Criação de banco de dados para sustentação da pós-eliminação em hanseníase

Paschoal, Vânia Del'Arco; Nardi, Susilene Maria Tonelli; Cury, Maria Rita de Cássia Oliveira; Lombardi, Clovis; Virmond, Marcos da Cunha Lopes; Silva, Renée Matar Dourado Neta da; Paschoal, José Antonio Armani; Magalhais, Lílian Carla; Conte, Ellen Carolina Marques; Kubota, Rosina Maria Martins; Soubhia, Rosa Maria Cordeiro

doi:10.1590/s1413-81232011000700052

Cited by 13 publications

(11 citation statements)

References 3 publications

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“…This is due to their high costs. They are therefore out of reach for the majority of the patients with leprosy that have low incomes in Brazil 8 , 22 .…”

Section: Discussionmentioning

confidence: 99%

Diagnosis and medical treatment of neuropathic pain in leprosy

Arco¹,

Nardi

Bassi³

et al. 2016

Rev. Latino-Am. Enfermagem

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Objective: to identify the difficulties in diagnosing and treating neuropathic pain caused by leprosy and to understand the main characteristics of this situation. Methods: 85 patients were treated in outpatient units with reference to leprosy and the accompanying pain. We used a questionnaire known as the Douleur Neuropathic 4 test and we conducted detailed neurological exams. As a result, 42 patients were excluded from the study for not having proved their pain. Results: Out of the 37 patients that experienced pain, 22 (59.5%) had neuropathic pain (or a mixture of this pain and their existing pain) and of these 90.8% considered this pain to be moderate or severe. 81.8% of the sample suffered with this pain for more than 6 months. Only 12 (54.5%) of the patients had been diagnosed with neuropathic pain and in almost half of these cases, this pain had not been diagnosed. With reference to medical treatment (n=12) for neuropathic pain, 5 (41.6%) responded that they became better. For the other 7 (58.4%) there were no changes in relation to the pain or in some cases the pain worsened in comparison to their previous state. Statistical analysis comparing improvements in relation to the pain amongst the patients that were treated (n=12) and those that were not, showed significant differences (value p=0.020). Conclusion: we noted difficulties in diagnosing neuropathic pain for leprosy in that almost half of the patients that were studied had not had their pain diagnosed. We attributed this to some factors such as the non-adoption of the appropriate protocols which led to inadequate diagnosis and treatment that overlooked the true picture.

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“…This is due to their high costs. They are therefore out of reach for the majority of the patients with leprosy that have low incomes in Brazil 8 , 22 .…”

Section: Discussionmentioning

confidence: 99%

Diagnosis and medical treatment of neuropathic pain in leprosy

Arco¹,

Nardi

Bassi³

et al. 2016

Rev. Latino-Am. Enfermagem

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“…Cases eligible for this study were identifi ed in the Hansen project database, 14 In these two centres, the patients undergo a complete evaluation during their consultations or, at the very least, every three months during the treatment and are given advice on techniques for preventing disabilities. This advice is given verbally, sometimes with the aid of teaching material and patients and their families are given demonstrations of how these should be carried out and their understanding is confi rmed during the occupational therapy (OT) sessions.…”

Section: Methodsmentioning

confidence: 99%

Deficiências após a alta medicamentosa da hanseníase: prevalência e distribuição espacial

et al. 2012

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OBJECTIVE:To estimate the frequency of people with leprosy-related physical disabilities after release from multidrug treatment and to analyze their spatial distribution. METHODS:Descriptive cross-sectional study with 232 leprosy patients treated between 1998 and 2006. Physical disabilities were assessed using the World Health Organization disability grading and the eye-hand-foot (EHF) sum score. The residential address of patients and rehabilitation centers were geocoded. It was estimated the overall frequency of physical disability and frequency by disability grade (grade 0, grade 1, and grade 2) according to the WHO disability grading taking into consideration clinical and sociodemographic variables in the descriptive analysis. Student's t-test, chi-square test (χ2), and Fisher's test were used as appropriate at a 5% signifi cance level. RESULTS:Of the patients studied, 51.6% were female, mean age 54 years old (SD 15.7), 30.5% had less than 2 years of formal education, 43.5% were employed, and 26.9% were retired. Borderline leprosy was the most prevalent form of leprosy (39.9%). A total of 32% of these patients had disabilities according to the WHO disability grading and the EHF score. Disabilities increased with age (p = 0.029), they were more common in patients with multibacillary leprosy (p = 0.005) and poor self-rated physical health (p < 0.001). Those who required prevention/rehabilitation care traveled on average 5.5 km to the rehabilitation center. People with physical disabilities lived scattered across the city but they were mostly concentrated in the most densely populated and socioeconomically deprived area. CONCLUSIONS:There is a high frequency of people with leprosy-related disabilities after release from multidrug therapy. Prevention and rehabilitation actions should target uneducated and older patients, those who had multibacillary forms of leprosy and poor self-rated physical health. The travel distance to rehabilitation centers calls for reorganization of local care networks.

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“…11 Além disso, o presente estudo identificou limitações assinaladas em relação à ferramenta do SINAN utilizada. Paschoal et al 12 acrescentam outras ocor-rências: duplicidade de registros, ausência de padronização no lançamento dos dados, falhas de digitação, proveniência de diversas fontes e a partir de múltiplos acessos, perdas, negligência dos funcionários responsáveis pelo preenchimento. Os dados epidemiológicos fornecem substratos para o planejamento das ações de controle e prevenção da doença.…”

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