Prevalence and determinants associated with T. pallidum infection in adults from poor urban communities, Brazilian Amazon.

BACKGROUND: In Brazil, despite the increase in coverage and access to rapid testing for syphilis in primary health care, no reduction in cases of syphilis and congenital syphilis was observed. Poor and low-educated populations are disproportionately affected by infection caused by T. pallidum. This study aims to estimate the prevalence of syphilis and associated factors among people aged 18 to 49 years old in the city of Belém, brazilian amazon. METHODS: Observational, cross-sectional study carried out in a sanitary administrative district of a capital of the Brazilian Amazon, Belém, state of Pará, Brazil. Data collection was conducted from August 2021 to February 2022. The participantes consisted of residents of the Montese, Guamá and Condor neighborhoods. People aged 18 to 49 years were included. This variable was treated as dichotomous (reagent and non-reagent). The selected response event was 'reagent result'. The independent variables were the social factors and access to health services. To identify associated factors with the presence of markers of the bacteria studied, multiple logistic rules were performed. RESULTS: 178 people participated in the study; the median age was 35.0 years. The prevalence of IgG and/or IgM antibodies against T. pallidum was 7 % (13). In the final regression model, it was observed that participants who had sexual intercourse after using alcohol and drugs and those who did not know about the prevention of sexually transmitted infections were five times more likely to have tested positive for T. pallidum. CONCLUSIONS: Aspects of individual vulnerability and access to health services must be managed to reduce the exposure of poor urban populations to T. pallidum.

Tecnologia gerencial para mediar a consulta de enfermagem a pessoas vivendo com doença de chagas / Management technology to mediate nursing consultation for people living with chagas disease

Objetivo: Construir e validar uma tecnologia gerencial, baseada no referencial teórico de Dorothea Orem, para mediar à consulta de enfermagem ao paciente com doença de chagas no Ambulatório de Cardiopatia Chagásica de uma instituição de ensino no município de Belém/Pa. Método: Pesquisa metodológica do tipo exploratória com abordagem quantitativa, realizada no período de maio a novembro de 2019, constituída em duas fases: elaboração do instrumento; submissão, avaliação e validação do instrumento por juízes especialistas. Resultados: Com exceção de um único item do instrumento, todo este foi validado com concordância de 95,12%. Conclusão: O instrumento validado contribuirá para a implementação da assistência a população. Os princípios da teoria do autocuidado são aplicáveis e pertinentes para planejar e avaliar a assistência aos pacientes que, neste estudo, especificamente, são os que vivem com doença de chagas, assim, este estudo proporciona aos enfermeiros um instrumento baseado em evidências científicas e validado por profissionais qualificados.(AU)

Objective: To construct and validate a management technology, based on Dorothea Orem's theoretical framework, to mediate the nursing consultation with patients with chagas disease at the Chagas Heart Disease Outpatient Clinic of an educational institution in the city of Belém/Pa. Method: Exploratory methodological research with quantitative approach, carried out from May to November 2019, consisting of two phases: elaboration of the instrument; submission, evaluation and validation of the instrument by expert judges. Results: With the exception of a single item of the instrument, the whole of this was validated with agreement of 95.12%. Conclusion: The validated instrument will contribute to the implementation of assistance to the population. The principles of the theory of self-care are applicable and pertinent to plan and evaluate care for patients who, in this study, specifically, are those living with Chagas disease, thus, this study provides nurses with an instrument based on scientific evidence and validated by qualified professionals.(AU)

Objetivo: Construir y validar una tecnología de manejo, basada en el marco teórico de Dorothea Orem, para mediar la consulta de enfermería con pacientes con enfermedad de Chagas en el Ambulatorio de Cardiopatías de Chagas de una institución educativa de la ciudad de Belém/Pa. Método: Investigación metodológica exploratoria con enfoque cuantitativo, realizada de mayo a noviembre de 2019, constituida en dos fases: elaboración del instrumento; presentación, evaluación y validación del instrumento por jueces expertos. Resultados: Con la excepción de un solo ítem del instrumento, el conjunto de este fue validado con concordancia de 95,12%. Conclusión: El instrumento validado contribuirá a la implementación de la asistencia a la población. Los principios de la teoría del autocuidado son aplicables y pertinentes para planificar y evaluar la atención de los pacientes que, en este estudio, específicamente, son los que viven con la enfermedad de Chagas, por lo que este estudio brinda al enfermero un instrumento basado en evidencia científica y validada. por profesionales calificados.(AU)