Adesão e rejeição à consulta puerperal por mulheres de uma unidade básica de saúde da família / Adherence and rejection of puerperal Consultation by women of a basic health unit

Introdução: A primeira consulta puerperal deve ser realizada de sete a dez dias após o parto para uma completa avaliação da mãe e do recém-nascido, indicando precocemente alterações inesperadas, prevenindo agravos e controlando as taxas de morbimortalidade da criança e da mulher. Contudo, apesar de prioridade no âmbito de saúde pública, o retorno da mulher e a primeira ida do filho às consultas pós-parto ainda são reduzidas. Objetivo: Identificar a motivação da adesão e rejeição da primeira consulta puerperal por mulheres atendidas em uma Unidade Básica de Saúde. Casuística e Métodos: Estudo descritivo retrospectivo realizado com a população de 65 mulheres de uma Unidade Básica de Saúde em Campo Grande, MS, Brasil, selecionadas pelo registro no caderno de pré-natal com a Data Provável do Parto delimitada entre fevereiro de 2017 e fevereiro de 2018. Para coleta de dados, foi aplicado um questionário avaliando o período gestacional e o porquê da presença nas consultas puerperais. Resultados: Das 65 mulheres entrevistadas, 47 (72,31%) encontrava-se entre 18 e 30 anos de idade e apenas 7 (10,77%) concluiu o ensino superior. Além disso, as intercorrências neonatais (32,15%) e maternas (25%) sobressaem às taxas de consultas agendadas (42,85%). Adicionalmente, a falta de informação relacionada à importância da consulta puerperal e à necessidade de retorno (13,52%) é o primeiro motivo de rejeição à consulta puerperal no período preconizado. Conclusão: O incentivo e a relação profissional com a comunidade são os principais motivadorespara a adesão à consultapuerperal correta.Orienta-se melhorar a atuação profissional no pré-natal a fim de solidificar elos de confiança e aumentar o número de retornos às consultas no pós-parto.

Introduction: The first puerperal visit should be performed seven to ten days postpartum for a complete evaluation of the mother and the newborn, indicating early unexpected changes, preventing injuries and controlling the morbidity and mortality rates of child and woman. However, despite the public health priority, the return of the woman and the child's first visit to postpartum consultations are still low. Objective: To identify the motivation for adherence and rejection of the first puerperal consultation by women from a Basic Health Unit. Patients and Methods: We carried out a descriptive retrospective study performed on the population of 65 women from a Basic Health Unit in Campo Grande, MS, Brazil, selected for registration in the prenatal care book and with the Probable Childbirth Date delimited between February of 2017 and February of 2018. For data collection, a questionnaire was applied evaluating the gestational period and the reason for the presence in the puerperal consultations. Results: Of the 65 women interviewed, ages ranged from 18 to 30 years-old (n=7; 72.31%)> regarding schooling only 7 (10.77%) completed higher education. In addition, the neonatal (32.15%) and maternal (25%) complications stand out at the rates of scheduled appointments (42.85%). In addition, the lack of information related to the importance of puerperal consultation and the need for follow-up(13.52%) is the first reason for rejection to the puerperal consultation in the period recommended. Conclusion: The incentive and the relation between health professional and the community are the main motivators for the adherence to correct puerperal consultation. It is to improve the professional performance in prenatal care in order to solidify reliable links and increase the number of returns to postpartum consultations.

Citopatologia cervical e perfil epidemiológico de mulheres com vida sexual ativa / Cervical cytopathology and epidemiologic profile of women with sexual active life / Citopatologia cervical y perfil epidemiológico de mujeres con vida sexual activa

Objetivo: caracterizar as alterações citopatológicas cervicais e o perfil epidemiológico de mulheres com vida sexual ativa. Método: estudo quantitativo, descritivo, analítico, de corte transversal e base documental retrospectiva, realizado no município de Campo Grande/MS. Foram analisados os resultados dos exames citopatológicos referentes ao período de janeiro de 2010 a 2011. Os dados foram coletados com instrumento próprio. O projeto de pesquisa teve a aprovação pelo Comitê de Ética em Pesquisa, protocolo nº 063/11. Resultados: obteve-se a amostra de 527 exames. As alterações citopatológicas foram encontradas nas pacientes mais jovens, com menor nível de escolaridade. A afecção mais encontrada foi a Inflamação (22,5%) e os agentes mais comuns foram Cocos, Bacilos e Lactobacilos. Conclusão: os profissionais de saúde devem ser preparados para atender o público feminino em suas especificidades, bem como estimular a realização do exame Papanicolaou.(AU)

Objective: to characterize the cervical cytopathological changes and the epidemiological profile of women with sexual active life. Method: quantitative, descriptive, analytical study, cross-sectional and retrospective documentary base, held in the city of Campo Grande/MS. The test results were analyzed for the period from January 2010 to 2011. Data were collected with the instrument. The research project was approved by the Research Ethics Committee, protocol number 063/11. Results: the sample was obtained from 527 tests. The cytological changes were found in younger patients with less education. The most frequent disease was inflammation (22.5%), and the most common agents were Cocci, Bacilli and Lactobacilli. Conclusion: health professionals should be prepared to meet the women in their specificities and stimulate the realization of the pap smear.(AU)

