Hanseníase no Município de Buriticupu, Estado do Maranhão: busca ativa de casos na população adulta

Silva, Antônio Rafael da; Matos, Wilma Batista de; Silva, Camila Cristina Bastos; Gonçalves, Eloisa da Graça do Rosario

doi:10.1590/s0037-86822010000600018

Cited by 26 publications

(28 citation statements)

References 4 publications

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“…The SALSA scale results showed that most respondents had no activity limitations, which differed from the findings of Ikehara et al 24 . Cases with scores reflecting no limitations were the most frequent, followed by cases with scores reflecting mild limitations, a result similar to that reported by Silva et al 25 .…”

Section: Discussionsupporting

confidence: 90%

Assessment of the sensory and physical limitations imposed by leprosy in a Brazilian Amazon Population

Aben-Athar

Lima

Ishak

et al. 2017

Rev. Soc. Bras. Med. Trop.

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Introduction: Leprosy often results in sensory and physical limitations. This study aimed to evaluate these limitations using a quantitative approach in leprosy patients in Belém (Pará, Brazil). Methods: This epidemiological, cross-sectional study measured the sensory impairment of smell and taste through the use of a questionnaire and evaluated activity limitations of daily life imposed by leprosy through the Screening of Activity Limitation and Safety Awareness (SALSA) Scale. Data were collected from 84 patients and associations between the degree of disability and clinical and epidemiological characteristics were assessed. Results: The majority of patients were men (64.3%), married (52.4%), age 31-40 years old (26.2%), had primary education (50%), and were independent laborers (36.9%). The multibacillary operational classification (81%), borderline clinical form (57.1%), and 0 degrees of physical disability (41.7%) were predominant. SALSA scores ranged from 17 to 59 points, and being without limitations was predominant (53.6%). The risk awareness score ranged from 0 to 8, with a score of 0 (no awareness of risk) being the most common (56%). Evaluation of smell and taste sensory sensitivities revealed that 70.2% did not experience these sensory changes. Patients with leprosy reactions were 7 times more likely to develop activity limitations, and those who had physical disabilities were approximately four times more likely to develop a clinical picture of activity limitations. Conclusions: Most patients showed no sensory changes, but patients with leprosy reactions were significantly more likely to develop activity limitations. Finally, further studies should be performed, assessing a higher number of patients to confirm the present results.

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Section: Discussionsupporting

confidence: 90%

Assessment of the sensory and physical limitations imposed by leprosy in a Brazilian Amazon Population

Aben-Athar

Lima

Ishak

et al. 2017

Rev. Soc. Bras. Med. Trop.

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“…Another study, conducted in the city of Buriticupu (MA), also reported a higher rate of female leprosy patients 14 . However, there are studies 15,16 that found a higher percentage of males. It has been suggested that the biggest concern with body image and specific policies for the female population would justify the predominance of females 14 .…”

Section: Discussionmentioning

confidence: 97%

“…In 2011, a high detection rate of 15.88/100,000 inhabitants was registered in Brazil, according to parameters of the Ministry of Health 1 . Maranhão, in 2011, showed an overall detection rate of 56.0/100,000 inhabitants and was classified as a hyperendemic state.…”

Section: Introductionmentioning

confidence: 99%

Neural complications and physical disabilities in leprosy in a capital of northeastern Brazil with high endemicity

Araujo

Aquino

Goulart

et al. 2014

Rev. bras. epidemiol.

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Introduction:Leprosy is an infectious disease whose etiologic agent is Mycobacterium leprae, manifested by dermatological and neurological signs and symptoms. Objective: To investigate neural changes and the degree of physical disability in the eyes, hands and feet before and after treatment, as well as sociodemographic and clinical profile of patients affected by leprosy. Method: A longitudinal epidemiological study comprising 155 patients with leprosy, from a spontaneous demand, diagnosed between March 2010 and February 2011, and treated with multidrug therapy (MDT) between March 2010 and July 2012 in a program for leprosy eradication in São Luis (MA), Brazil. Results: Before treatment, 46.5% of patients were considered as borderline, 51.6% had some alteration in the eyes and 52.3% in the feet, and the radial nerve (18.7%) was the most affected. There was a statistically significant difference between the changes in the radial nerve at the beginning of and after treatment. Conclusions: The analysis points to late diagnosis, as some patients have had abnormal neural and physical disabilities before treatment.

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“…The studies of Phases I and II were published in the Journal of the Brazilian Society of Tropical Medicine 6,7 . This study was developed to determine the detection rate of leprosy in the general population, identify the clinical forms, examine the contacts, and treat the diagnosed cases.…”

Section: Resultsmentioning

confidence: 99%

“…In the City of Buriticupu the detection rate was 23.6 new cases per 10,000 inhabitants in the year 2000 and 27.4 per 10,000 in 2001 6,7 , thus motivating the development of the current research.…”

Section: Introductionmentioning

confidence: 92%

Leprosy in Buriticupu, state of Maranhão: active search in the general population

Silva

Santos

et al. 2012

Rev. Soc. Bras. Med. Trop.

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Introduction: This study was developed to evaluate the situation of leprosy in the general population of the municipality of Buriticupu, State of Maranhão, Brazil. Methods: We used the method of active search to identify new cases from 2008 to 2010. Bacilloscopy of intradermal scrapings was performed in all patients with skin lesions compatible with leprosy, and histopathological examination in those who had doubts on the definition of the clinical form. Results: The study included 19,104 individuals, with 42 patients diagnosed with leprosy after clinical examination, representing a detection rate of 219.84 per 100,000 inhabitants. The predominant clinical presentation was tuberculoid with 24 (57.1%) cases, followed by borderline with 11, indeterminate with four, and lepromatous with three cases. The study also allowed the identification of 81 patients with a history of leprosy and other skin diseases, such as pityriasis versicolor, dermatophytosis, scabies, vitiligo, and skin carcinoma. The binomial test showed that the proportion of cases in the headquarters was significantly higher than that in the villages (p = 0.04), and the generalized exact test showed that there was no association between age and clinical form (p = 0.438) and between age and gender (p = 0.083). Conclusions:The elevated detection rate defines the city as hyperendemic for leprosy; the active search for cases, as well as the organization of health services, is an important method for disease control.

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Hanseníase no Município de Buriticupu, Estado do Maranhão: busca ativa de casos na população adulta

Abstract: The high detection coefficient defines the town of Buriticupu, MA, as hyperendemic for leprosy. Active cases search is an important method for disease control.

Cited by 26 publications

References 4 publications

Assessment of the sensory and physical limitations imposed by leprosy in a Brazilian Amazon Population

Assessment of the sensory and physical limitations imposed by leprosy in a Brazilian Amazon Population

Neural complications and physical disabilities in leprosy in a capital of northeastern Brazil with high endemicity

Leprosy in Buriticupu, state of Maranhão: active search in the general population

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