Banca de DEFESA: FLAVIA CARNEIRO DA SILVA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : FLAVIA CARNEIRO DA SILVA
DATA : 25/10/2121
HORA: 16:00
LOCAL: Sessão Remota
TÍTULO:

Access of SUS users to HIV Post-Exposure Prophylaxis (PEP) and the return to follow-up appointments in the city of Salvador – BA. 

PALAVRAS-CHAVES:

HIV. Post-exposure prophylaxis. Prevention of communicable diseases.

PÁGINAS: 67
GRANDE ÁREA: Ciências da Saúde
ÁREA: Saúde Coletiva
RESUMO:

The Post-Exposure Prophylaxis (PEP) of risk to HIV infection is a technology considered strategic in combined prevention programs in Brazil and worldwide. In addition to the preventive function, it is a method that has the possibility of linking people exposed to HIV to health services. This study aims to analyze the access of SUS users to PEP and the return to follow-up appointments in the city of Salvador - BA. The study population consisted of people who sought PEP in the city, from January to December 2018. Data collection was performed using information from the monitoring spreadsheets of the emergency care units (UPA) and through information collection in medical records at the specialized care medical service (SEMAE). Descriptive analyzes and a regestion model were used. In descriptive terms, absolute and percentage frequencies were obtained; in the bivariate analysis, using logistic regression, the odds ratio (OR) was obtained, with respective 95% confidence intervals (95%CI), for the outcome prescription of pep. A significance level of 5% (p ≤ 0.05) was adopted. For statistical analysis, Stata version 12.0 was used. The study was approved by the CAAE Research Ethics Committee: 25525719.6.0000.5030 ensuring the confidentiality and privacy of the participants. Of the 1525 people who sought PEP in the UPAs in Salvador, 1273 (83.5%) met eligibility criteria for PEP and 252 (16.5%) did not. Of this group of eligible people, 1166 (91.6%) were prescribed antiretrovirals (ARV) and were instructed to follow up with the protocol follow-up appointments, but 107 (8.4%) people, despite having the criteria of inclusion in the PEP, did not receive the prescription of ARVs. Men are the ones who most seek PEP, totaling 69.2% of the consultations. The predominant age group was 24 to 34 years old and the most frequent exposure was consenting sexual intercourse with 76.3%. Of the total number of people who received the PEP prescription, only 226 (19.4%) returned to the first appointment, 115 (9.9%) to the second appointment and 33 (2.8%) to the third appointment to complete the protocol. Most users who attended the first follow-up appointment at SEMAE were: male (64.6%), aged 34 years (37.2%) and with exposure through consenting sexual intercourse (70.4% ). The biggest obstacle in the PEP protocol was the lack of follow-up due to the non-attendance of the user to the service, revealing in this study as an important indicator of the need to restructure the implementation of the PCDT-PEP in the city. In addition, it is important to publicize this prevention tool, as well as its service locations, in an attempt to promote more access for people to prophylaxis and health care, overcoming prejudice, discrimination and ensuring the right of everyone to know and use the set of preventive methods, which suit your individual needs, to avoid new hiv infections and which are available in the single health system.Keywords: HIV, Post-exposure prophylaxis, Communicable disease prevention.

MEMBROS DA BANCA:
Externa à Instituição - MARIA APARECIDA ARAÚJO FIGUEIREDO - UNEB
Presidente - 458.053.855-20 - CARLOS ANTONIO DE SOUZA TELES SANTOS - UEFS
Externo à Instituição - LAIO MAGNO SANTOS DE SOUSA
Externa à Instituição - SANDRA ELY BARBOSA DE SOUZA - UFBA