The distribution of tuberculosis in Porto Alegre: analysis of the magnitude and tuberculosis-HIV coinfection

Objective Analyzing the geographical distribution of the tuberculosis (TB), its incidence and prevalence and TB-HIV coinfection in the districts of Porto Alegre from 2007 to 2011. Method An ecological, descriptive study of time series that used descriptive and geoprocessing techniques. Results In total, were recorded 3,369 incident cases and 3,998 prevalent cases of pulmonary TB. In both contexts, there was predominance of cases in males and in Caucasians. Seventeen districts showed prevalence rates above 79.2 cases/100,000 inhabitants, considering that 15 of them had incidence rates above 73.7 cases/100,000 inhabitants. The TB-HIV coinfection rates reached 67% in some districts, which is above the city average value (30%). Conclusion The distribution analysis showed that the reformulation and restructuring of policies and health services in Porto Alegre are essential

Evaluation of the impact of pharmaceutical care for tuberculosis patients in a Secondary Referral Outpatient Clinic, Minas Gerais, Brazil

A atenção farmacêutica é uma prática profissional que busca a prestação responsável da terapia medicamentosa, identificando, resolvendo e prevenindo Problemas Relacionados a Medicamentos (PRM). O estudo tem como objetivo descrever e avaliar o impacto da assistência farmacêutica prestada aos pacientes em tratamento de tuberculose (TB). Estudo concorrente, longitudinal, prospectivo, realizado durante a assistência farmacêutica no ambulatório de TB do Hospital das Clínicas da Universidade Federal de Minas Gerais no período de agosto de 2009 a julho de 2012. A Farmacoterapia proposta por Cipolle et al. (2004) foi utilizado. As análises estatísticas foram realizadas pelo teste X2 ou exato de Fisher, conforme apropriado. Foram acompanhados 62 pacientes, sendo identificados 128 problemas relacionados a medicamentos (PRM): 69,5% relacionados à segurança, 13,3% à efetividade, 12,5% à indicação e 4,7% à adesão ao tratamento, e 62,1% ao PRM foram resolvidos. Foram realizadas 115 intervenções farmacêuticas. O impacto da assistência farmacêutica foi satisfatório para 73,9% dos pacientes com taxa de resolução de 77%. Houve maior impacto na assistência farmacêutica (índice ≥ 0,50) para aqueles pacientes que não eram fumantes (p<0,05). O impacto da assistência farmacêutica foi importante, por isso o farmacêutico deveria atuar junto à equipe multidisciplinar para acompanhar o tratamento e realizar intervenções.Pharmaceutical care is a professional practice seeking the responsible provision of drug therapy by identifying, resolving, and preventing Drug-Related Problems (DRP). The study aims to describe and evaluate the impact of pharmaceutical care given to patients being treated for tuberculosis (TB). Study concurrent, longitudinal, prospective conducted during pharmaceutical care in the TB outpatient clinic, Clinical Hospital, Federal University of Minas Gerais during the period August 2009 to July 2012. The Pharmacotherapy Workup proposed by Cipolle et al. (2004) was used. Statistical analyses were performed by X2 or Fisher exact test, as appropriate. A total of 62 patients were followed up, and 128 drug-related problems (DRP) were identified: 69.5% related to safety, 13.3% to effectiveness, 12.5% to indication, and 4.7% to treatment adherence, and 62.1% of the DRP were resolved. A total of 115 pharmaceutical interventions were performed. The impact of pharmaceutical care was satisfactory for 73.9% of patients with a resolution rate of 77%. There was a greater impact on pharmaceutical care (index ≥ 0.50) for those patients who were not smokers (p <0.05). The impact of pharmaceutical care was important, so the pharmacist should work alongside the multidisciplinary team to monitor treatment and perform interventions.FAPEMIG - Fundação de Amparo à Pesquisa do Estado de Minas Gerai