{"id":65763,"date":"2024-08-05T11:03:11","date_gmt":"2024-08-05T14:03:11","guid":{"rendered":"http:\/\/ww16.ce.gov.br\/hsj\/?p=65763"},"modified":"2024-08-13T09:16:48","modified_gmt":"2024-08-13T12:16:48","slug":"referencia-no-tratamento-de-casos-mais-complexos-de-tuberculose-hospital-sao-jose-oferece-assistencia-multidisciplinar-a-pacientes-com-a-doenca","status":"publish","type":"post","link":"https:\/\/www.ce.gov.br\/hsj\/2024\/08\/05\/referencia-no-tratamento-de-casos-mais-complexos-de-tuberculose-hospital-sao-jose-oferece-assistencia-multidisciplinar-a-pacientes-com-a-doenca\/","title":{"rendered":"Refer\u00eancia no tratamento de casos mais complexos de tuberculose, Hospital S\u00e3o Jos\u00e9 oferece assist\u00eancia multidisciplinar a pacientes com a doen\u00e7a"},"content":{"rendered":"<p style=\"text-align: center\"><em><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-65771\" src=\"https:\/\/ww16.ce.gov.br\/hsj\/wp-content\/uploads\/sites\/21\/2024\/08\/Topo.png\" alt=\"\" width=\"775\" height=\"169\" srcset=\"https:\/\/www.ce.gov.br\/hsj\/wp-content\/uploads\/sites\/21\/2024\/08\/Topo.png 775w, https:\/\/www.ce.gov.br\/hsj\/wp-content\/uploads\/sites\/21\/2024\/08\/Topo-600x131.png 600w, https:\/\/www.ce.gov.br\/hsj\/wp-content\/uploads\/sites\/21\/2024\/08\/Topo-768x167.png 768w\" sizes=\"auto, (max-width: 775px) 100vw, 775px\" \/><\/em><em><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-65767\" src=\"https:\/\/ww16.ce.gov.br\/hsj\/wp-content\/uploads\/sites\/21\/2024\/08\/FOTO-1-TB-HSJ-scaled.jpeg\" alt=\"\" width=\"2560\" height=\"1920\" srcset=\"https:\/\/www.ce.gov.br\/hsj\/wp-content\/uploads\/sites\/21\/2024\/08\/FOTO-1-TB-HSJ-scaled.jpeg 2560w, https:\/\/www.ce.gov.br\/hsj\/wp-content\/uploads\/sites\/21\/2024\/08\/FOTO-1-TB-HSJ-600x450.jpeg 600w, https:\/\/www.ce.gov.br\/hsj\/wp-content\/uploads\/sites\/21\/2024\/08\/FOTO-1-TB-HSJ-1200x900.jpeg 1200w, https:\/\/www.ce.gov.br\/hsj\/wp-content\/uploads\/sites\/21\/2024\/08\/FOTO-1-TB-HSJ-768x576.jpeg 768w, https:\/\/www.ce.gov.br\/hsj\/wp-content\/uploads\/sites\/21\/2024\/08\/FOTO-1-TB-HSJ-1536x1152.jpeg 1536w, https:\/\/www.ce.gov.br\/hsj\/wp-content\/uploads\/sites\/21\/2024\/08\/FOTO-1-TB-HSJ-2048x1536.jpeg 2048w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\" \/>Hospital S\u00e3o Jos\u00e9 conta com ambulat\u00f3rio, emerg\u00eancia 24h e 16 leitos de interna\u00e7\u00e3o para acolhimento de pacientes com tuberculose<\/em><\/p>\n<p style=\"text-align: justify\">Em janeiro de 2019, o chefe de cozinha Andr\u00e9 [nome fict\u00edcio], 43 anos, notou um pequeno caro\u00e7o no pesco\u00e7o, que passou a chamar aten\u00e7\u00e3o devido ao crescimento r\u00e1pido. Ap\u00f3s buscar ajuda m\u00e9dica, ele recebeu o diagn\u00f3stico de\u00a0<strong>tuberculose (TB) ganglionar<\/strong>\u00a0e foi encaminhado para o\u00a0<strong>Hospital S\u00e3o Jos\u00e9 (HSJ)<\/strong>, unidade da\u00a0<strong>Secretaria da Sa\u00fade do Cear\u00e1 (Sesa)<\/strong>\u00a0que presta assist\u00eancia a pacientes com tuberculose de maior complexidade.<\/p>\n<p style=\"text-align: justify\">\u201cEu tive um pouco de resist\u00eancia em aceitar esse tipo de doen\u00e7a e, por isso, demorei a aderir ao tratamento. Fiquei bem debilitado. Tinha\u00a0<strong>febre alta<\/strong>, de quase 40 graus,\u00a0<strong>sentia muita dor<\/strong>\u00a0o tempo todo. A\u00a0<strong>perda de peso<\/strong>\u00a0foi muito r\u00e1pida: em mar\u00e7o, eu pesava 87 kg e, em maio, me internei com 33 kg\u201d, conta Andr\u00e9, que passou 27 dias internado no HSJ.<\/p>\n<p style=\"text-align: justify\">Segundo a\u00a0<strong>infectologista<\/strong>\u00a0do HSJ, Liliane Granjeiro, a pessoa com\u00a0<strong>tosse persistente por mais de tr\u00eas semanas associada a febre<\/strong>,\u00a0<strong>calafrios<\/strong>\u00a0e\u00a0<strong>perda de peso sem motivo aparente<\/strong>\u00a0deve procurar a unidade b\u00e1sica de sa\u00fade mais pr\u00f3xima. \u201cO exame \u00e9 simples e o tratamento \u00e9 simples. Quanto mais r\u00e1pido voc\u00ea procurar atendimento, mais r\u00e1pido voc\u00ea vai come\u00e7ar o tratamento e deixar de transmitir a doen\u00e7a\u201d, enfatiza. O tratamento completo dura seis meses e, cerca de 15 dias ap\u00f3s o in\u00edcio das medica\u00e7\u00f5es, o risco de cont\u00e1gio \u00e9 bastante reduzido.