Keywords
Pregnancy
Health Care
Nursing Care
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Abstract
Objective: Summarize what the evidence addresses about tuberculosis during pregnancy. Methods: It is an integrative review of the literature in the databases Latin American and Caribbean Literature in Health Sciences, Nursing Database, Medical Literature Analysis and Retrieval System Online and Spanish Bibliographic Index in Health Sciences, through the Virtual Health Library platform and in the Web of Science database through the CAPES Journal Portal, held in April 2022. The descriptors “tuberculosis” and “pregnancy” were used to search for original articles from the last ten years (2011-2021), in Portuguese, English and Spanish. Results: 15 articles were selected and two categories emerged – implications of tuberculosis in pregnancy; health actions dispensed during the treatment of pregnant woman with tuberculosis. Conclusion: There is a delay in the diagnosis of TB in women in the gestational phase; favorable results of childbirth linked to the delay in the beginning of treatment for the second/third trimester; and the success of treatment in most studies analyzed.
References
ALI RF, et al. Integrating tuberculosis screening into antenatal visits to improve tuberculosis diagnosis and care: Results from a pilot project in Pakistan. Intern J of Infectious Diseases, 2021; 108: 391-396.
ANDRADE-JÚNIOR FP, et al. Antituberculosos na gravidez: uma revisão. Research, Society and Development, 2020; 9(6): e118963714-e118963714.
ASUQUO B, et al. A case–control study of the risk of adverse perinatal outcomes due to tuberculosis during pregnancy. Journal of Obstetrics and Gynaecology, 2012; 32(7): 635-638.
BALIKU JB e BONGOMIN F. Treatment outcomes of pregnant women with drug-resistant tuberculosis in Uganda: A retrospective review of 18 cases. International Journal of Infectious Diseases, 2021; 105: 230-233.
BECK-FRIIS J, et al. Increased risk of hepatotoxicity and temporary drug withdrawal during treatment of active tuberculosis in pregnant women. International Journal of Infectious Diseases, 2020; 98: 138-143.
BEKKER A, et al. Tuberculosis disease during pregnancy and treatment outcomes in HIV-infected and uninfected women at a referral hospital in Cape Town. PLoS One, 2016; 11(11): e0164249.
BRASIL. Boletim Epidemiológico de Tuberculose. 2021. Disponível em: file:///C:/Users/Public/Downloads/boletim_tuberculose_2021_internet.pdf. Acessado em: 19 de novembro de 2021.
BRASIL. Ministério da Saúde. Secretaria de Vigilância em Saúde. Departamento de Vigilância das Doenças Transmissíveis. Manual de Recomendações para o Controle da Tuberculose no Brasil. 2ª edição. Brasília: Ministério da Saúde, 2019.
BRASIL. Protocolos da Atenção Básica: Saúde das Mulheres, Instituto Sírio-Libanês de Ensino e Pesquisa. 2016. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/protocolos_atencao_basica_saude_mulheres.pdf. Acessado em: 25 de setembro de 2021.
BUZIASHVILI M, et al. Rates and risk factors for nephrotoxicity and ototoxicity among tuberculosis patients in Tbilisi, Georgia. The International Journal of Tuberculosis and Lung Disease, 2019; 23(9): 1005-1011.
CHOPRA S, et al. Pregnancy outcomes in women with tuberculosis: a 10-year experience from an Indian tertiary care hospital. Tropical Doctor, 2017; 47(2): 104-109.
CORTEZ AO, et al. Tuberculose no Brasil: um país, múltiplas realidades. Jornal Brasileiro de Pneumologia, 2021; 47(2): e20200119.
DENNIS EM, et al. Tuberculosis during pregnancy in the United States: Racial/ethnic disparities in pregnancy complications and in-hospital death. PloS one, 2018; 13(3): e0194836.
FONSECA ACM, et al. Saúde da mulher: manutenção da gravidez em gestantes. Revista de Enfermagem UFPE on line, 2021; 15(2): 1-24.
