Desenvolvimento de aplicativo de apoio à decisão na tuberculose pulmonar na criança

Abstract

Tuberculosis is a disease known for decades, but it is still considered a major public health problem. Children are more likely to become ill after infection and may have poor or absent peculiar clinical manifestations, and are also paucibacillary, which makes clinical diagnosis difficult. In addition, the tuberculin test and serological methods are not always enlightening. In the perspective of facilitating the diagnosis in this age group, some clinical scores (scoring systems) were developed in the world. What is recommended by the Ministry of Health considers clinical-epidemiological data, chest X-ray and tuberculin test. Although the Control Manual for Tuberculosis (2011) is of free access, this instrument is not always available to the professional at the time of clinical decision-making. On the other hand, constant advancement in the use and access to different technologies for health purposes, known as telemedicine, has increased agility and quality in health care and education. This project takes place in this vision, whose objective is the development of a Decision Support System (DSS) containing, in an agile and efficient way, the criteria for clinical and radiological scoring, allowing the automation of the calculation score points for the diagnosis of tuberculosis in children. In addition, other sessions will be available, as illustrative clinical cases, which help professionals recognize signs and symptoms of tuberculosis; radiological images, which allow users to recognize common changes in pediatric patients; and map georeferencing, highlighting locations with the highest number of registered cases. The creation of this mobile-oriented SSD, in application format, will be able to function offline, aiming at the broad access by physicians and health professionals working in the front doors of the Brazilian Unified Health System.