title: Early diagnosis of tuberculosis in the health services in different regions of Brazil.
abstract: OBJECTIVE
  To analyze the infected person's first contact with the health services, for the early diagnosis of tuberculosis (TB) in different regions of Brazil.
  
  
  METHODS
  a cross-sectional study undertaken in 6 municipalities in the South-east, South and North-east regions of Brazil. Data collection involved secondary sources and interviews with the patients. The data was analyzed using descriptive techniques and multiple correspondence factor analysis.
  
  
  RESULTS
  Primary Health Care (PHC) presented the longest time to diagnosis and the lowest proportion of diagnoses. The services associated with diagnosis in the first consultation were the specialized services and the Tuberculosis Control Programs, which offer consultations and tests on-site.
  
  
  CONCLUSIONS
  For the control of TB, it is necessary to organize the work in an integrated way between the different services' teams. In Primary Health Care, it is also necessary to observe the extent of incorporation and sustainability in the implementation of these actions into the health services' daily practice.
authors: Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Brazil. tite@eerp.usp.br
authors: Tereza Cristina Scatena
authors: TC
authors: Villa
authors: Maria Amélia Zanon
authors: MA
authors: Ponce
authors: Anneliese Domingues
authors: AD
authors: Wysocki
authors: Rubia Laine de Paula
authors: RL
authors: Andrade
authors: Tiemi
authors: T
authors: Arakawa
authors: Beatriz Estuque
authors: BE
authors: Scatolin
authors: Maria Eugenia Firmino
authors: ME
authors: Brunello
authors: Aline Ale
authors: AA
authors: Beraldo
authors: Lucia Marina
authors: LM
authors: Scatena
authors: Aline Aparecida
authors: AA
authors: Monroe
authors: Reinaldo Antonio da Silva
authors: RA
authors: Sobrinho
authors: Lenilde Duarte
authors: LD
authors: de Sá
authors: Jordana de Almeida
authors: Jde A
authors: Nogueira
authors: Marluce Maria de Araújo
authors: MM
authors: Assis
authors: Roxana Isabel
authors: RI
authors: Cardozo-Gonzales
authors: Pedro Fredemir
authors: PF
authors: Palha
mesh_terms: D001938:Brazil; D003430:Cross-Sectional Studies; D042241:Early Diagnosis; D006296:Health Services / Q000706:statistics & numerical data*; D006801:Humans; D014376:Tuberculosis / Q000175:diagnosis*