Risk factors for Leishmania chagasi infection in an endemic area in Raposa, State of Maranhão, Brazil
| Autor: | Aldina Barral, Dorlene Maria Cardoso de Aquino, Natália Coelho Souza, Arlene de Jesus Mendes Caldas, Maria Neuza Cavalcante, Charlene Barreto Ponte |
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| Rok vydání: | 2011 |
| Předmět: |
Male
Microbiology (medical) lcsh:Arctic medicine. Tropical medicine Endemic Diseases Urban Population Leishmaniose visceral lcsh:RC955-962 Montenegro skin test Biology Dogs Risk Factors Calazar parasitic diseases Animals Humans Child Kalazar Intradermorreação de Montenegro Visceral leishmaniasis Fatores de risco Leishmania chagasi Infant Newborn Infant Endemic area Intradermal Tests Cross-Sectional Studies Infectious Diseases Risk factors Child Preschool Leishmaniasis Visceral Female Parasitology Chickens Humanities Brazil |
| Zdroj: | Revista da Sociedade Brasileira de Medicina Tropical v.44 n.6 2011 Revista da Sociedade Brasileira de Medicina Tropical Sociedade Brasileira de Medicina Tropical (SBMT) instacron:SBMT Revista da Sociedade Brasileira de Medicina Tropical, Vol 44, Iss 6, Pp 712-721 (2011) |
| ISSN: | 1678-9849 0037-8682 |
| DOI: | 10.1590/s0037-86822011005000059 |
| Popis: | INTRODUCTION: Infection with Leishmania chagasi is the most common clinical presentation for visceral leishmaniaisis in endemic areas. The municipality of Raposa is an endemic area in State of Maranhão, Brazil, and have had registration cases of visceral leishmaniasis disease. For this reason, a cross- sectional study was conducted to evaluate the risk factors for infection with L. chagasi detected by Montenegro skin test. METHODS: The sample comprised 96% of the inhabitants of the villages of Maresia, Pantoja, and Marisol located in the municipality of Raposa, corresponding to 1,359 subjects. Data were collected using a questionnaire. Univariate and multivariate logistic regression models were applied to evaluate the association between the variables studied and infection of L. chagasi. RESULTS: The variables associated with infection upon nonadjusted analysis were a straw roof, mud walls, floors of beaten earth, presence of sand flies inside or outside of the dwelling, and bathing outdoors. Adjusted analysis showed that the presence of sand flies inside/outside the dwelling was a risk factor, and age younger than 10 years was a protective factor against asymptomatic infection. CONCLUSIONS: The results highlight the extent to which precarious living conditions of the population strengthen the epidemiological chain of visceral leishmaniasis. |
| Databáze: | OpenAIRE |
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