Peralta PM, Arroyo RL, Machado MD, Marfil ISM, de Armas RY, Valladares BA, Ferrer RG, Armas PL

Language: Spanish
References: 11
Page: 50-58
PDF size: 111.50 Kb.

ABSTRACT

Introduction: In tuberculosis elimination an important role is played by early identification of all patients, including those with negative clinical-radiological and microscopy results.
Objectives: Determine the frequency with which physicians from various health services submit the medical records of patients with suspected tuberculosis to the Commission for the Diagnosis of Bacteriologically Negative Tuberculosis (CODIBAARNE) of Havana Benéfico Jurídico Pneumological Hospital, the institutional affiliation of those physicians and their opinions about this technical-scientific service.
Methods: A descriptive exploratory study was conducted to determine the place of origin of presenting doctors. A unique survey form was used.
Results: 181 doctors were surveyed in the period 2004-2005 and 40 in 2011. Of the former 181 doctors, 118 (65.2%) were from 44 primary health care polyclinics and 63 (34.8%) from 17 secondary health care hospitals. 142 (78.5%) evaluated the technical and scientific service as good and useful, and 34 (19%) said it was instructive. Of the second group 33 (82.5%) were comprehensive general physicians. Their opinions were very similar to those of the first group.
Conclusion: CODIBAARNE provides extensive coverage of technical and scientific services to primary and secondary health care physicians, generating very favorable opinions among most of its users, who view it as a complementary tool for the diagnosis of bacteriologically negative tuberculosis.

REFERENCES

1. World Health Organization. Global strategy and targets for tuberculosis prevention, care and control after 2015. 67 th World Health Assembly. 19 May 2014 [citado 16 Jun 2014]:[aprox. 23 p.]. Disponible en: www:who.int/tb/pst2015_strategy/en/

2. Ministerio de Salud Pública. Dirección Nacional de Epidemiologia. Programa Nacional de Control de la Tuberculosis. Manual de Normas y Procedimientos. La Habana: MINSAP; 2009.

3. González Ochoa E, Armas L, Baly A, Gálvez A, Álvarez M, Ferrer G, et al. Impacto económico y social del programa de control de la tuberculosis en la población cubana. Caderno de Saude Pública 2000;16:687-99.

4. González Ochoa E, Armas L. Eliminación de la tuberculosis como problema de salud pública. Rev Esp Salud Pública 2007;81:59-62.

5. González Ochoa E, Armas L, Llanes MJ. Progress towards tuberculosis elimination in Cuba. Int J Tuberc Lung Dis. 2007;11:405-11.

6. Peralta M, Padilla CM, Fuentes M, Lazo MA. Costo del Programa Nacional de Control de Tuberculosis. Rev Cubana Med Trop. 2006;58(1):63-7.

7. Peralta M, Gálvez AM, González Ochoa E. Estimación de los costos de la detección de casos de tuberculosis. Municipio Habana Vieja. 2002. Rev Española de Salud Pública 2007;8:201-9.

8. Sevy- Court J, Machado D, Armas L, Peralta M, Carreras L, Sánchez R, et al. Una alternativa para mejorar el diagnóstico de la tuberculosis pulmonar con baciloscopia negativa y otros problemas broncopulmonares en Cuba. Arch Bronconeumología 2008;44:600-6.

9. Madhumita P,Karsten L, James B. Rapid Detection of Smear-Negative Mycobacterium tuberculosis by PCR and Sequencing for Rifampin Resistance with DNA Extracted Directly from Slides J Clin Microbiol. 2001;39(1):51-2.

10. Matthys F, Peralta M, Valdes S, Garcia S, Crespo T, Armas L, et al. Diagnostic validity of an expert tuberculosis (TB) commission that assists the diagnosis of bacteriologically negative suspected TB cases in Havana, Cuba.Trans R Soc Trop Med Hyg. 2009;103:52-8.

11. Reyes Jiménez A, Torres Arencibia DM, Machado Molina M, Gonzáles Ochoa E. Una aproximación al costo funcional de una comisión de diagnóstico de la tuberculosis baciloscópicamente negativa. Rev Electrónica Zoilo Marinello Vidaurreta 2011 [citado 16 Jun 2014];36(2):[aprox. 6 p.]. Disponible en: http://www.ltu.sld.cu/revistas/modules.php?name=News&file=article&sid-215 .