Objetivo: caracterizar las alteraciones citopatológicas cervicales y el perfil epidemiológico de mujeres con vida sexual activa. Método: estudio cuantitativo, descriptivo, analítico, de cohorte transversal y base documental retrospectiva, realizado en la ciudad de Campo Grande/MS. Fueron analizados los resultados de los exámenes citopatológicos referentes al período de enero de 2010 a 2011. Los datos fueron recogidos con instrumento propio. El proyecto de investigación fue aprobado por el Comité de Ética en Investigación, protocolo nº 063/11. Resultados: se obtuvo la muestra de 527 exámenes. Las alteraciones citopatológicas fueron encontradas en las pacientes más jóvenes, con menor nivel de escolaridad. La afección más encontrada fue la Inflamación (22,5%), y los agentes más comunes fueron Cocos, Bacilos y Lactobacilos. Conclusión: los profesionales de salud deben ser preparados para atender al público femenino en sus especificidades, bien como estimular la realización del examen Papanicolaou.(AU)

Prevalence of latent tuberculosis and treatment adherence among patients with chronic kidney disease in Campo Grande, State of Mato Grosso do Sul.

INTRODUCTION: The primary strategy for tuberculosis control involves identifying individuals with latent tuberculosis. This study aimed to estimate the prevalence of latent tuberculosis in chronic kidney disease (CKD) patients who were undergoing hemodialysis in Campo Grande, State of Mato Grosso do Sul, Brazil, to characterize the sociodemographic and clinical profiles of patients with latent tuberculosis, to verify the association between sociodemographic and clinical characteristics and the occurrence of latent tuberculosis, and to monitor patient adherence to latent tuberculosis treatment. METHODS: This epidemiological study involved 418 CKD patients who were undergoing hemodialysis and who underwent a tuberculin skin test. RESULTS: The prevalence of latent tuberculosis was 10.3%. The mean patient age was 53.43±14.97 years, and the patients were predominantly men (63.9%). The population was primarily Caucasian (58.6%); half (50%) were married, and 49.8% had incomplete primary educations. Previous contact with tuberculosis patients was reported by 80% of the participants. Treatment adherence was 97.7%. CONCLUSIONS: We conclude that the prevalence of latent tuberculosis in our study population was low. Previous contact with patients with active tuberculosis increased the occurrence of latent infection. Although treatment adherence was high in this study, it is crucial to monitor tuberculosis treatment administered to patients in health services to maintain this high rate.

Prevalence of latent tuberculosis and treatment adherence among patients with chronic kidney disease in Campo Grande, State of Mato Grosso do Sul

Introduction The primary strategy for tuberculosis control involves identifying individuals with latent tuberculosis. This study aimed to estimate the prevalence of latent tuberculosis in chronic kidney disease (CKD) patients who were undergoing hemodialysis in Campo Grande, State of Mato Grosso do Sul, Brazil, to characterize the sociodemographic and clinical profiles of patients with latent tuberculosis, to verify the association between sociodemographic and clinical characteristics and the occurrence of latent tuberculosis, and to monitor patient adherence to latent tuberculosis treatment. Methods This epidemiological study involved 418 CKD patients who were undergoing hemodialysis and who underwent a tuberculin skin test. Results The prevalence of latent tuberculosis was 10.3%. The mean patient age was 53.43±14.97 years, and the patients were predominantly men (63.9%). The population was primarily Caucasian (58.6%); half (50%) were married, and 49.8% had incomplete primary educations. Previous contact with tuberculosis patients was reported by 80% of the participants. Treatment adherence was 97.7%. Conclusions We conclude that the prevalence of latent tuberculosis in our study population was low. Previous contact with patients with active tuberculosis increased the occurrence of latent infection. Although treatment adherence was high in this study, it is crucial to monitor tuberculosis treatment administered to patients in health services to maintain this high rate. .

[Situation of endemic pemphigus foliaceus in Mato Grosso do Sul, Brazil, 1990-1999]. / Situação do pênfigo foliáceo endêmico em Mato Grosso do Sul, Brasil, 1990-1999.

307 cases were examined to characterize epidemiological aspects of endemic pemphigus foliaceus. The disease was predominantly identified in rural workers between 10 and 42 years old. Incidence was higher in the December, January, February, March and May (average: 30.7 cases/year). Our findings identified a corridor, coinciding with the state watershed.

Situação do pênfigo foliáceo endêmico em Mato Grosso do Sul, Brasil, 1990-1999 / Situation of endemic pemphigus foliaceus in Mato Grosso do Sul, Brazil, 1990-1999

Com o objetivo de caracterizar epidemiologicamente o pênfigo foliáceo endêmico, investigaram-se 307 casos. A patologia predominou no trabalhador rural na faixa de 10 a 42 anos. Verificou-se maior incidência em dezembro, janeiro, fevereiro, março e maio (média de 30,7 casos anuais). Os achados evidenciaram um corredor coincidindo com o divisor de águas do estado