2007-2016年巴西Piauí州Parnaíba市通报的麻风病病例

J. Almeida, Maria do Socorro Costa, Paulo Roberto Fagundes da Silva, F. Silva, Gerarlene Ponte Guimarães Santos, Rayla Maria Pontes Guimarães Costa, A. Sardinha, M. R. Branco
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摘要

本研究旨在描述Piauí州Parnaíba市报告的麻风病病例的流行病学和临床特征。这是对2007年至2016年向国家法定疾病系统(SINAN)报告的居住在Piauí州Parnaíba的麻风病病例的横断面研究。2008年、2009年和2016年,在普通人群中发现麻风高流行病例582例;2008年、2014年和2016年年龄< 15岁,以女性(53.1%)为主,棕色皮肤(62.2%),20-64岁(74.7%),小学毕业和未毕业(56.4%),家庭主妇(20.7%),居住在城市(87.1%),通过初级保健(69.2%)报告。最常见的临床和治疗表现为:多菌性手术分型(53.8%);临床表现:不确定(30.6%)和病毒型(24.3%);单发病变(34.8%);无受累神经(86.7%);残疾程度为零(70.6%);未行杆菌镜检查(26.7%);治疗方案12剂(53.7%),无反应(70.8%)。在输入方式上,以新增病例为主(88.8%);输出方式:治愈(87.9%),检测方式:自发需求(45.8%)。在2106名登记接触者中,60.6%接受了检查。麻风病是Piauí州Parnaíba的地方性疾病。值得注意的是,高流行检出率发生在加强对人群中的接触者和病例的积极搜索的年份。
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Cases of leprosy notified in the municipality of Parnaíba, state of Piauí, Brazil, 2007-2016
This study aimed to describe the epidemiological and clinical characteristics of leprosy cases reported in the municipality of Parnaíba, State of Piauí. This was a cross-sectional study of leprosy cases, living in Parnaíba, State of Piauí, reported to the National System of Notifiable Diseases (SINAN), from 2007 to 2016. There were 582 cases of leprosy with hyperendemic detection in the general population in 2008, 2009 and 2016; and under < 15 years of age in 2008, 2014 and 2016, with a predominance of females (53.1%), brown (62.2%), aged 20-64 years (74.7%), complete and incomplete elementary school (56.4%), housewives (20.7%), living in the urban area (87.1%), reported by primary care (69.2%). The most frequent clinical and therapeutic findings were: multibacillary operational classification (53.8%); clinical forms: undetermined (30.6%) and virchowian (24.3%); single lesion (34.8%); no affected nerves (86.7%); degree of disability zero (70.6%); bacilloscopy not performed (26.7%); therapeutic regimen 12 doses (53.7%) and no reaction (70.8%). Regarding the mode of input, predominated new case (88.8%); mode of output, cure (87.9%) and detection mode: spontaneous demand (45.8%). Out of 2,106 registered contacts, 60.6% were examined. Leprosy is endemic to Parnaíba, State of Piauí. It is noteworthy that the hyperendemic detection rates occurred during years when there was intensification of active search for contacts and cases in the population.
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