Perfil epidemiológico da hanseníase em menores de quinze anos de idade, Manaus (AM), 1998-2005

Imbiriba, Elsia Belo; Hurtado-Guerrero, José Camilo; Garnelo, Luíza; Levino, Antônio; Cunha, Maria da Graça Souza; Pedrosa, Valderiza

doi:10.1590/s0034-89102008005000056

Cited by 26 publications

(33 citation statements)

References 4 publications

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“…1,10 The records of cases of recurrence at primary healthcare units among the present study population corroborate this refl ection, because of diffi culty in differential approaches in relation to other dermatological or neurological diseases and diffi culty in diagnostic management for confi rming the case of recurrence.…”

Section: Discussionsupporting

confidence: 75%

Recidivas de casos de hanseníase no estado de Mato Grosso

Ferreira

Ignotti

Senigalia³

et al. 2010

Rev. Saúde Pública

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OBJECTIVE:To compare new registrations of recurrences of leprosy cases in primary healthcare units (PHUs) and in specialized units in the State of Mato Grosso. METHODS:This was a cross-sectional study based on all new registrations (N = 323) of recurrences of leprosy cases within the Notifi able Disease Information System (SINAN) between 2004 and 2006 that were made in the State of Mato Grosso, Central-West Brazil. The cases diagnosed were compared regarding sex, age, clinical-laboratory characteristics and geographical distribution among the municipalities. To compare and calculate the proportions of the variables, the chi-square test at the signifi cance level of 5% was used. RESULTS:Among the new registrations of recurrences, 20% were confi rmed at specialized units and 80% at PHUs. However, most of the diagnoses at PHUs presented negative bacilloscopy fi ndings (c2 = 12.34; p = 0.002). Seventyone per cent of the cases were among males; the mean age was 43 years. No differences in the percentages of registrations were observed between the healthcare units with regard to clinical form, operational classifi cation or degree of physical incapacity. Out of the total number of municipalities in the state, 64.7% presented recurrences and these accounted for 6 to 20% of all registrations. CONCLUSIONS:The new registrations of cases of recurrence in Mato Grosso were infl uenced by the diagnoses made at PHUs, thus suggesting that there is a defi ciency within the healthcare services in recognizing cases of recurrence.

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Section: Discussionsupporting

confidence: 75%

Recidivas de casos de hanseníase no estado de Mato Grosso

Ferreira

Ignotti

Senigalia³

et al. 2010

Rev. Saúde Pública

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“…This is not similar to the findings of other studies, 25,27 however it can be explained by the currently experienced cultural and sociological changes, which generate greater exposure for women, thus an increase in the number of diagnosed women is expected on the years to come. 26,32 …”

Section: Discussioncontrasting

confidence: 99%

“…The available data were not classified by clinical form, so we can only assume, in general, that the diagnosis in people under 15 years old is being done early, thanks to the work promoted in schools. 25,27 …”

Section: Discussionmentioning

confidence: 99%

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Epidemiological situation of leprosy in Salvador from 2001 to 2009

Moreira

Batos²,

Tawil³

2014

An. Bras. Dermatol.

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Mycobacterium leprae was first described as the bacillus that causes leprosy, a chronic granulomatous infectious disease, in 1873 by Amauer Hansen. Leprosy is part of a group of 10 neglected diseases and Bahia has endemic levels of this illness, varying between high and very high. The detection of 52 new cases of leprosy in children under 15 years old in Salvador in 2006 is alarming, and suggests an early contact with the disease. The aim of this review is to analyze the epidemiological situation, the detection rate and evaluate the clinical and epidemiological profile of leprosy in Salvador, in the period 2001-2009. A retrospective cross-sectional study was performed using secondary data collected at Notifiable Diseases Information System Database (SINAN) through the notification of patients with leprosy. Over these nine years 3,226 patients were reported, with a predominance of: females (51.5%), and clinical multibacillary forms in the general population (51.7%), but when we analyze those under 15 years old, paucibacillary forms (tuberculoid + indeterminate) prevailed. The tuberculoid form was the most diagnosed type of presentation. The annual detection rate in Salvador remained at a very high level of endemicity during the studied period and for those under 15 years old it ranged between high and very high. Grade 2 disabilities both at the time of diagnosis and at discharge after cure, varied between low and medium. Based on these data we conclude that the high levels of leprosy detection rates in the general population, plus the variation between high and very high levels in those under 15 years old, associated with the medium level of grade 2 disabilities at the time of diagnosis and discharge, demonstrate the need for improvement on the existing services, investment in active case finding and training of the healthcare professionals in Salvador.

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“…The paucibacillary cases represent initial leprosy phase, which is desirable to conclude the diagnosis, since the bacillary load is low and lack to act as a source of infection, being relevant for endemic control. However, the identification of multibacillary cases, characterized as contagious due to the high bacillary load and the high risk of transmissibility, suggests health services failure 10 .…”

Section: Discussionmentioning

confidence: 99%

Trend of leprosy in individuals under the age of 15 in Mato Grosso (Brazil), 2001-2013

2017

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OBJECTIVE To identify the historical trend of leprosy epidemiological indicators in individuals under the age of 15 in the state of Mato Grosso.METHODS Descriptive study with trend analysis of leprosy indicators in individuals under the age of fifteen registered in the Mato Grosso’s System for Notifiable Diseases between 2001 and 2013. We used the Prais-Winsten procedure for analyzing generalized linear regression at a significance level of 5%. We considered as increasing time series when the annual percent change was positive, decreasing when negative and stationary when there was no significant difference between its value and zero.RESULTS We analyzed 2455 cases of leprosy and the average detection rate in individuals under the age of fifteen was 22.7 per 100 thousand inhabitants. The trend of the general coefficient of incidence was decreasing, with an average annual rate of -5.5% (95%CI -7.5–-3.5). Increasing trend was observed with an increase of 6.7% (95%CI 2.7–10.8) in the proportion of multibacillary cases, 9.4% (95%CI 4.4–14.7) of cases diagnosed with dimorphic clinical form and 14% (95%CI 7.9–20.4) of cases with physical disability level 2 at the time of diagnosis. There was an increasing trend in the average proportion of examined contacts, with a growth of 4.1% (95%CI 1.2–7.1) and average proportion of healing was precarious (39.7%), with stationary trend.CONCLUSIONS The historical trend of leprosy cases in individuals under the age of fifteen proved to be decreasing in the period, however the trends of epidemiological indicators such as the proportion of multibacillary cases, physical disability level 2 and healing, indicate late diagnosis with stay sources of transmission and consequent worsening of the disease in the state of Mato Grosso.

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Perfil epidemiológico da hanseníase em menores de quinze anos de idade, Manaus (AM), 1998-2005

Cited by 26 publications

References 4 publications

Recidivas de casos de hanseníase no estado de Mato Grosso

Recidivas de casos de hanseníase no estado de Mato Grosso

Epidemiological situation of leprosy in Salvador from 2001 to 2009

Trend of leprosy in individuals under the age of 15 in Mato Grosso (Brazil), 2001-2013

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