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Revista de Saúde Pública

Print version ISSN 0034-8910

Abstract

MACIEL, Ethel Leonor Noia et al. Household members and health care workers as supervisors of tuberculosis treatment. Rev. Saúde Pública [online]. 2010, vol.44, n.2, pp.339-343. ISSN 0034-8910.  http://dx.doi.org/10.1590/S0034-89102010000200015.

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.

Keywords : Tuberculosis [nursing]; Homebound Persons; Family Nursing; Caregivers; Home Nursing; Medication Therapy Management; Treatment Outcome; Cohort Studies.

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