GAI X, et al. Acute miliary tuberculosis in pregnancy after in vitro fertilization and embryo transfer: a report of seven cases. BMC Infectious Diseases, 2021; 21(1): 1-9.
GALVÃO CM. Níveis de evidencia [Editorial]. Acta Paulista de Enfermagem, 2006; 19(2): 5.
GETAHUN H, et al. Prevention, diagnosis, and treatment of tuberculosis in children and mothers: evidence for action for maternal, neonatal, and child health services. Journal of Infectious Diseases, 2012; 205 Suppl 2: 216s-227s.
GOMES MNA, et al. Nota técnica para organização da rede de atenção à saúde com foco na atenção primária à saúde e na atenção ambulatorial especializada. Saúde da mulher na gestação, parto e puerpério. São Paulo: Ministério da Saúde/Sociedade Beneficente Israelita Brasileira Albert Einstein; 2019.
JANA N, et al. Tuberculosis in pregnancy: the challenges for South Asian countries. Journal of Obstetrics and Gynaecology Research, 2012; 38(9): 1125-1136.
LACOURSE SM, et al. Risk of adverse infant outcomes associated with maternal tuberculosis in a low burden setting: a population-based retrospective cohort study. Infectious diseases in obstetrics and gynecology, 2016; 2016: 1-8.
LI Q, et al. Retrospective analysis of 28 cases of tuberculosis in pregnant women in China. Scientific reports, 2019; 9(1): 1-8.
LIBERATI A, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. Journal of clinical epidemiology, 2009; 62(10): e1-e34.
LOVEDAY M, et al. “Take the treatment and be brave”: Care experiences of pregnant women with rifampicin-resistant tuberculosis. PloS one, 2020; 15(12): e0242604.
LOVEDAY M, et al. Maternal and infant outcomes among pregnant women treated for multidrug/rifampicin-resistant tuberculosis in South Africa. Clinical Infectious Diseases, 2021; 72(7): 1158-1168.
MIRANDA-FLORES AF. Características clínicas y epidemiológicas de las gestantes con tuberculosis en el Instituto Nacional Materno Perinatal. Acta Médica Peruana, 2015; 32(3): 140-145.
MOKHELE I, et al. Treatment and pregnancy outcomes of pregnant women exposed to second-line anti-tuberculosis drugs in South Africa. BMC pregnancy and childbirth, 2021; 21(1): 1-11.
NGUYEN HT, et al. Tuberculosis care for pregnant women: a systematic review. BMC infectious diseases, 2014; 14(1): 1-10.
OMS. Recomendações da OMS sobre cuidados pré-natais para uma experiência positiva na gravidez. 2016.
SALAZAR-AUSTIN N, et al. Poor obstetric and infant outcomes in human immunodeficiency virus-infected pregnant women with tuberculosis in South Africa: the Tshepiso study. Clinical Infectious Diseases, 2018; 66(6): 921-929.
SANTOS CMC, et al. A estratégia PICO para a construção da pergunta de pesquisa e busca de evidências. Revista Latino-Americana de Enfermagem, 2007; 15(3): 508-511.
SCHNIPPEL K, et al. Adverse drug reactions during drug-resistant TB treatment in high HIV prevalence settings: a systematic review and meta-analysis. Journal of Antimicrobial Chemotherapy, 2017; 72(7): 1871-1879.
SILVA DP, et al. Os significados do pré-natal atribuído por gestantes realizado por enfermeiros. Research, Society and Development, 2021; 10(6): e44210615937-e44210615937.
SOUZA MT, et al. Revisão integrativa: o que é e como fazer. Einstein (São Paulo), 2010; 8(1): 102-106.
WALT MVD, et al. Retrospective record review of pregnant women treated for rifampicin-resistant tuberculosis in South Africa. PloS one, 2020; 15(9): e0239018.
WORD HEALTH ORGANIZATION. Global Tuberculosis Report 2021. Geneva; 2021.