Reflexões sobre a Política Global de Controle de Hanseníase

Talhari, Sinésio; Penna, Gerson Oliveira

doi:10.1590/s0037-86822005000400021

Cited by 10 publications

(6 citation statements)

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“…In Brazil, it is suggested that there is a strong tendency to cover up the disease with the support of the family and even of health services 12,20,21 .…”

Section: Discussionmentioning

confidence: 99%

The impact of leprosy on health-related quality of life

Lustosa

Nogueira

Pedrosa

et al. 2011

Rev. Soc. Bras. Med. Trop.

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Introduction: Leprosy is a potentially disabling infectious disease that evolves into emotional issues due to the prejudice that persists about the illness. The endemic has declined substantially with multidrug therapy (MDT) in the 80's; however, new demands associated with the reduction of stigma and the improvement of the affected people's quality of life have emerged. In Brazil, leprosy is still a public health problem. Piauí is the second state in the Northeast in prevalence and detection, and Teresina is a hyperendemic city. This study aimed to analyze the health-related quality of life (HRQoL) of people in treatment for leprosy in Teresina/PI. Methods: An observational study was conducted using the SF-36 (a specific questionnaire for assessing quality of life), which sought the determinants of poor quality of life among people with leprosy, outlining the sociodemographic, clinical, and epidemiological characteristics of the 107 patients interviewed. Results: The correlations between the variables showed five determinants of HRQoL: late diagnosis, multibacillary forms, reactions, disability diagnosis grade II, and prejudice. The profile of the participants showed that leprosy still affects the lower social classes in historically endemic areas, causing high percentages of secondary injuries that compromise the work capacity and quality of life of the affected people, perpetuating the stigma associated with the disease. Conclusions: The study reinforces the need to implement more effective strategies of disease control, due to the development of severe and disabling forms of leprosy is directly related to poor HRQoL in the same cured patient. Keywords: Leprosy. Quality of life. Stigma. RESUMO Introdução:A hanseníase é uma doença infecto-contagiosa, potencialmente incapacitante, que evolui com elevada carga emocional em função do preconceito que persiste sobre os acometidos. A endemia declinou substancialmente com a poliquimioterapia (PQT), na década de 80; entretanto, surgiram novas demandas associadas à redução do estigma e melhoria da qualidade de vida dos acometidos. No Brasil, a hanseníase ainda é um problema de saúde pública. O Piauí é o 2º estado do nordeste em prevalência e detecção, sendo que Teresina é hiperendêmica. Objetivou-se analisar a qualidade de vida relacionada à saúde (QVRS) de pessoas em tratamento da hanseníase em Teresina/PI. Métodos: Estudo observacional realizado com a aplicação do SF-36 (questionário específico para avaliação da qualidade de vida) que buscou os determinantes da piora na qualidade de vida das pessoas com hanseníase, delineando o perfil sóciodemográfico, clínico e epidemiológico dos 107 pacientes entrevistados. Resultados: A correlação entre as variáveis demonstrou cinco determinantes para QVRS: diagnóstico tardio, formas multibacilares, reações, grau II de incapacidade no diagnóstico e preconceito. O perfil dos participantes revelou que a hanseníase continua acometendo as classes sociais menos favorecidas em áreas historicamente endêmicas provocando percentuai...

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“…In Brazil, it is suggested that there is a strong tendency to cover up the disease with the support of the family and even of health services 12,20,21 .…”

Section: Discussionmentioning

confidence: 99%

The impact of leprosy on health-related quality of life

Lustosa

Nogueira

Pedrosa

et al. 2011

Rev. Soc. Bras. Med. Trop.

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“…Nerve involvement is found in all forms of leprosy and may also occur in the absence of skin lesions [ 9 ] .…”

Section: Neurological Involvementmentioning

confidence: 99%

“…Similar to tuberculosis, the treatment of leprosy involves multi-drug therapy (MDT) The three drugs of fi rst choice are: dapsone, rifampicin, and clofazimine. Monotherapy using only one of these drugs is obsolete due to resistance development [ 9 ] .…”

Section: Treatmentmentioning

confidence: 99%

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Leprosy – an overview of clinical features, diagnosis, and treatment

Fischer

2017

J Deutsche Derma Gesell

116

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SummaryLeprosy is a chronic infectious disease caused by Mycobacterium (M.) leprae. Worldwide, 210,758 new cases were diagnosed in 2015. The highest incidence is found in India, Brazil, and Indonesia. While the exact route of transmission remains unknown, nasal droplet infection is thought to be most likely.The pathogen primarily affects the skin and peripheral nervous system. The disease course is determined by individual host immunity. Clinically, multibacillary lepromatous variants are distinguished from paucibacillary tuberculoid forms. Apart from the various characteristic skin lesions, the condition is marked by damage to the peripheral nervous system. Advanced disease is characterized by disfiguring mutilations. Current treatment options are based on WHO recommendations. Early treatment frequently results in complete remission without sequelae. While paucibacillary forms are treated with rifampicin and dapsone for at least six months, multibacillary leprosy is treated for at least twelve months, additionally requiring clofazimine. Leprosy reactions during therapy may considerably aggravate the disease course. Besides individual treatment, WHO‐supported preventive measures and strategies play a key role in endemic areas.

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“…Leprosy is an infectious, slow-onset and chronic disease that manifests itself through lesions on the skin and peripheral nerves, and can cause permanent sequelae [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

Control Actions on Leprosy in Primary Health Care in a Brazilian Capital: Profile of Professionals and Users

Lustosa¹,

Barboza²,

Barbosa³

et al. 2018

int arch med

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Objective: Analyze profile of users of primary health care services affected by leprosy, as well as the medical professionals and nurses responsible for the follow -up of these patients.Methods: This is a field study that surveyed the socioeconomic and clinical profile of 25 patients affected by leprosy, attended at the municipal health units of the urban area of Teresina-PI, as well as the professional profile and clinical practices of 15 physicians and 19 nurses responsible for the follow-up of these patients.Results: It was observed a profile of people affected by leprosy, characterized by: individuals aged 50 years or more; predominantly male; with low schooling and income. The clinical characteristics reveal a high prevalence of multibacillary cases of leprosy and with a significant diagnosis of some degree of physical disability. Regarding the profile of the professionals and their clinical behaviors, it was verified that the majority had post-graduation and a long time of experience in primary health care and leprosy control actions, however, it has been shown that they do not always put into practice all actions necessary for the diagnosis and treatment of the disease. Conclusions:The profile of patients with leprosy treated at the municipal health units in the urban area of Teresina was similar to that found in other Brazilian territories, thus evidencing the need to implement public social support policies and more effective diagnostic and therapeutic follow-up practices by reduce the high rates of endemicity of the disease.

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Reflexões sobre a Política Global de Controle de Hanseníase

Cited by 10 publications

References 0 publications

The impact of leprosy on health-related quality of life

The impact of leprosy on health-related quality of life

Leprosy – an overview of clinical features, diagnosis, and treatment

Control Actions on Leprosy in Primary Health Care in a Brazilian Capital: Profile of Professionals and Users

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