<\/p>\n<p style=\"text-align: justify\">A doen\u00e7a \u00e9 transmitida pela\u00a0<strong>inala\u00e7\u00e3o de aeross\u00f3is<\/strong>\u00a0expelidos por\u00a0<strong>tosse<\/strong>,<strong>\u00a0fala<\/strong>\u00a0ou\u00a0<strong>espirro da pessoa infectada<\/strong>, por isso \u00e9 necess\u00e1rio investigar se os familiares do paciente tamb\u00e9m t\u00eam a doen\u00e7a. \u201cQuem mora com a pessoa diagnosticada com TB tem que investigar uma coisa chamada\u00a0<strong>tuberculose latente<\/strong>, que \u00e9 voc\u00ea ter a bact\u00e9ria e n\u00e3o ter sintoma, porque voc\u00ea pode trat\u00e1-la antes de desenvolver os sintomas\u201d, orienta o infectologista do HSJ, Bruno Pinheiro.<\/p>\n<h3 style=\"text-align: justify\"><strong>Cuidado multiprofissional<\/strong><\/h3>\n<p style=\"text-align: justify\">O Hospital S\u00e3o Jos\u00e9 possui ambulat\u00f3rio, emerg\u00eancia 24h e 16 leitos de interna\u00e7\u00e3o para pacientes com tuberculose, sendo quatro deles para isolamento daqueles com resist\u00eancia aos medicamentos do esquema b\u00e1sico do tratamento. O paciente chega \u00e0 unidade via<strong>\u00a0regula\u00e7\u00e3o<\/strong>, encaminhado por outras\u00a0<strong>unidades de sa\u00fade<\/strong>; caso apresente quadro grave da doen\u00e7a, ele tamb\u00e9m pode buscar a Emerg\u00eancia do HSJ, onde ser\u00e1 avaliada a necessidade ou n\u00e3o de interna\u00e7\u00e3o.<\/p>\n<p style=\"text-align: center\"><em><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-65768\" src=\"https:\/\/ww16.ce.gov.br\/hsj\/wp-content\/uploads\/sites\/21\/2024\/08\/FOTO-2-TB-HSJ-scaled.jpeg\" alt=\"\" width=\"2560\" height=\"1920\" srcset=\"https:\/\/www.ce.gov.br\/hsj\/wp-content\/uploads\/sites\/21\/2024\/08\/FOTO-2-TB-HSJ-scaled.jpeg 2560w, https:\/\/www.ce.gov.br\/hsj\/wp-content\/uploads\/sites\/21\/2024\/08\/FOTO-2-TB-HSJ-600x450.jpeg 600w, https:\/\/www.ce.gov.br\/hsj\/wp-content\/uploads\/sites\/21\/2024\/08\/FOTO-2-TB-HSJ-1200x900.jpeg 1200w, https:\/\/www.ce.gov.br\/hsj\/wp-content\/uploads\/sites\/21\/2024\/08\/FOTO-2-TB-HSJ-768x576.jpeg 768w, https:\/\/www.ce.gov.br\/hsj\/wp-content\/uploads\/sites\/21\/2024\/08\/FOTO-2-TB-HSJ-1536x1152.jpeg 1536w, https:\/\/www.ce.gov.br\/hsj\/wp-content\/uploads\/sites\/21\/2024\/08\/FOTO-2-TB-HSJ-2048x1536.jpeg 2048w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\" \/>Nutri\u00e7\u00e3o tem papel fundamental no processo de cura da tuberculose; suplementa\u00e7\u00e3o auxilia na recupera\u00e7\u00e3o do peso perdido em raz\u00e3o da doen\u00e7a<\/em><\/p>\n<p style=\"text-align: justify\">Durante a interna\u00e7\u00e3o, o paciente \u00e9 acompanhado por\u00a0<strong>equipe multidisciplinar<\/strong>. \u201cAqui \u00e9 muito importante a quest\u00e3o da<strong>\u00a0alimenta\u00e7\u00e3o<\/strong>: n\u00f3s recebemos pacientes que n\u00e3o andam s\u00f3 pela desnutri\u00e7\u00e3o proteica. Tamb\u00e9m temos dois psiquiatras que abordam a quest\u00e3o da depend\u00eancia qu\u00edmica. O Servi\u00e7o Social busca tra\u00e7ar o perfil social do paciente; se ele estiver em situa\u00e7\u00e3o de rua, \u00e9 feito o contato com a fam\u00edlia para verificar se ela tem condi\u00e7\u00f5es de receb\u00ea-lo, para que ele tenha condi\u00e7\u00f5es de continuar o tratamento. \u00c9 toda uma equipe multiprofissional que faz parte desse\u00a0<strong>processo de cura<\/strong>\u201d, destaca Granjeiro.<\/p>\n<p style=\"text-align: justify\">No p\u00f3s-alta, o paciente pode contar ainda com os atendimentos da equipe do\u00a0<strong>Programa de Assist\u00eancia Domiciliar (PAD)<\/strong>, formada por assistente social, enfermeiro, fisioterapeuta, fonoaudi\u00f3loga, m\u00e9dico, nutricionista, t\u00e9cnico em Enfermagem, motorista e apoio administrativo.