Objetivo: Explorar y describir el rol de la enfermera de salud pública en la consulta prenatal para prevenir y controlar la infección del tracto urinario. Métodos: Estudio descriptivo cualitativo realizado en 24 unidades básicas de salud en el sur de Piauí, noreste de Brasil. El estudio involucró a 22 enfermeras de salud pública y se llevó a cabo de febrero a marzo de 2016. Los datos se recolectaron a través de un cuestionario semiestructurado que contenía datos sociodemográficos seguido de las preguntas de la entrevista. Para el análisis de datos se utilizó el software IRAMUTEQ mediante el método de Clasificación Jerárquica Descendente. Resultados: Se desarrollaron las siguientes clases a partir de las palabras evocadas: 1 - Atención de rutina a enfermeras de salud pública que atienden a gestantes; 3 - Actuación de las enfermeras de salud pública en el tratamiento y prevención de la infección del tracto urinario en mujeres embarazadas; 4 - Dificultades en el diagnóstico de infección del tracto urinario en mujeres embarazadas; 2 - La educación sanitaria como principal medida adoptada por las enfermeras de salud pública para prevenir la infección del tracto urinario en la gestante. Conclusiones: Las enfermeras de salud pública carecen de protocolos y cumplimiento de las guías. Las principales medidas para la prevención y el control de la infección del tracto urinario en mujeres embarazadas fueron una adecuada higiene íntima, mayor ingesta de líquidos e higiene antes y después de las relaciones sexuales. Objective: To explore and describe public health nurses' role in the prenatal consultation to prevent and control urinary tract infection. Methods: A qualitative, descriptive study was conducted in 24 basic health units in southern Piauí, northeastern Brazil. The study included 22 public health nurses and was carried out from February to March 2016. Data were collected through a semi-structured questionnaire containing sociodemographic data followed by the interview questions. The IRAMUTEQ software was used for data analysis using the Descending Hierarchical Classification method. Results: The following classes were created based on the evoked words: 1 - Routine care of public health nurses assisting pregnant women; 3 - Public health nurse's conduct for treatment and prevention of urinary infection in pregnant women; 4 - Difficulties in diagnosing urinary tract infection in pregnant women; 2 - Health education as the main measure adopted by public health nurses to prevent urinary tract infection in pregnant women.Conclusions: Public health nurses lacked protocols and agreement to guidelines. The main measures for preventing and controlling urinary tract infection in pregnant women were adequate intimate hygiene, increased fluid intake, and hygiene before and after sexual intercourse. Objetivo: Explorar e descrever o papel do enfermeiro de saúde pública na consulta de pré-natal para prevenir e controlar a infecção do trato urinário. Métodos: Estudo qualitativo descritivo realizado em 24 unidades básicas de saúde do sul do Piauí, nordeste do Brasil. O estudo envolveu 22 enfermeiros de saúde pública e foi realizado no período de fevereiro a março de 2016. Os dados foram coletados por meio de um questionário semiestruturado contendo dados sociodemográficos seguidos das questões da entrevista. O software IRAMUTEQ foi utilizado para a análise dos dados pelo método de Classificação Hierárquica Descendente. Resultados: As seguintes classes foram elaboradas a partir das palavras evocadas: 1 - Rotina de atendimento dos enfermeiros de saúde pública que atendem gestantes; 3 - Conduta do enfermeiro de saúde pública no tratamento e prevenção de infecção urinária em gestantes; 4 - Dificuldades no diagnóstico de infecção do trato urinário em gestantes; 2 - A educação em saúde como principal medida adotada pelos enfermeiros de saúde pública para prevenir a infecção do trato urinário em mulheres grávidas. Conclusões: Enfermeiros de saúde pública carecem de protocolos e concordância com as diretrizes. As principais medidas de prevenção e controle da infecção do trato urinário em gestantes foram higiene íntima adequada, aumento da ingestão de líquidos e higiene antes e após a relação sexual.
Background: Addressing Missed Opportunities for Vaccination (MOV) contributes to increased vaccination rates in children, reinforcing the need to investigate and intervene in the related factors. Objective: To analyze factors associated with missed opportunities for vaccination in children under one year of age in a Brazilian capital. Methods: This was a cross-sectional, analytical study conducted in seven Basic Health Units in Teresina, Piauí, Brazil. A previously validated questionnaire was applied to parents or guardians of a sample of 316 children. Data were collected from March to June 2025. Multivariable Logistic Regression was performed, and results were expressed as Odds Ratios. Results: Among the children, 53.5% had at least one MOV. The associated factors were: parents with two or more children (95% CI: 1.06–2.96), false contraindications (95% CI: 1.29–8.73), inadequate assessment of vaccination cards by health professionals (95% CI: 1.78–29.00), vaccine shortages in health units (95% CI: 1.57–18.28), and refusal to open multidose vaccine vials (95% CI: 1.81–19.31). Receiving information about vaccination in the previous month was a protective factor against MOV (95% CI: 0.25–0.77). The vaccines most frequently contributing to MOV were BCG (15.8%) and the COVID-19 vaccine, with 15.5% for the first dose and 14.9% for the second. Conclusions: The high prevalence of MOV found in this study indicates weaknesses in the immunization process and suggests the need for implementing measures to interrupt the chain of causes leading to MOV, thereby contributing to the achievement of the objectives of the Brazilian National Immunization Program.