PULMONARY TUBERCULOSIS MANAGEMENT AT THE PRIMARY HEALTH ATTENTION FROM A CITY OF TOCANTINS: A DOCUMENTARY ANALISYS

Abstract

INTRODUCTION: Pulmonary Tuberculosis (TB) is an ancient human community infection that has a high mortality rate when left untreated. Its main etiologic agent is Mycobacterium tuberculosis. The population at risk is composed of people with a low level of education, income, prisoners and homeless people. OBJECTIVES: To analyze whether Primary Health Care (PHC) acts according to the protocols of the Ministry of Health (MOH) in TB cases. METHODS: This is a study of document analysis, through medical records in the Municipality of Porto Nacional - TO. The data collected were compared to current disease management protocols, contrasting PHC actions with what is recommended by the MS. RESULTS: In the municipality, 08 new cases of TB were recorded in 2021, with an incidence of 15.09 cases per 100,000 inhabitants. Most of those affected are men (04), over 40 years old and with some risk factor. No patient had higher education and income greater than 1.5 minimum wage. DISCUSSION: The primary care team does not systematically follow the Ministry of Health protocols in the management of the disease, and diagnostic, treatment and discharge criteria were not recorded in the medical records, despite the fact that the TB cure rate in the chosen sample is above the national average, reaching 80%. Patients with lower income have a higher risk of infection and relapses. CONCLUSION: it is imperative to systematize TB care in accordance with MS protocols, through continuing education for all PHC professionals, with the PEC (Citizen's Electronic Health Record) being a measure that would bring satisfactory results. As well as instigating popular health education policies in groups with the highest risk of contagion of the disease.