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Thursday, April 30, 2009
Sadrivaan A and B (The Hilton Istanbul Hotel )
Introduction
InSao Paulo State tuberculosis surveillance is carried through a web-based system named TBweb. Besides epidemiological analysis this system is supposed to help monitoring each individual course of treatment, so that opportunity of the information has great importance.
A monthly form is sent to health units asking about diagnosis incomplete data and present situation of each patient.
Objective
To evaluate opportunity of feeding tuberculosis cases databank.
Methods: Cases notified in 2008 were analyzed in respect to diagnosis (acid fast bacilli – AFB, culture, HIV test) and follow-up situation at each month.
Results
Almost 90% of cases that began treatment at a given month were notified within six weeks. According to databank, in 74.5% of the cases HIV test has been done until the first month and 82.1% until treatment completion. Among pulmonary TB cases, 93.3% had smear examinations performed and 60.4% had cultures. Considering those who had these tests done, by the first month of the treatment, 58% had HIV results registered. AFB and culture were filled respectively in 93.3% had and 73.6% of the cases. By the 6th month of the treatment, when patients were supposed to finish their treatment, still 13.0% of HIV tests, 1.8% of AFB and 23.0% of the culture results were still “ongoing”. Eight months after the beginning, lack of information was 9.1% for HIV, 1.5% for direct smear and 18.4% for culture results. While in 62.0% of cases the monthly situation had been updated with a delay of two months, what is expected to happen if the system is doing properly, in 11.0% of the cases data were filled after three months, 8.0% in four months and 7.0% in five months.
Conclusion
Delay in feeding back the databank is still great, but for those that manage adequately the web-based system can be quite useful.
In
A monthly form is sent to health units asking about diagnosis incomplete data and present situation of each patient.
Objective
To evaluate opportunity of feeding tuberculosis cases databank.
Methods: Cases notified in 2008 were analyzed in respect to diagnosis (acid fast bacilli – AFB, culture, HIV test) and follow-up situation at each month.
Results
Almost 90% of cases that began treatment at a given month were notified within six weeks. According to databank, in 74.5% of the cases HIV test has been done until the first month and 82.1% until treatment completion. Among pulmonary TB cases, 93.3% had smear examinations performed and 60.4% had cultures. Considering those who had these tests done, by the first month of the treatment, 58% had HIV results registered. AFB and culture were filled respectively in 93.3% had and 73.6% of the cases. By the 6th month of the treatment, when patients were supposed to finish their treatment, still 13.0% of HIV tests, 1.8% of AFB and 23.0% of the culture results were still “ongoing”. Eight months after the beginning, lack of information was 9.1% for HIV, 1.5% for direct smear and 18.4% for culture results. While in 62.0% of cases the monthly situation had been updated with a delay of two months, what is expected to happen if the system is doing properly, in 11.0% of the cases data were filled after three months, 8.0% in four months and 7.0% in five months.
Conclusion
Delay in feeding back the databank is still great, but for those that manage adequately the web-based system can be quite useful.
Learning Objectives: The learning objectives how surveillance system can be managed on TB control. The importance of fastness of information in TB control management.
Sub-Theme: Progress on prevention and control of HIV/AIDS, Malaria, and Tuberculosis