圣保罗州的结核病直接督导治疗
Directly observed treatment for tuberculosis in the State of São Paulo.
作者信息
Meirelles Rogério José de Azevedo, Palha Pedro Fredemir
机构信息
Universidade de São Paulo. Ribeirão Preto, São Paulo, Brazil.
出版信息
Rev Bras Enferm. 2019 Sep 16;72(5):1167-1172. doi: 10.1590/0034-7167-2017-0279.
OBJECTIVES
To describe and analyze the coverage profile of directly observed treatment for tuberculosis in 59 priority municipalities in the state of São Paulo, Brazil, through the creation and comparison of groups homogenized by the number of people in each municipality from 2006 to 2012.
METHOD
Quantitative, epidemiological and descriptive study based on the data available in the EPI-TB and the Statistica 7.0 software databases.
RESULTS
The mean and standard deviation of directly observed treatment for the 59 priority municipalities of the state of São Paulo were 77.0 ± 24.3%. The coverage of directly observed treatment increased in 34 municipalities (57.6%) but decreased in 25 (42.4%).
CONCLUSION
Some municipalities could not keep the coverage reached at some point. This coverage heterogeneity should be examined in detail by searching for possible reasons in political-management, technical-operational and funding dimensions.
目的
通过对2006年至2012年巴西圣保罗州59个优先城市按人口数量进行分组并比较，描述和分析结核病直接督导治疗的覆盖情况。
方法
基于结核病流行病学信息系统（EPI-TB）和Statistica 7.0软件数据库中的现有数据进行定量、流行病学和描述性研究。
结果
圣保罗州59个优先城市的结核病直接督导治疗平均覆盖率为77.0 ± 24.3%。34个城市（57.6%）的直接督导治疗覆盖率上升，25个城市（42.4%）的覆盖率下降。
结论
一些城市无法维持在某一时刻达到的覆盖率。应从政治管理、技术操作和资金等方面寻找可能原因，详细研究这种覆盖率的异质性。
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