Team adherence to rapid prenatal testing and administration of benzathine penicillin in primary healthcare

Araújo, Túlio César Vieira de; Souza, Marize Barros de

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Revista da Escola de Enfermagem da USP

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ORIGINAL ARTICLE • Rev. esc. enferm. USP 54 • 2020 • https://doi.org/10.1590/S1980-220X2019006203645 copy

Team adherence to rapid prenatal testing and administration of benzathine penicillin in primary healthcare^* * Extracted from the dissertation: “Adesão dos serviços de atenção básica ao teste rápido para as infecções sexualmente transmissíveis”, Universidade Federal do Rio Grande do Norte, 2019.

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective

To identify the factors related to the work process regarding the adherence of Primary Healthcare teams to the rapid test for HIV, syphilis, hepatitis B and C during prenatal care and administration of benzathine penicillin in primary healthcare.

Method

A descriptive, exploratory and quantitative study conducted between the months of July and November 2018, with professionals from the Family Health Strategy teams of the Seridó Norte-Rio-Grandense region in Rio Grande do Norte State, Brazil.

Results

There were 18 municipalities, 94 Basic Health Units and 100 Family Health Strategy teams which participated in the study. The nurse was the main person involved in the testing service, and 93% of the interviewed teams offered the test in the service routine. Of these teams, 97.8% underwent prenatal testing, 51.6% offered the test to the pregnant woman at the beginning of the third trimester, and 57% offered the rapid test to sexual partners. Benzantine penicillin was available in 87.1% of the teams; however, 49.5% did not administer the medication in primary healthcare.

Conclusion

The testing process proved to be fragile because even if the test was available in prenatal care, the other activities linked to the work process did not occur properly.

Prenatal Care; Point-of-Care Testing; Primary Care Nursing; HIV; Syphilis; Hepatitis, Viral, Human

Date	Document	Main information
January 19, 2006	Ministerial Ordinance No. 156	Determines the use of penicillin in health facilities. Several topics call attention to penicillin anaphylaxis, treatment method, materials, equipment and medications to be used in an allergic reaction. Instructs that any mild reaction to penicillin must be managed by primary healthcare, which must have trained personnel for diagnosis and treatment and necessary material, restricting administration in services which do not have personnel and material within the requirements.
December 27, 2011	Ministerial Ordinance No. 3.161	Provides for the administration of penicillin by the nursing staff, physician or pharmacist in primary healthcare units, revoking Ordinance 156; however, it does not mention the necessary inputs for complications.
January 10, 2014	Cofen - Opinion of Board Member No. 008/2014	In view of Ordinance 3,161, the opinion lists necessary materials, equipment and medications for penicillin to be administered in primary healthcare.
July 8, 2015	Cofen Decision No. 0094/2015	It expressly revokes Cofen Advisor Opinion No. 008/2014.
June 14, 2017	Technical Note Cofen/CTLN No. 03/2017	It clarifies to professionals the importance of administration of benzathine penicillin in primary healthcare, making it clear that nursing professionals can administer it in the UBS through a medical or nursing prescription.

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

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[1] Corresponding author: Túlio César Vieira de Araújo Rua Moisés Galvão, 612 CEP 59380-000 – Currais Novos, RN, Brazil tuca_cva@hotmail.com