<\/p>\n<p style=\"text-align: justify\">\u201cPara ser acompanhado pelo PAD, o paciente com tuberculose deve apresentar quadro est\u00e1vel, n\u00e3o fazer uso de oxig\u00eanio e ter um cuidador \u2014 ele n\u00e3o pode morar sozinho\u201d, informa a fisioterapeuta do HSJ e coordenadora do PAD, Lea Queiroz. O servi\u00e7o proporciona, entre outros cuidados,\u00a0<strong>ades\u00e3o ao tratamento medicamentoso<\/strong>,\u00a0<strong>orienta\u00e7\u00e3o nutricional<\/strong>\u00a0e\u00a0<strong>reabilita\u00e7\u00e3o pulmonar<\/strong>.<\/p>\n<p style=\"text-align: center\"><em><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-65769\" src=\"https:\/\/ww16.ce.gov.br\/hsj\/wp-content\/uploads\/sites\/21\/2024\/08\/FOTO-3-TB-HSJ-scaled.jpeg\" alt=\"\" width=\"2560\" height=\"2009\" srcset=\"https:\/\/www.ce.gov.br\/hsj\/wp-content\/uploads\/sites\/21\/2024\/08\/FOTO-3-TB-HSJ-scaled.jpeg 2560w, https:\/\/www.ce.gov.br\/hsj\/wp-content\/uploads\/sites\/21\/2024\/08\/FOTO-3-TB-HSJ-600x471.jpeg 600w, https:\/\/www.ce.gov.br\/hsj\/wp-content\/uploads\/sites\/21\/2024\/08\/FOTO-3-TB-HSJ-1200x942.jpeg 1200w, https:\/\/www.ce.gov.br\/hsj\/wp-content\/uploads\/sites\/21\/2024\/08\/FOTO-3-TB-HSJ-768x603.jpeg 768w, https:\/\/www.ce.gov.br\/hsj\/wp-content\/uploads\/sites\/21\/2024\/08\/FOTO-3-TB-HSJ-1536x1205.jpeg 1536w, https:\/\/www.ce.gov.br\/hsj\/wp-content\/uploads\/sites\/21\/2024\/08\/FOTO-3-TB-HSJ-2048x1607.jpeg 2048w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\" \/>Ambulat\u00f3rio de Tuberculose do HSJ atende, em m\u00e9dia, 120 pacientes por m\u00eas; servi\u00e7o funciona \u00e0s sextas-feiras pela manh\u00e3<\/em><\/p>\n<p style=\"text-align: justify\">O\u00a0<strong>Ambulat\u00f3rio de Tuberculose do HSJ<\/strong>\u00a0acompanha n\u00e3o s\u00f3 pacientes que tiveram alta da enfermaria, como tamb\u00e9m aqueles com\u00a0<strong>coinfec\u00e7\u00e3o por HIV<\/strong>\u00a0(quando a pessoa tem HIV e tuberculose ao mesmo tempo),\u00a0<strong>TB extrapulmonar<\/strong>\u00a0(que acomete outros \u00f3rg\u00e3os que n\u00e3o o pulm\u00e3o) e\u00a0<strong>TB multirresistente<\/strong> (quando o paciente n\u00e3o responde ao esquema b\u00e1sico de tratamento). Por m\u00eas, s\u00e3o atendidas cerca de 120 pessoas. O servi\u00e7o funciona \u00e0s sextas-feiras, das 7h30 \u00e0s 12h30, e possui equipe composta por tr\u00eas m\u00e9dicos, al\u00e9m de enfermeira, psic\u00f3loga e assistente social.<\/p>\n<p style=\"text-align: justify\"><strong>LEIA TAMB\u00c9M:<\/strong>\u00a0<a href=\"https:\/\/www.saude.ce.gov.br\/2024\/07\/22\/sesa-leitos-pacientes-tuberculose-casa-cuidados-ceara\/\">Sesa abre 20 leitos para pacientes com tuberculose na Casa de Cuidados do Cear\u00e1<\/a><\/p>\n<h3 style=\"text-align: justify\"><strong>Assist\u00eancia farmac\u00eautica<\/strong><\/h3>\n<p style=\"text-align: justify\">O HSJ e o Hospital de Messejana (HM) integram o\u00a0<strong>Sistema de Informa\u00e7\u00e3o de Tratamentos Especiais da Tuberculose (Site-TB)<\/strong>, ferramenta de vigil\u00e2ncia dos casos com indica\u00e7\u00e3o do esquema especial de TB \u2014\u00a0<strong>quando o paciente possui comorbidades<\/strong>,\u00a0<strong>rea\u00e7\u00f5es adversas<\/strong>\u00a0ou\u00a0<strong>resist\u00eancia aos medicamentos<\/strong>\u00a0do esquema b\u00e1sico. Al\u00e9m disso, o sistema tamb\u00e9m possibilita o acompanhamento das consultas e das retiradas de medicamentos, visando garantir a ades\u00e3o ao tratamento.