Relevância do grau de incapacidade física como preditor do diagnóstico tardio em hanseníase: Uma revisão de escopo

Alves, Gracinda Maria Gomes; Almeida, Alda Graciele Claudio dos Santos; Licetti, Mirana Moura; Costa, Caroline Magna de Oliveira; Araújo, Karina Conceição Gomes Machado de

doi:10.33448/rsd-v10i6.15399

Cited by 4 publications

(3 citation statements)

References 9 publications

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“…In our study, they accounted for 80.8 percent of the reported cases. The presence of leprosy disabilities is an indicator of late diagnosis and treatment [41][42][43]. This underscores the need to de ne and strengthen public health interventions aimed at early diagnosis and comprehensive care of people affected by M. leprae, especially those with severe forms of the disease, in order to reduce disability, mitigate associated stigma, and reduce disease transmission [42,[44][45][46].…”

Section: Discussionmentioning

confidence: 99%

Time trend and identification of risk areas for physical disability due to leprosy in Brazil: An ecological study, 2001-2022

Matos,

Souza,

Fernandes

et al. 2024

Preprint

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BACKGROUND Leprosy is a chronic infectious disease that affects the peripheral nerves, leading to neurological damage and physical disability. This study analysed the temporal trend in the rate of new leprosy cases with grade 2 physical disability in Brazil and identified spatial clusters of risk for physical disability. METHODS This is an ecological study of all new cases of leprosy with grade 2 physical disability (G2D) at diagnosis between 2001 and 2022 in Brazil, macro-regions, states and municipalities. Data were extracted from the National System of Notifiable Diseases and the Brazilian Institute of Geography and Statistics. Sociodemographic and clinical variables such as age, sex, race/colour, education and clinical form of the disease were analysed, as well as the rate of new cases of leprosy with grade 2 physical disability at the time of diagnosis per million inhabitants. Data analysis was divided into three stages: 1- Descriptive analysis of the socio-demographic and clinical profile; 2- Time series analysis: In this stage, the joint-point regression model was used; 3- Spatial analysis, using global and local Moran statistics. RESULTS There were 50,466 new cases of leprosy with G2D during the period studied, 97.4% aged > 14 years, 70.2% male, 45.7% brown, 87.6% with low education, 90.2% multibacillary and 47.5% dimorphic clinical form. There was a downward trend in the detection of leprosy with physical disability grade 2, with an average annual reduction of 2.8% (13.6/1 million in 2001 and 9.1/1 million in 2022). The southeast, south and north regions showed a downward trend. A total of 14 states and 4 capitals showed a decrease in the rate, the most significant being Roraima (-11.0%/year). Tocantins was the only state with an upward trend (3.2%/year). 635 (14.1%) municipalities were in the high-high quadrant. These municipalities belong to 12 Brazilian states and accounted for 30% (n = 15,139) of all cases recorded in the country over the 22 years analysed. CONCLUSIONS These results suggest an overall decrease in the detection of leprosy with physical disability in Brazil and highlight geographical disparities in the occurrence of leprosy disability. Interventions to promote early diagnosis should be targeted at areas with the highest rate of new cases with grade 2 disability.

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Section: Discussionmentioning

confidence: 99%

Time trend and identification of risk areas for physical disability due to leprosy in Brazil: An ecological study, 2001-2022

Matos,

Souza,

Fernandes

et al. 2024

Preprint

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“…We noticed that the more descriptors we added, the more identified articles varied. We accept the librarian's suggestions and, inspired by other scoping reviews [28][29][30][31] , and in the search strategy, we assumed several descriptors connections depending on the database and periodicals consulted.…”

