Tuberculosis is a chronic infectious and transmissible disease. It is acquired by inhaling Mycobacterium tuberculosis, which is present in the air when an infected individual coughs, sneezes, or even talks and expels particles contaminated by this agent. It mainly affects the lungs, but can also affect the kidneys, bones and meninges. Thus, this study aimed to analyze the epidemiological situation of tuberculosis in the state of Piauí from 2014 to 2018. The variables analyzed were: age group, gender, race, confirmed cases by year of diagnosis, number of cases reported in the municipalities, type of entry, incidence rate, clinical form of TB, closure situation and associated comorbidities. The analysis was performed using the data provided by SINAN/DATASUS. The following results were obtained, 2018 was the year with the highest number of notifications (843), males were the most affected in all the years analyzed, the most common clinical form was pulmonary tuberculosis, the most prevalent comorbidities were alcoholism, smoking and diabetes, the most common type of entry was new; in the situation of entry the highest percentage was the cure, however, ignored/white obtained a higher number in 2018. In addition, the most affected age group was 40 to 50 years, followed by 20 to 39 years; the cities with the highest number of cases were Teresina and Parnaíba; however, the cities with the highest incidence were Bom Princípio, Parnaíba and Cocal de Telha; the highest incidence rate occurred in 2018, and finally, the brown race showed the highest number of cases.
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The present study aimed to trace the epidemiology of gestational syphilis in the state of Maranhão from 2012 to 2017, describing the age group, the diagnostic method, the clinical classification that most affects pregnant women, the time of diagnosis of positive cases of congenital syphilis. and the realization of prenatal care. In a quantitative approach, the research used as data source, the National System of Disorders and Notifications (SINAN). The parameters of age range, clinical classification of the disease, treponemal and non-treponemal test were observed. In cases resulting from congenital syphilis, prenatal care was evaluated, and the time of diagnosis of gestational syphilis in these cases. According to the data obtained, 4090 cases of gestational syphilis were reported in the period between 2012 and 2017, where 2873 represent women with the disease aged 20-39 years. The clinical diagnosis of primary syphilis is higher in all years analyzed. Regarding prenatal screening (VDRL), it was found that 84.4% of positive serologies were identified in the first test, however after the confirmatory test, 57.8% had positive results. There was an increase in the incidence of gestational syphilis cases in the years analyzed, with only a fall in 2016. Of the cases evaluated that resulted in congenital syphilis, 79.3% of women report having had prenatal care, most of them diagnosed. At this time and most of them at the moment of childbirth, demonstrating a problem in the state's primary health care.
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