<\/p>\n<p style=\"text-align: center\"><em><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-65770\" src=\"https:\/\/ww16.ce.gov.br\/hsj\/wp-content\/uploads\/sites\/21\/2024\/08\/FOTO-4-TB-HSJ-scaled.jpeg\" alt=\"\" width=\"2560\" height=\"1920\" srcset=\"https:\/\/www.ce.gov.br\/hsj\/wp-content\/uploads\/sites\/21\/2024\/08\/FOTO-4-TB-HSJ-scaled.jpeg 2560w, https:\/\/www.ce.gov.br\/hsj\/wp-content\/uploads\/sites\/21\/2024\/08\/FOTO-4-TB-HSJ-600x450.jpeg 600w, https:\/\/www.ce.gov.br\/hsj\/wp-content\/uploads\/sites\/21\/2024\/08\/FOTO-4-TB-HSJ-1200x900.jpeg 1200w, https:\/\/www.ce.gov.br\/hsj\/wp-content\/uploads\/sites\/21\/2024\/08\/FOTO-4-TB-HSJ-768x576.jpeg 768w, https:\/\/www.ce.gov.br\/hsj\/wp-content\/uploads\/sites\/21\/2024\/08\/FOTO-4-TB-HSJ-1536x1152.jpeg 1536w, https:\/\/www.ce.gov.br\/hsj\/wp-content\/uploads\/sites\/21\/2024\/08\/FOTO-4-TB-HSJ-2048x1536.jpeg 2048w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\" \/>Gard\u00eania Monteiro, farmac\u00eautica hospitalar do HSJ, acompanha os casos com indica\u00e7\u00e3o de esquema especial para tratamento da tuberculose<\/em><\/p>\n<p style=\"text-align: justify\">\u201cSe o paciente deve vir a cada 40 dias para retirar a medica\u00e7\u00e3o e n\u00e3o vem, aquele espa\u00e7o de tempo que ele deixa de vir eu j\u00e1 coloco como\u00a0<strong>falha na ades\u00e3o<\/strong>. E essa falha n\u00e3o pode ser\u00a0<strong>acima de 30 dias<\/strong>, porque isso significa<strong>\u00a0abandono para o sistema<\/strong>\u00a0e, nesse caso, o paciente teria que\u00a0<strong>recome\u00e7ar o tratamento<\/strong>\u201d, salienta Gard\u00eania Monteiro, farmac\u00eautica hospitalar do HSJ. Quando h\u00e1 falha na ades\u00e3o, a equipe entra em contato com o paciente para saber suas principais dificuldades e ajud\u00e1-lo a prosseguir com o tratamento.<\/p>\n<h3 style=\"text-align: justify\"><strong>Tuberculose tem cura<\/strong><\/h3>\n<p style=\"text-align: justify\">A tuberculose tem cura e, para alcan\u00e7\u00e1-la, \u00e9 imprescind\u00edvel\u00a0<strong>fazer o tratamento de forma adequada<\/strong>\u00a0e\u00a0<strong>n\u00e3o interromp\u00ea-lo antes do final<\/strong>. No caso de Andr\u00e9, a demora para iniciar as medica\u00e7\u00f5es acabou levando a doen\u00e7a a atingir outros \u00f3rg\u00e3os do corpo. De 2019 para c\u00e1, ele enfrentou duas recidivas, mas agora, felizmente, j\u00e1 vislumbra a proximidade da alta.<\/p>\n<p style=\"text-align: justify\">\u201cAp\u00f3s a segunda recidiva, a equipe m\u00e9dica do Hospital S\u00e3o Jos\u00e9 \u2014 os anjos da minha vida, como eu os chamo, pois tenho muito carinho, respeito e admira\u00e7\u00e3o pelo trabalho deles \u2014 prescreveu uma nova medica\u00e7\u00e3o que eu t\u00f4 h\u00e1 pouco mais de um ano tomando e a\u00ed, sim, de l\u00e1 pra c\u00e1, gra\u00e7as a Deus, foi s\u00f3 melhora. Agora, recentemente, a gente t\u00e1 tentando ver a possibilidade de uma alta, porque as melhoras s\u00e3o muito boas, o quadro \u00e9 muito interessante\u201d, comemora.<\/p>\n<p><strong>LEIA MAIS:<\/strong>\u00a0<a href=\"https:\/\/www.saude.ce.gov.br\/2024\/07\/29\/tuberculose-adesao-tratamento-completo-cura\/\">Tuberculose: ades\u00e3o ao tratamento completo \u00e9 essencial para cura<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Hospital S\u00e3o Jos\u00e9 conta com ambulat\u00f3rio, emerg\u00eancia 24h e 16 leitos de interna\u00e7\u00e3o para acolhimento de pacientes com tuberculose Em janeiro de 2019, o chefe de cozinha Andr\u00e9 [nome fict\u00edcio], 43 anos, notou um pequeno caro\u00e7o no pesco\u00e7o, que passou a chamar aten\u00e7\u00e3o devido ao crescimento r\u00e1pido. Ap\u00f3s buscar ajuda m\u00e9dica, ele recebeu o diagn\u00f3stico [&hellip;]<\/p>\n","protected":false},"author":12,"featured_media":65767,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[45],"tags":[],"class_list":["post-65763","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-noticias"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Refer\u00eancia no tratamento de casos mais complexos de tuberculose, Hospital S\u00e3o Jos\u00e9 oferece assist\u00eancia multidisciplinar a pacientes com a doen\u00e7a - Hospital S\u00e3o Jos\u00e9<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ww16.ce.gov.br\/hsj\/2024\/08\/05\/referencia-no-tratamento-de-casos-mais-complexos-de-tuberculose-hospital-sao-jose-oferece-assistencia-multidisciplinar-a-pacientes-com-a-doenca\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Refer\u00eancia