Section: Methodsmentioning

confidence: 99%

Women with disabilities and their motherhood: scoping review

Morais,

Moreira,

Costa

2024

Ciênc. saúde coletiva

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This review aims to disclose the gaps and needs for acknowledging the rights to experience motherhood of women with disabilities. To do so, we map how much is known about these women’s experience with motherhood, shedding light on their sexual and reproductive rights. The present work followed the scoping review by the Joanna Briggs Institute (JBI). This research is structured by elaborating the question, identifying the relevant studies, selecting the studies, extracting the data, sorting, summarizing, and creating reports based on the results. Results: we found 1050 articles, of which 53 were selected for the analysis. considering the different themes, we generated three axes: (1) infantilization, dehumanization, and discredit in the experience of motherhood; (2) obstetric ableism - an expression of violence in obstetrics; (3) reproductive justice - politicize motherhood and care. The study showed the urgent need to regard women with disabilities as people having the right to make sexual and reproductive health choices. Health professionals need permanent education to acknowledge and guarantee such a need as interweaving relationships to reach decision-making and autonomy.

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“…Isso provavelmente está associado ao fato de que o diagnóstico da hanseníase é feito sobretudo de acordo com as manifestações clínicas, desta maneira, assim, a insuficiência de sintomas no início da doença pode contribuir para erros e subdiagnóstico (Santos,2017). Outro ponto a ser destacado é a falta de normas e registros com detalhes sobre o paciente, assim como a necessidade de capacitação das equipes nos serviços de saúde que prestam assistência às pessoas diagnosticadas com hanseníase, para que se possa evitar às subnotificações como também ao erro nas avaliações nos prontuários (Alves et al, 2021). Nesse sentido a dificuldade dos indivíduos em encontrar serviços, atendimento ou profissionais qualificados para identificar a doença associado a procura tardia de atendimento nos serviços de saúde, a ausência de informações sobre as manifestações clínicas, são considerados elementos que induzem a demora no diagnóstico (Rodrigues et al, 2012;Alves et al, 2021).…”

Section: Desafiosunclassified

Desafios atuais para a erradicação hanseníase: do diagnóstico ao tratamento

Souza¹,

Sales²,

Moita³

et al. 2022

RSD

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A hanseníase e uma doença crônica, granulomatosa, de evolução lenta causada pelo Mycobacterium leprae, que afeta pele e sistema nervoso periférico gerando incapacidades físicas. Apesar do uso da multidroga terapia, o número de novos casos ainda se mantém constante em muitos países. A possibilidade da eliminação global da hanseníase tem sido discutida pela OMS e por vários autores, desta forma, o presente trabalho tem como objetivo apresentar os desafios a ainda serem superados em relação ao seu diagnóstico e ao tratamento para que essa meta seja alcançada. Para isto, foram realizadas buscas de arquivos nas bases de dados SCOPUS, PUBMED, SCIELO, Google Acadêmico. Uma vez que o diagnóstico da hanseníase é baseado em alguns sinais clínicos, muitos profissionais têm dificuldade em reconhecer os achados sugestivos da doença. Um dos problemas serem contornados é a ausência de um exame que apresente especificidade e sensibilidade elevada para todas as formas clínicas. O desenvolvimento de um método rápido, sensível e não invasivo mostra-se de grande importância para o diagnóstico definitivo. O diagnóstico precoce é um fator crucial para o controle da doença e que pode prevenir o aparecimento de incapacidades. O tratamento da hanseníase, sua adesão e sua conclusão são essenciais, no entanto, a quantidade de pessoas que aderem a medicação tem sido inconstante. Além disso, a resistência do M. leprae aos fármacos atualmente existentes também se mostra como um obstáculo a ser superado. Dessa forma, muitos são os entraves que permanecem a serem superados para que hanseníase possa ser erradicada no mundo.

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Relevância do grau de incapacidade física como preditor do diagnóstico tardio em hanseníase: Uma revisão de escopo

Cited by 4 publications

References 9 publications

Time trend and identification of risk areas for physical disability due to leprosy in Brazil: An ecological study, 2001-2022

Time trend and identification of risk areas for physical disability due to leprosy in Brazil: An ecological study, 2001-2022

Women with disabilities and their motherhood: scoping review

Desafios atuais para a erradicação hanseníase: do diagnóstico ao tratamento

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