Luciano Sami de Oliveira Abraão, Barbara Mendonça Paiva Antônio José, Camila Gomes, Priscila Castilho Nunes, D. Santos, Ana Paula Muterle Varela, Caren dos Santos Lima
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引用次数: 3

摘要

目的:描述2008 - 2017年巴西帕尔州美国皮肤利什曼病(ACL)病例的流行病学特征。材料与方法:采用强制性申报疾病信息系统(SINAN)对ATL通报病例进行定量回顾性研究。数据按年龄、性别、种族/肤色和居住地进行分组。统计学分析采用BioEstat v5.3软件,采用卡方法,p值< 0.05。为了制作地图,使用了TabWin v.4.15。结果:共报告确诊病例34609例。发病率为43.89例/10万居民。以男性为主(79.88%),年龄在20 ~ 39岁之间(48.82%),棕色皮肤为主(71.77%)。在妇女、10岁以下儿童和老年人中有显著的发生率。97.39%的病例以皮肤形式为主,72.19%的病例治愈。结论:前交叉韧带仍是严重的公共卫生问题,在人群中发病率较高。病例在该州的空间分布并不均匀,主要集中在远离首都贝尔萨姆的地区。据认为,在10岁以下儿童和老年人中,存在与疾病发病率有关的围内和家庭内传播。
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Perfil epidemiológico dos casos de leishmaniose tegumentar americana no estado do Pará, Brasil, entre 2008 e 2017
OBJECTIVE: To describe the epidemiological profile of American cutaneous leishmaniasis (ACL) cases in Pará State, Brazil, from 2008 to 2017. MATERIALS AND METHODS: A quantitative and retrospective study was carried out with data from the Information System on Diseases of Compulsory Declaration (SINAN) on notified cases of ATL. The data were grouped according to age, sex, race/color, and municipality of residence. Statistical analyzes were performed using BioEstat v5.3 software, applying the chi-square and p-value < 0.05. To make the map, TabWin v.4.15 was used. RESULTS: A total of 34,609 confirmed cases were reported. The incidence was 43.89 cases/100,000 inhabitants. There was a predominance of males (79.88%), aged between 20 to 39 years (48.82%), and brown-skinned people (71.77%). There was a significant occurrence in women, children under 10 years old, and elderly people. The cutaneous form was predominant in 97.39% of the cases, and 72.19% evolved to cure. CONCLUSION: ACL is still a serious public health problem in Pará, with a high incidence in the population. The spatial distribution of cases is not homogeneous in the State, having a greater concentration in areas distant from the capital, Belém. It is suggested the existence of peri and intra-household transmission related to the incidence of the disease in children under 10 years old and in elderly people.
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