Avaliação do sistema de vigilância epidemiológica da tuberculose do município de São Paulo nos períodos pré e durante a pandemia de COVID-19
Data
2024-06-28
Autores
Yamamoto, Thais Tiemi 
Orientadores
Hino, Paula
Tipo
Dissertação de mestrado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Objetivo: Avaliar o Sistema de Vigilância Epidemiológica da Tuberculose do município de São Paulo nos períodos pré e durante a pandemia de COVID-19. Método: Estudo descritivo, observacional do tipo transversal com base nas Diretrizes para Avaliação de Sistemas de Vigilância em Saúde Pública propostas pelos Centers for Disease Control and Prevention. A coleta de dados foi realizada por meio do questionário aplicado aos profissionais que atuavam como interlocutores das ações de controle da tuberculose no nível local e do banco de dados exportados do sistema de informação TBWeb, referente às notificações realizadas entre 2018 e 2021 no município de São Paulo. Foram realizadas técnicas de análise estatística descritiva, com frequência absoluta e relativa, e para avaliar a associação entre os períodos do estudo utilizou-se o teste qui-quadrado. Adotou-se o nível de significância de 5% e utilizou-se os programas Jamovi versão 2.2.5 e Microsoft Office Excel®. Resultados: Nos períodos pré e durante a pandemia de COVID-19, o sistema de vigilância da TB do município de São Paulo foi classificado como “Pouco simples”, com “Boa” Qualidade dos dados, “Excelente” Completitude das variáveis obrigatórias, “Boa” Completitude das variáveis não obrigatórias e “Baixa” porcentagem de Inconsistência das informações. Foi considerado “Aceitável”, com “Moderada” Sensibilidade, “Pouco estável”, “Representativo” e com “Baixa” Oportunidade de notificação, “Alta” Oportunidade de tratamento e “Moderada” Oportunidade de encerramento. A flexibilidade do sistema foi avaliada apenas no período durante a pandemia de COVID-19 e foi classificada como “Não flexível”. Conclusão: Este estudo verificou que embora a classificação dos atributos avaliados tenha se mantido no período durante a pandemia de COVID-19 igual ao período anterior, os dados mostraram redução nas ações de controle da tuberculose, sendo algumas mais significantes, o que aponta a necessidade de desenvolvimento de outros estudos que avaliem a situação do sistema de vigilância após a pandemia de COVID-19 segundo pontos recuperados e aqueles que precisam de melhoria.
Objective: To evaluate the Tuberculosis Epidemiological Surveillance System in the city of São Paulo in the period before and during the COVID-19 pandemic. Method: Descriptive observational cross-sectional study based on the Guidelines for the Evaluation of Public Health Surveillance Systems proposed by the Centers for Disease Control and Prevention. Data collection was carried out through the questionnaire applied to professionals who acted as interlocutors of tuberculosis control actions at the local level and the database exported from the TBWeb information system, referring to notifications made between 2018 and 2021 in the city of São Paulo. Descriptive statistical analysis techniques were performed, with absolute and relative frequency, and to evaluate the association between the study periods, the chi-square test was used. A significance level of 5% was adopted and the Jamovi version 2.2.5 programs and Microsoft Office Excel® were used. Results: In the periods before and during the COVID-19 pandemic, the TB surveillance system in the city of São Paulo was classified as “Not very simple”, with “Good” Data quality, “Excellent” Completeness of mandatory variables, “Good” Completeness of non-mandatory variables and a “Low” percentage of information Inconsistency. It was considered “Acceptable”, with “Moderate” Sensitivity, “Not very stable”, “Representative” and with “Low” Opportunity for notification, ”High” Opportunity for treatment and “Moderate” Opportunity for closure. The Flexibility of the system was only evaluated during the period during the COVID-19 pandemic and was classified as “Non-flexible”. Conclusion: This study found that although the classification of the evaluated attributes remained the same during the COVID-19 pandemic as in the previous period, the data showed a reduction in tuberculosis control actions, some being more significant, which points to the need for development of others studies that evaluate the situation of the surveillance system after the COVID-19 pandemic according to points recovered and those that need improvement.
Objective: To evaluate the Tuberculosis Epidemiological Surveillance System in the city of São Paulo in the period before and during the COVID-19 pandemic. Method: Descriptive observational cross-sectional study based on the Guidelines for the Evaluation of Public Health Surveillance Systems proposed by the Centers for Disease Control and Prevention. Data collection was carried out through the questionnaire applied to professionals who acted as interlocutors of tuberculosis control actions at the local level and the database exported from the TBWeb information system, referring to notifications made between 2018 and 2021 in the city of São Paulo. Descriptive statistical analysis techniques were performed, with absolute and relative frequency, and to evaluate the association between the study periods, the chi-square test was used. A significance level of 5% was adopted and the Jamovi version 2.2.5 programs and Microsoft Office Excel® were used. Results: In the periods before and during the COVID-19 pandemic, the TB surveillance system in the city of São Paulo was classified as “Not very simple”, with “Good” Data quality, “Excellent” Completeness of mandatory variables, “Good” Completeness of non-mandatory variables and a “Low” percentage of information Inconsistency. It was considered “Acceptable”, with “Moderate” Sensitivity, “Not very stable”, “Representative” and with “Low” Opportunity for notification, ”High” Opportunity for treatment and “Moderate” Opportunity for closure. The Flexibility of the system was only evaluated during the period during the COVID-19 pandemic and was classified as “Non-flexible”. Conclusion: This study found that although the classification of the evaluated attributes remained the same during the COVID-19 pandemic as in the previous period, the data showed a reduction in tuberculosis control actions, some being more significant, which points to the need for development of others studies that evaluate the situation of the surveillance system after the COVID-19 pandemic according to points recovered and those that need improvement.
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Citação
YAMAMOTO, Thais Tiemi. Avaliação do sistema de vigilância epidemiológica da tuberculose do município de São Paulo nos períodos pré e durante a pandemia de COVID-19. 2024. 128 f. Dissertação (Mestrado em Enfermagem) - Escola Paulista de Enfermagem, Universidade Federal de São Paulo (UNIFESP). São Paulo, 2024.