Recidivas de hanseníase em Centros de Referência de Teresina, Piauí, 2001-2008

Bona, Sebastião Honório; Silva, Lara Oliveira Bona do Vale e; Costa, Uylma Assunção; Holanda, Aldenora Oliveira do Nascimento; Campelo, Viriato

doi:10.5123/s1679-49742015000400015

Cited by 15 publications

(18 citation statements)

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“…This age is close to data found in studies conducted in the North (49 years) [17], Midwest (46.3 years) [13] and Northeast of Brazil (42.3 years) [10]. The predominance of adults in leprosy relapse cases is also common in India and Colombia where the predominant age groups are 15-35 years and average of 39 years, respectively [14,18].…”

Section: Discussionsupporting

confidence: 83%

“…The operational classification has significant influence on cases of leprosy relapse; the multibacillary form is four times more likely to induce a relapse than the paucibacillary form [10]. Such information becomes even more alarming when considering the inconsistencies in the system, since there is no congruence between the operational classification, the number of nerves affected and the number of injuries that can be related to the permanent and continuous education of the professionals involved in the care.…”

Section: Discussionmentioning

confidence: 99%

“…In Teresina, 56 relapsed cases were diagnosed from 2001 to 2008, and some nerves were observed to be already affected in 18% (n = 10) of these cases [10,9].…”

Section: Introductionmentioning

confidence: 99%

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Relapsed Cases Of Leprosy In A Hyperendemic City In Northeast Brazil

Sena

Machado²,

Brito³

et al. 2017

int arch med

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Leprosy is a chronic infectious disease influenced by unfavorable housing and sanitation conditions and number of cohabitants, especially in cases of relapses. Methods: This is a cross-sectional study conducted in Teresina, a high leprosy endemic city. Association tests (chi-square or Fisher's exact test) were used to analyze data.Results: Three hundred and six cases were reported; 42.5% were registered in Basic Health Units (BHUs) and 57.5%, in Reference Units (RUs). There was predominance of multibacillary forms of leprosy. The typo of health unit reporting the case was associated with the clinical form of the disease (p < 0.01) and the number of affected nerves (p < 0.05). Records without specification of the clinical form were more frequent in BHUs than in RUs, and the dimorphic form was more frequently reported in RUs. Conclusions:The present data has similarities with other studies, but it is believed that underreporting of cases takes place in the studied city. Thus, greater attention is necessary to the diagnostic confirmation of relapses. Training health professionals on epidemiological surveillance is fundamental, as well as the appropriate management of relapsed cases of leprosy in the context of public health.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 99%

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Relapsed Cases Of Leprosy In A Hyperendemic City In Northeast Brazil

Sena

Machado²,

Brito³

et al. 2017

int arch med

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“…In addition, the man has a hormonal predisposition that favors the penetration and the dissemination of bacilli in the body. [5][6][7][8] In this way, the male sex is exposed to the bacillus, which can be one of the main factors that explain the high prevalence in the gender. Nevertheless, some studies show, in certain populations, a greater number of infected women, justified by their greater routine demand to health services because they are more concerned with their appearance.…”

mentioning

confidence: 99%

“…The studies reported that the presence of relapse in women occurs due to situations such as pregnancy and breastfeeding. 5,8,12,25 The correct notification of cases of leprosy relapse is an important tool for the planning and the adoption of strategies for blocking the transmission of M. leprae. The dimorphic clinical form, which was prevalent in the study, has incapacitating potential and still contributes to the transmission of the disease, because individuals have high bacillary load and eliminate the bacillus to the external environment, contributing to the epidemiological chain, with a consequent increase of cases in the state.…”

mentioning

confidence: 99%

Recidiva da hanseníase entre os anos 2005-2015

Almeida

Menezes

Alves

et al. 2018

Rev enferm UFPE on line.

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RESUMOObjetivo: descrever os casos de recidiva da hanseníase entre os anos de 2005-2015. Método: estudo quantitativo, descritivo, transversal dos casos confirmados de recidiva em hanseníase, no período de 2005 a 2015, no SINAN. Os dados foram tabulados no Bioestat 5.0 gerando-se as tabelas e se realizou a análise descritiva e o teste do Qui-quadrado de Pearson ao nível de significância de 5% (p<0,05). Resultados: foram notificados 1.351 (7,87%,) casos de recidiva da hanseníase no Estado da Bahia, com prevalência no sexo masculino (61,1%), em pardos (57,7%) e com idade maior ou igual a 15 anos (99,6%). A forma clínica dimorfa, o grau zero de incapacidade e a classificação operacional para MB foram os mais frequentes, tendo a PQT/MB/12 utilizada em 82,1% dos casos. Conclusão: há baixa efetividade no controle da hanseníase no Estado da Bahia, uma vez que se observa uma prevalência relativamente alta de casos de recidiva no período em estudo. Descritores: hanseníase; Recidiva; Epidemiologia; Doenças Negligenciadas; Mycobacterium leprae; hanseníase Multibacilar.ABSTRACT Objective: to describe the cases of leprosy relapse between the years 2005-2015. Method: quantitative, descriptive, cross-sectional study of confirmed cases of leprosy relapse, in the period from 2005 to 2015, in SINAN. Data were tabulated on Bioestat 5.0 generating tables, and descriptive analysis and Pearson chi-square test were performed at a significance level of 5% (p<0.05). Results: there were 1,351 (7.87%) cases of leprosy relapse in the state of Bahia, with prevalence in males (61.1%), pardos (57.7%) and with age greater than or equal to 15 years (99.6%). The dimorphic clinical form, the zero degree of incapacity and the operational classification for MB were the most frequent, using PCT/MB/12 in 82.1% of cases. Conclusion: there is low effectiveness in the control of leprosy in the state of Bahia, since there was a relatively high prevalence of cases of relapse in the period under study. Descriptors: Leprosy; Relapse; Epidemiology; Neglected Diseases; Mycobacterium leprae; Multibacillary leprosy.RESUMEN Objetivo: describir los casos de recidiva de lepra entre los años 2005-2015. Método: estudio cuantitativo, descriptivo, transversal de casos confirmados de recidiva de lepra, en el período de 2005 a 2015, SINAN. Los datos fueron tabulados en el Bioestat 5.0 generar tablas y se realizó el análisis descriptivo y la prueba de chi-cuadrado de Pearson para un nivel de significancia del 5% (p<0,05). Resultados: se notificaron 1.351 (7,87%) casos de recidivas de lepra en el estado de Bahia, con predominio en el sexo masculino (61,1%), pardos (57,7%) y con edad igual o superior a 15 años (99,6%). La forma clínica dimorfa, el grado cero de la incapacidad y la clasificación operacional para MB fueron las más frecuentes, utilizándose PQT/MB/12 en 82,1% de los casos. Conclusión: existe poca efectividad en el control de la lepra en el estado de Bahia, ya que se observó una prevalencia relativamente alta de casos de recidiva en el periodo bajo estudio. Descritores: Lepra; Recidiva; Epidemiologia; Enfermedades Olvidadas; Mycobacterium leprae; Hanseniasis Multibacilar.

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