no tratamento de casos mais complexos de tuberculose, Hospital S\u00e3o Jos\u00e9 oferece assist\u00eancia multidisciplinar a pacientes com a doen\u00e7a - Hospital S\u00e3o Jos\u00e9\" \/>\n<meta property=\"og:description\" content=\"Hospital S\u00e3o Jos\u00e9 conta com ambulat\u00f3rio, emerg\u00eancia 24h e 16 leitos de interna\u00e7\u00e3o para acolhimento de pacientes com tuberculose Em janeiro de 2019, o chefe de cozinha Andr\u00e9 [nome fict\u00edcio], 43 anos, notou um pequeno caro\u00e7o no pesco\u00e7o, que passou a chamar aten\u00e7\u00e3o devido ao crescimento r\u00e1pido. Ap\u00f3s buscar ajuda m\u00e9dica, ele recebeu o diagn\u00f3stico [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/ww16.ce.gov.br\/hsj\/2024\/08\/05\/referencia-no-tratamento-de-casos-mais-complexos-de-tuberculose-hospital-sao-jose-oferece-assistencia-multidisciplinar-a-pacientes-com-a-doenca\/\" \/>\n<meta property=\"og:site_name\" content=\"Hospital S\u00e3o Jos\u00e9\" \/>\n<meta property=\"article:published_time\" content=\"2024-08-05T14:03:11+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-08-13T12:16:48+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/ww16.ce.gov.br\/hsj\/wp-content\/uploads\/sites\/21\/2024\/08\/FOTO-1-TB-HSJ-scaled.jpeg\" \/>\n\t<meta property=\"og:image:width\" content=\"2560\" \/>\n\t<meta property=\"og:image:height\" content=\"1920\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"sspdsfeliperegino\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"sspdsfeliperegino\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"7 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/ww16.ce.gov.br\\\/hsj\\\/2024\\\/08\\\/05\\\/referencia-no-tratamento-de-casos-mais-complexos-de-tuberculose-hospital-sao-jose-oferece-assistencia-multidisciplinar-a-pacientes-com-a-doenca\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/ww16.ce.gov.br\\\/hsj\\\/2024\\\/08\\\/05\\\/referencia-no-tratamento-de-casos-mais-complexos-de-tuberculose-hospital-sao-jose-oferece-assistencia-multidisciplinar-a-pacientes-com-a-doenca\\\/\"},\"author\":{\"name\":\"sspdsfeliperegino\",\"@id\":\"https:\\\/\\\/ww16.ce.gov.br\\\/hsj\\\/#\\\/schema\\\/person\\\/c161ec0016dc344c216317bdddb5a662\"},\"headline\":\"Refer\u00eancia no tratamento de casos mais complexos de tuberculose, Hospital S\u00e3o Jos\u00e9 oferece assist\u00eancia multidisciplinar a pacientes com a doen\u00e7a\",\"datePublished\":\"2024-08-05T14:03:11+00:00\",\"dateModified\":\"2024-08-13T12:16:48+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/ww16.ce.gov.br\\\/hsj\\\/2024\\\/08\\\/05\\\/referencia-no-tratamento-de-casos-mais-complexos-de-tuberculose-hospital-sao-jose-oferece-assistencia-multidisciplinar-a-pacientes-com-a-doenca\\\/\"},\"wordCount\":1180,\"image\":{\"@id\":\"https:\\\/\\\/ww16.ce.gov.br\\\/hsj\\\/2024\\\/08\\\/05\\\/referencia-no-tratamento-de-casos-mais-complexos-de-tuberculose-hospital-sao-jose-oferece-assistencia-multidisciplinar-a-pacientes-com-a-doenca\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.ce.gov.br\\\/hsj\\\/wp-content\\\/uploads\\\/sites\\\/21\\\/2024\\\/08\\\/FOTO-1-TB-HSJ-scaled.jpeg\",\"articleSection\":[\"Not\u00edcias\"],\"inLanguage\":\"pt-BR\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/ww16.ce.gov.br\\\/hsj\\\/2024\\\/08\\\/05\\\/referencia-no-tratamento-de-casos-mais-complexos-de-tuberculose-hospital-sao-jose-oferece-assistencia-multidisciplinar-a-pacientes-com-a-doenca\\\/\",\"url\":\"https:\\\/\\\/ww16.ce.gov.br\\\/hsj\\\/2024\\\/08\\\/05\\\/referencia-no-tratamento-de-casos-mais-complexos-de-tuberculose-hospital-sao-jose-oferece-assistencia-multidisciplinar-a-pacientes-com-a-doenca\\\/\",\"name\":\"Refer\u00eancia no tratamento de casos mais complexos de tuberculose, Hospital S\u00e3o Jos\u00e9 oferece assist\u00eancia multidisciplinar a pacientes com a doen\u00e7a - Hospital S\u00e3o