Banca de DEFESA: Melina Mafra Toledo

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : Melina Mafra Toledo
DATE: 29/05/2023
TIME: 08:00
LOCAL: plataforma teams - link disponível na página do programa
TITLE:

"COLLECTIVE DISCOURSE: KNOWLEDGE, ATTITUDES AND PRACTICES IN FRONT OF LATENT TUBERCULOSIS INFECTION (LTBI) AND TREATMENT WITH ISONIAZID 300 MG"

KEY WORDS:

"Latent tuberculosis. Tuberculosis. Isoniazid. Health professional. Adhering to drug treatment"

PAGES: 1000
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

“To reduce the dissemination of active tuberculosis (TB) and eliminate the infection worldwide, individuals with Latent Tuberculosis Infection (LTBI) and their contacts must be treated appropriately. Isoniazid (INH) is one of the most consistently recommended alternative regimens in the preventive treatment of LTBI. Most losses in the TB and LTBI treatment process occur in the first steps: contact identification and referral for investigation, which compromises the care cascade. Objective: to understand the thinking and collective action of health professionals regarding LTBI and the use of INH to treat the disease. Method: a quali-quantitative study approach developed in two stages: collective interview with health workers (N=22) divided into three groups: primary care, specialized care and managers of four units of the federation and the Federal District. Data collection took place in Brasília in March 2019. The emerging contents of the groups were analyzed using the Collective Subject Discourse (DSC) technique, which expresses the thinking of a group. or collectivity. The second stage involved a national cross-sectional study on knowledge, attitudes and practices (KAP) with a representative sample (N=56) of health professionals prescribing medication and working in TB care. Results: the professionals speeches revealed uncertainties related to the prevention and treatment of LTBI, the “fear of making mistakes”; and inappropriate ways of using INH 300 mg, the importance of decision-making in the treatment of LTBI, the difficulties and weaknesses in the integration of basic and specialized services, and the absence of care flows/lines of care. On one hand, most participants showed knowledge, attitudes and prevention practices that are consistent with national recommendations for treatment; on the other hand, some of them were uncertain about the knowledge and prevention practices associated with the differences between active TB and LTBI, a key issue for the cascade of care. Conclusion: although the professionals´s; speech emphasizes objective aspects in the management of LTBI, the subjective expressions of the fears affecting the decisions over the treatment are important and must be considered in the management and planning of health actions, in order to think about this process in a collaborative and autonomous way, both for professionals and for the person with LTBI. Thus, the findings of the study suggest that future actions for the prevention and control of tuberculosis should prioritize interventions aimed at knowledge, attitudes and practices about LTBI, as well as the reduction of problems in infrastructure, which certainly go beyond the operational limits in health care, and relate to the social determinants of health.”

BANKING MEMBERS:
Externa à Instituição - ROSANGELA ELAINE MINEO BIAGOLINI - PMSP
Externa à Instituição - MYRIA RIBEIRO DA SILVA - UESC
Interno - 1681340 - EVERTON NUNES DA SILVA
Interna - 1996218 - NOEMIA URRUTH LEAO TAVARES
Presidente - 1961891 - WILDO NAVEGANTES DE ARAUJO