Management of multidrug-resistant tuberculosis: main recommendations of the Brazilian guidelines
Over the years, various recommendations have been made in pursuit of controlling resistance to antituberculosis drugs, especially multidrug resistance, in Brazil. Given the importance of standardizing those recommendations, the aim of this study was to describe the main recommendations of the Brazil...
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| Published in: | Jornal brasileiro de pneumologia Vol. 46; no. 2; p. e20190290 |
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| Main Authors: | , , , , , , , , |
| Format: | Journal Article |
| Language: | English Portuguese |
| Published: |
Brazil
Sociedade Brasileira de Pneumologia e Tisiologia
2020
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| Subjects: | |
| Online Access: | Get full text |
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| Summary: | Over the years, various recommendations have been made in pursuit of controlling resistance to antituberculosis drugs, especially multidrug resistance, in Brazil. Given the importance of standardizing those recommendations, the aim of this study was to describe the main recommendations of the Brazilian guidelines, primarily those related to the treatment and follow-up of cases of tuberculosis. From August through October of 2018, a document search was conducted via the websites of the Brazilian National Ministry of Health, the Brazilian National Tuberculosis Control Program, the JBP, and the Official Gazette of the Federal Republic of Brazil. Data were collected systematically by using a protocol designed specifically for this study. Documents published between 2004 and 2018 were selected. It was possible to understand and trace the history of the measures for the control of multidrug-resistant tuberculosis in Brazil from 2004, when the first documents related to the disease were published, up to 2018, when the second edition of the Brazilian National Guidelines for the Control of Tuberculosis was published. The contents of the documents were analyzed and grouped by case definition, diagnostic criteria, treatment, use of directly observed treatment; mechanisms of social protection for patients; data tools; and organization of care. This analysis allowed us to understand the efforts towards standardizing some measures in Brazil, not only identifying advances in the alignment with international prerogatives (case definition, incorporation of diagnostic technology, and treatment regimens) but also underscoring the need for greater clarity regarding the mechanisms of social protection and the organization of the care provided via the Brazilian health care system. |
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| Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 AUTHOR CONTRIBUTIONS: JGAB conceived the proposal, guided data collection, and assisted in the organization of results, discussion of findings, and writing of the manuscript. JMG contributed to the writing of the research proposal, data collection, organization of results, and writing of the manuscript. VRB, ARN, and MPD contributed to the improvement of the methodology, discussion of results, and writing and revision of the final version of the manuscript. ACSM contributed to the organization and discussion of results, as well as to the writing of the manuscript. IZR and NSM assisted in data collection, literature review, updating of reverences, and writing of the manuscript. PFP guided the proposal, obtained institutional funding, and contributed to data collection, organization of results, and discussion and revision of the final version of the manuscript. |
| ISSN: | 1806-3756 1806-3713 1806-3756 |
| DOI: | 10.36416/1806-3756/e20190290 |