_BR |
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Universidade Federal do Rio Grande do Norte
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| Endereço do item: | https://repositorio.ufrn.br/handle/123456789/32102 |
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| Resumo: | Introduction: The Primary Health Care services are the gateway to a possible
suspected case of tuberculosis and after confirmation, the case notification must be
carried out and inserted in the Information System for Notifiable Diseases for
tuberculosis. Objective: This study aimed to evaluate the completeness and
incompleteness of the tuberculosis data in the Notifiable Diseases Information System
in the municipality of Parnamirim / RN in the period from 2009 to 2019. Method: This
is a descriptive, retrospective study of historical series based on secondary data. The
population was composed by the database of the Information System of Notifiable
Diseases, with information from the notification forms for tuberculosis in the
municipality of Parnamirim / RN, totaling 891 cases. Data collection took place in the
second half of 2020. The selected variables are represented by the sociodemographic,
clinical, laboratory variables and the outcome of the case. The database was analyzed
in Excel format, version 2017, for the realization of descriptive tables and graphs. For
the application of statistical tests, the free statistical software R, version 3.6.1, was
used. In the qualitative variables, a descriptive analysis was carried out by means of
distributions of absolute and relative frequencies (%). In the comparison of
completeness with the time under study, the Spearman’s non-parametric statistical test
was applied with a significance level of 5%. After the conclusion of the descriptive
analysis, the evaluation of variables was started according to the completeness
criterion. The completeness analysis was based on the classification of the Notifiable
Diseases Information System for qualitative assessment, establishing the following
division: category 1 (bad), when there is 0 to 25% of completeness; category 2
(regular), between 25.1% and 50%; category 3 (good), between 50.1% and 75%, and
category 4 (excellent), for completeness between 75.1% and 100%. The study
followed the ethical precepts in research with human beings described in Resolution
466/2012 of the National Health Council. Approved by the Research Ethics Committee
of the Federal University of Rio Grande do Norte, through the report 4,009,967 and
Certificate of Presentation for Ethical Consideration 30793920.1.0000.5537. Results:
891 cases were analyzed in the period from 2009 to 2019. It was found that the
predominance of reported cases was male (70.93%); between 20 to 29 years
(31.09%); as for the level of education, (25.34%) had between the 1st to the 4th grade
incomplete elementary school. The situation of the user entering the Health Unit, a new
case predominated with (78.56%); clinical form was pulmonary (86.76%); (60.20%)
underwent chest radiography with a suspicious result (91.15%); (75.59%) performed
sputum smear microscopy in a sample for diagnosis, of these (71.90%) had a positive
result; only (37.50%) performed the rapid test, with (87.04%) detectable sensitive to
rifampicin and (1.23%) detectable resistant to rifampicin; (17.96%) underwent sputum
culture, of these (35%) had a negative result. For the situation of closure of the notified
case (77.63%) they obtained a cure for tuberculosis. While 8.20% abandoned the
treatment. Regarding completeness, he was classified as regular: illicit drug, smoking
and rapid test, as good schooling and other conditions and as excellent sex, age, type
of entry, clinical form, chest X-ray, AIDS, alcoholism, diabetes, disease mental, sputum
smear microscopy, sputum culture and outcome of the case. Evidence of a statistically significant correlation was obtained between the time under analysis and the
completeness of education level, chest X-ray and the outcome of the case (drop in
completeness); illicit drug, smoking and rapid test (increase in completeness).
Conclusion: Considering the completeness of the fields of the notification /
investigation form for tuberculosis, it was found that out of the 17 variables analyzed,
18% were classified as regular, 12% as good and 70% as excellent between the years
2009 to 2019 In the mandatory field variables, a behavior was verified, with the fields
being completely filled out. As for the quality of the essential fields, there was a
variability in completeness. Thus, it is necessary to establish strategies for the
importance of the quality of the registration of notifications. |
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