Jos\u00e9\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/ww16.ce.gov.br\\\/hsj\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/ww16.ce.gov.br\\\/hsj\\\/2024\\\/08\\\/05\\\/referencia-no-tratamento-de-casos-mais-complexos-de-tuberculose-hospital-sao-jose-oferece-assistencia-multidisciplinar-a-pacientes-com-a-doenca\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/ww16.ce.gov.br\\\/hsj\\\/2024\\\/08\\\/05\\\/referencia-no-tratamento-de-casos-mais-complexos-de-tuberculose-hospital-sao-jose-oferece-assistencia-multidisciplinar-a-pacientes-com-a-doenca\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.ce.gov.br\\\/hsj\\\/wp-content\\\/uploads\\\/sites\\\/21\\\/2024\\\/08\\\/FOTO-1-TB-HSJ-scaled.jpeg\",\"datePublished\":\"2024-08-05T14:03:11+00:00\",\"dateModified\":\"2024-08-13T12:16:48+00:00\",\"author\":{\"@id\":\"https:\\\/\\\/ww16.ce.gov.br\\\/hsj\\\/#\\\/schema\\\/person\\\/c161ec0016dc344c216317bdddb5a662\"},\"breadcrumb\":{\"@id\":\"https:\\\/\\\/ww16.ce.gov.br\\\/hsj\\\/2024\\\/08\\\/05\\\/referencia-no-tratamento-de-casos-mais-complexos-de-tuberculose-hospital-sao-jose-oferece-assistencia-multidisciplinar-a-pacientes-com-a-doenca\\\/#breadcrumb\"},\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/ww16.ce.gov.br\\\/hsj\\\/2024\\\/08\\\/05\\\/referencia-no-tratamento-de-casos-mais-complexos-de-tuberculose-hospital-sao-jose-oferece-assistencia-multidisciplinar-a-pacientes-com-a-doenca\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\\\/\\\/ww16.ce.gov.br\\\/hsj\\\/2024\\\/08\\\/05\\\/referencia-no-tratamento-de-casos-mais-complexos-de-tuberculose-hospital-sao-jose-oferece-assistencia-multidisciplinar-a-pacientes-com-a-doenca\\\/#primaryimage\",\"url\":\"https:\\\/\\\/www.ce.gov.br\\\/hsj\\\/wp-content\\\/uploads\\\/sites\\\/21\\\/2024\\\/08\\\/FOTO-1-TB-HSJ-scaled.jpeg\",\"contentUrl\":\"https:\\\/\\\/www.ce.gov.br\\\/hsj\\\/wp-content\\\/uploads\\\/sites\\\/21\\\/2024\\\/08\\\/FOTO-1-TB-HSJ-scaled.jpeg\",\"width\":2560,\"height\":1920},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/ww16.ce.gov.br\\\/hsj\\\/2024\\\/08\\\/05\\\/referencia-no-tratamento-de-casos-mais-complexos-de-tuberculose-hospital-sao-jose-oferece-assistencia-multidisciplinar-a-pacientes-com-a-doenca\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"In\u00edcio\",\"item\":\"https:\\\/\\\/www.ce.gov.br\\\/hsj\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Refer\u00eancia no tratamento de casos mais complexos de tuberculose, Hospital S\u00e3o Jos\u00e9 oferece assist\u00eancia multidisciplinar a pacientes com a doen\u00e7a\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/ww16.ce.gov.br\\\/hsj\\\/#website\",\"url\":\"https:\\\/\\\/ww16.ce.gov.br\\\/hsj\\\/\",\"name\":\"Hospital S\u00e3o Jos\u00e9\",\"description\":\"Modelo Padr\u00e3o do Estado\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/ww16.ce.gov.br\\\/hsj\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"pt-BR\"},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/ww16.ce.gov.br\\\/hsj\\\/#\\\/schema\\\/person\\\/c161ec0016dc344c216317bdddb5a662\",\"name\":\"sspdsfeliperegino\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/c5948532bfed4bf995ab94c145699ff618fbb1a11e1bffe93097e84e5ffdeec3?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/c5948532bfed4bf995ab94c145699ff618fbb1a11e1bffe93097e84e5ffdeec3?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/c5948532bfed4bf995ab94c145699ff618fbb1a11e1bffe93097e84e5ffdeec3?s=96&d=mm&r=g\",\"caption\":\"sspdsfeliperegino\"},\"url\":\"https:\\\/\\\/www.ce.gov.br\\\/hsj\\\/author\\\/sspdsfeliperegino\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Refer\u00eancia no tratamento de casos mais complexos de tuberculose, Hospital S\u00e3o Jos\u00e9 oferece assist\u00eancia multidisciplinar a pacientes com a doen\u00e7a - Hospital S\u00e3o