Epidemiological aspects of American cutaneous leishmaniasis (ACL) in an endemic area of forest extractivist culture in western Brazilian Amazonia.

Autor: Brilhante AF; Universidade de São Paulo, Faculdade de Saúde Pública, São Paulo, São Paulo, Brazil., Melchior LAK; Universidade Federal do Acre, Rio Branco, Acre, Brazil., Nunes VLB; Universidade Anhanguera-Uniderp, Campo Grande, Mato Grosso do Sul, Brazil., Cardoso CO; Universidade Federal do Acre, Rio Branco, Acre, Brazil., Galati EAB; Universidade de São Paulo, Faculdade de Saúde Pública, São Paulo, São Paulo, Brazil.
Jazyk: angličtina
Zdroj: Revista do Instituto de Medicina Tropical de Sao Paulo [Rev Inst Med Trop Sao Paulo] 2017 Apr 13; Vol. 59, pp. e12. Date of Electronic Publication: 2017 Apr 13.
DOI: 10.1590/S1678-9946201759012
Abstrakt: The study sought to analyze clinical and epidemiological aspects of cutaneous leishmaniasis (CL) in Xapuri, Acre, Brazil. Data from 2008 to 2014 registered in the notification records of the disease of the Information System of the Complaints of Notification (SINAN), and the data of the Information Department of the Unified Health System (DATASUS) available from 2007 to 2013 were used and analyzed in the light of the statistics of the temporal series by the Prais-Winsten method and chi-squared test. A total of 906 cases were registered with 60.2% occurring in men and 39.7% in women. The groups from 0 to 4 years of age (48.0%) and from 5 to 19 years of age (23.3%) were the most affected. Regarding the clinical forms, 77.7% presented CL and 22.3% mucocutaneous leishmaniasis (MCL). Among the 896 cases with information on the diagnostic methods used, Montenegro's skin test predominated (66.4%), with a positive result of 95.8% for CL and 99.3% for MCL. Treatment with N-methylglucamine antimony was performed in 99.4% of the cases, but discontinuously used in the majority of patients. This study presents information which may be used as a tool for the epidemiological surveillance and control of the disease in Xapuri, a region which depends essentially on forest resources and ecological tourism.
Databáze: MEDLINE