Perfil De Pacientes Com Linfedema Atendidos No Serviço De Referência Nacional Em Filarioses Da Fundação Oswaldo Cruz, Pernambuco, Brasil

Abstract

A filariose linfática é uma parasitose endêmica em 73 países e afeta, aproximadamente, 120 milhões de pessoas em todo o mundo. Este trabalho buscou traçar o perfil de pacientes com linfedema que residem em áreas endêmicas de filariose, com ou sem diagnóstico comprovado de doença prévia. Trata-se de um estudo transversal que envolveu pacientes com linfedema, cadastrados no SRNF-CPqAM-FIOCRUZ-PE, residentes nas principais cidades da região metropolitana de Recife, capital do estado de Pernambuco, aos quais foi aplicado um questionário para avaliação do perfil sociodemográfico e epidemiológico. Foram selecionados 35 pacientes, sendo 80% do sexo feminino, a maioria com idade entre 40 e 59 anos (48,6%). Do total examinado, 40% apresentaram linfedema bilateral de membros inferiores e presença de dor moderada no membro afetado. Além disso, dos indivíduos atendidos, apenas 20% receberam diagnóstico de filariose e 68% relataram morar em ruas pavimentadas com disponibilidade de coleta regular de lixo e acesso à água potável. Os resultados deste estudo propiciaram um conhecimento mais abrangente do perfil dos pacientes com linfedema atendidos pelo serviço de referência e poderão auxiliar no aprimoramento das políticas públicas de saúde.

Funcionalidade e qualidade de vida em indivíduos com linfedema unilateral em membro inferior: um estudo transversal

“…In view of this, we stress the importance of controlling the chronic condition with appropriate treatment, which can make a positive contribution to quality of life in this population. 5 These patients had associated comorbidities, in line with the literature, 5,26,27 confirming that they are common in people with severe lymphatic dysfunction. 28 Arterial hypertension, obesity, and diabetes were the most common comorbidities, as in a study by Santana et al, 26 who state that if these conditions are not controlled they facilitate development of sequelae.…”

“…5 These patients had associated comorbidities, in line with the literature, 5,26,27 confirming that they are common in people with severe lymphatic dysfunction. 28 Arterial hypertension, obesity, and diabetes were the most common comorbidities, as in a study by Santana et al, 26 who state that if these conditions are not controlled they facilitate development of sequelae. Soares et al 5 reported these three comorbidities in a clinical study of patients with lymphedema living in an area where filariasis is endemic.…”

“…In addition to these conditions, inactivity was also prevalent in the present study and, since it is directly associated with obesity and diabetes, 29 it is linked with worse lymphedema prognosis. 26 Irrespective of lymphedema grade, circumferential measurements provide quantitative data that can be used to categorize lymphedema severity. According to the American Physical Therapy Association, 30 lymphedema is considered moderate when there are differences between limbs in the range of 3 to 5 cm and severe when the difference exceeds 5 cm.…”

The Impact of the COVID-19 Pandemic on People With Lymphedema in an Endemic Area for Lymphatic Filariasis in Brazil

“…Twenty-eight patients were included in follow-up care at the outpatient clinic of the National Reference Service for Filariasis at the Oswaldo Cruz Foundation in Pernambuco - Brazil. This service is the only one in the country, linked to the health public system, the Sistema Único de Saúde (SUS), which ranges from primary care to complex procedures, that provides multidisciplinary assistance in the investigation and follow-up of patients with morbidity from an endemic area of lymphatic filariasis ( 18 ).…”

Use of Complex Decongestive Therapy With Low Cost Material in a Patient With Lymphedema Living in an Endemic Area for Filariasis

“…In this study, in the bandaging step, a study was made (Soares et al, 2016;Santana et al, 2016) of the best fabric to be applied after CDT. An attempt was made to combine the resistance of the fabric with its low cost.…”