Jos\u00e9","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/ww16.ce.gov.br\/hsj\/2024\/08\/05\/referencia-no-tratamento-de-casos-mais-complexos-de-tuberculose-hospital-sao-jose-oferece-assistencia-multidisciplinar-a-pacientes-com-a-doenca\/","og_locale":"pt_BR","og_type":"article","og_title":"Refer\u00eancia no tratamento de casos mais complexos de tuberculose, Hospital S\u00e3o Jos\u00e9 oferece assist\u00eancia multidisciplinar a pacientes com a doen\u00e7a - Hospital S\u00e3o Jos\u00e9","og_description":"Hospital S\u00e3o Jos\u00e9 conta com ambulat\u00f3rio, emerg\u00eancia 24h e 16 leitos de interna\u00e7\u00e3o para acolhimento de pacientes com tuberculose Em janeiro de 2019, o chefe de cozinha Andr\u00e9 [nome fict\u00edcio], 43 anos, notou um pequeno caro\u00e7o no pesco\u00e7o, que passou a chamar aten\u00e7\u00e3o devido ao crescimento r\u00e1pido. Ap\u00f3s buscar ajuda m\u00e9dica, ele recebeu o diagn\u00f3stico [&hellip;]","og_url":"https:\/\/ww16.ce.gov.br\/hsj\/2024\/08\/05\/referencia-no-tratamento-de-casos-mais-complexos-de-tuberculose-hospital-sao-jose-oferece-assistencia-multidisciplinar-a-pacientes-com-a-doenca\/","og_site_name":"Hospital S\u00e3o Jos\u00e9","article_published_time":"2024-08-05T14:03:11+00:00","article_modified_time":"2024-08-13T12:16:48+00:00","og_image":[{"width":2560,"height":1920,"url":"https:\/\/ww16.ce.gov.br\/hsj\/wp-content\/uploads\/sites\/21\/2024\/08\/FOTO-1-TB-HSJ-scaled.jpeg","type":"image\/jpeg"}],"author":"sspdsfeliperegino","twitter_card":"summary_large_image","twitter_misc":{"Written by":"sspdsfeliperegino","Est. reading time":"7 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/ww16.ce.gov.br\/hsj\/2024\/08\/05\/referencia-no-tratamento-de-casos-mais-complexos-de-tuberculose-hospital-sao-jose-oferece-assistencia-multidisciplinar-a-pacientes-com-a-doenca\/#article","isPartOf":{"@id":"https:\/\/ww16.ce.gov.br\/hsj\/2024\/08\/05\/referencia-no-tratamento-de-casos-mais-complexos-de-tuberculose-hospital-sao-jose-oferece-assistencia-multidisciplinar-a-pacientes-com-a-doenca\/"},"author":{"name":"sspdsfeliperegino","@id":"https:\/\/ww16.ce.gov.br\/hsj\/#\/schema\/person\/c161ec0016dc344c216317bdddb5a662"},"headline":"Refer\u00eancia no tratamento de casos mais complexos de tuberculose, Hospital S\u00e3o Jos\u00e9 oferece assist\u00eancia multidisciplinar a pacientes com a doen\u00e7a","datePublished":"2024-08-05T14:03:11+00:00","dateModified":"2024-08-13T12:16:48+00:00","mainEntityOfPage":{"@id":"https:\/\/ww16.ce.gov.br\/hsj\/2024\/08\/05\/referencia-no-tratamento-de-casos-mais-complexos-de-tuberculose-hospital-sao-jose-oferece-assistencia-multidisciplinar-a-pacientes-com-a-doenca\/"},"wordCount":1180,"image":{"@id":"https:\/\/ww16.ce.gov.br\/hsj\/2024\/08\/05\/referencia-no-tratamento-de-casos-mais-complexos-de-tuberculose-hospital-sao-jose-oferece-assistencia-multidisciplinar-a-pacientes-com-a-doenca\/#primaryimage"},"thumbnailUrl":"https:\/\/www.ce.gov.br\/hsj\/wp-content\/uploads\/sites\/21\/2024\/08\/FOTO-1-TB-HSJ-scaled.jpeg","articleSection":["Not\u00edcias"],"inLanguage":"pt-BR"},{"@type":"WebPage","@id":"https:\/\/ww16.ce.gov.br\/hsj\/2024\/08\/05\/referencia-no-tratamento-de-casos-mais-complexos-de-tuberculose-hospital-sao-jose-oferece-assistencia-multidisciplinar-a-pacientes-com-a-doenca\/","url":"https:\/\/ww16.ce.gov.br\/hsj\/2024\/08\/05\/referencia-no-tratamento-de-casos-mais-complexos-de-tuberculose-hospital-sao-jose-oferece-assistencia-multidisciplinar-a-pacientes-com-a-doenca\/","name":"Refer\u00eancia no tratamento de casos mais complexos de tuberculose, Hospital S\u00e3o Jos\u00e9 oferece assist\u00eancia multidisciplinar a pacientes com a doen\u00e7a - Hospital S\u00e3o Jos\u00e9","isPartOf":{"@id":"https:\/\/ww16.ce.gov.br\/hsj\/#website"},"primaryImageOfPage":{"@id":"https:\/\/ww16.ce.gov.br\/hsj\/2024\/08\/05\/referencia-no-tratamento-de-casos-mais-complexos-de-tuberculose-hospital-sao-jose-oferece-assistencia-multidisciplinar-a-pacientes-com-a-doenca\/#primaryimage"},"image":{"@id":"https:\/\/ww16.ce.gov.br\/hsj\/2024\/08\/05\/referencia-no-tratamento-de-casos-mais-complexos-de-tuberculose-hospital-sao-jose-oferece-assistencia-multidisciplinar-a-pacientes-com-a-doenca\/#primaryimage"},"thumbnailUrl":"https:\/\/www.ce.gov.br\/hsj\/wp-content\/uploads\/sites\/21\/2024\/08\/FOTO-1-TB-HSJ-scaled.jpeg","datePublished":"2024-08-05T14:03:11+00:00","dateModified":"2024-08-13T12:16:48+00:00","author":{"@id":"https:\/\/ww16.ce.gov.br\/hsj\/#\/schema\/person\/c161ec0016dc344c216317bdddb5a662"},"breadcrumb":{"@id":"https:\/\/ww16.ce.gov.br\/hsj\/2024\/08\/05\/referencia-no-tratamento-de-casos-mais-complexos-de-tuberculose-hospital-sao-jose-oferece-assistencia-multidisciplinar-a-pacientes-com-a-doenca\/#breadcrumb"},"inLanguage":"pt-BR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/ww16.ce.gov.br\/hsj\/2024\/08\/05\/referencia-no-tratamento-de-casos-mais-complexos-de-tuberculose-hospital-sao-jose-oferece-assistencia-multidisciplinar-a-pacientes-com-a-doenca\/"]}]},{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/ww16.ce.gov.br\/hsj\/2024\/08\/05\/referencia-no-tratamento-de-casos-mais-complexos-de-tuberculose-hospital-sao-jose-oferece-assistencia-multidisciplinar-a-pacientes-com-a-doenca\/#primaryimage","url":"https:\/\/www.ce.gov.br\/hsj\/wp-content\/uploads\/sites\/21\/2024\/08\/FOTO-1-TB-HSJ-scaled.jpeg","contentUrl":"https:\/\/www.ce.gov.br\/hsj\/wp-content\/uploads\/sites\/21\/2024\/08\/FOTO-1-TB-HSJ-scaled.jpeg","width":2560,"height":1920},{"@type":"BreadcrumbList","@id":"https:\/\/ww16.ce.gov.br\/hsj\/2024\/08\/05\/referencia-no-tratamento-de-casos-mais-complexos-de-tuberculose-hospital-sao-jose-oferece-assistencia-multidisciplinar-a-pacientes-com-a-doenca\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"In\u00edcio","item":"https:\/\/www.ce.gov.br\/hsj\/"},{"@type":"ListItem","position":2,"name":"Refer\u00eancia no tratamento de casos mais complexos de tuberculose, Hospital S\u00e3o Jos\u00e9 oferece assist\u00eancia multidisciplinar a pacientes com a doen\u00e7a"}]},{"@type":"WebSite","@id":"https:\/\/ww16.ce.gov.br\/hsj\/#website","url":"https:\/\/ww16.ce.gov.br\/hsj\/","name":"Hospital S\u00e3o Jos\u00e9","description":"Modelo Padr\u00e3o do Estado","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/ww16.ce.gov.br\/hsj\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"pt-BR"},{"@type":"Person","@id":"https:\/\/ww16.ce.gov.br\/hsj\/#\/schema\/person\/c161ec0016dc344c216317bdddb5a662","name":"sspdsfeliperegino","image":{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/secure.gravatar.com\/avatar\/c5948532bfed4bf995ab94c145699ff618fbb1a11e1bffe93097e84e5ffdeec3?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/c5948532bfed4bf995ab94c145699ff618fbb1a11e1bffe93097e84e5ffdeec3?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/c5948532bfed4bf995ab94c145699ff618fbb1a11e1bffe93097e84e5ffdeec3?s=96&d=mm&r=g","caption":"sspdsfeliperegino"},"url":"https:\/\/www.ce.gov.br\/hsj\/author\/sspdsfeliperegino\/"}]}},"_links":{"self":[{"href":"https:\/\/www.ce.gov.br\/hsj\/wp-json\/wp\/v2\/posts\/65763","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ce.gov.br\/hsj\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.ce.gov.br\/hsj\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.ce.gov.br\/hsj\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ce.gov.br\/hsj\/wp-json\/wp\/v2\/comments?post=65763"}],"version-history":[{"count":6,"href":"https:\/\/www.ce.gov.br\/hsj\/wp-json\/wp\/v2\/posts\/65763\/revisions"}],"predecessor-version":[{"id":65787,"href":"https:\/\/www.ce.gov.br\/hsj\/wp-json\/wp\/v2\/posts\/65763\/revisions\/65787"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.ce.gov.br\/hsj\/wp-json\/wp\/v2\/media\/65767"}],"wp:attachment":[{"href":"https:\/\/www.ce.gov.br\/hsj\/wp-json\/wp\/v2\/media?parent=65763"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.ce.gov.br\/hsj\/wp-json\/wp\/v2\/categories?post=65763"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.ce.gov.br\/hsj\/wp-json\/wp\/v2\/tags?post=65763"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}