Ecoepidemologia e vigil??ncia da Leishmaniose Tegumentar Americana no munic??pio de Prainha, estado do Par??

Autor: Brito, Deusa Meriam da Silva
Přispěvatelé: Xavier, Mar??lia Brasil
Jazyk: portugalština
Rok vydání: 2013
Předmět:
Zdroj: Biblioteca Digital de Teses e Dissertações da UFAM
Universidade Federal do Amazonas (UFAM)
instacron:UFAM
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No. of bitstreams: 1 Disserta????o - Deusa Meriam da Silva Brito.pdf: 1835674 bytes, checksum: dc1cc39df6ef4dffacd36368948c8b52 (MD5) Previous issue date: 2013-03-12 N??o informada The Leishmaniasis has control hindered by its clinicai variability, multiplicity of vectors and hosts, and presents various modes of transmission. Are vector-borne infectious diseases, with wide distribution in the world, and, according to the World Health Organization, part of a set of six tropical diseases most important in Europe and the Americas. Present clinicai form visceral, tegumentary and mucosal. Its transmission cycle is subject to a variability of detenninants, which highlights the aggression of man on the environment. This study describes the situation of ecoepidemiology surveillance of American Cutaneous Leislunaniasis, in the municipality of Prainha, State of Par?? (PA), Amazonia, Brazil, using secondary data from the System National Notifiable Diseases (SINAN) and primary data entomological surveys conducted in areas of high concentration of cases. We identified 386 cases in the period from 2002 to 2011, with 374 autochthonous (96%), new 356 (92.5%), 380 of cutaneous form (98.4%). Of the total cases 333 (86.3%) were confirmed by direct examination, 85 patients underwent Montenegro test (IRAM), 72 with positive result and only 15 underwent histopathological examination. The profile of the population is affected males (84.7%), greater than 10 years (93.0%), residing in rural amas (89.4%), with incomplete primary education levei (55.2%). The vector found in most entomological surveys conducted was Lutzomyia flaviscutellata extradomiciliar space, in this period more and less rainy. The conclusion is that the city is in Very High Risk classification, 4th, the parameter of the Ministry of Health has competent vectors for transmission of Leishmania infection with high power as Lu. Raviscutellata, Lu. Longipalpis and Lu. Whitmani. The Surveillance, despite having a good cure rate and parasitological confirmation, still has 32.4% of the lack of information regarding the System prognosis As Leishmanioses t??m o controle dificultado pela sua variabilidade cl??nica, multiplicidade de vetores e hospedeiros, al??m de apresentar diversos modos de transmiss??o. S??o doen??as infecciosas de difus??o vetorial, com ampla distribui????o no mundo, e, segundo a Organiza????o Mundial da Sa??de, integram um conjunto de seis doen??as tropicais mais importantes na Europa e nas Am??ricas. Apresentam forma cl??nica visceral, tegumentar e mucosa. Seu ciclo de transmiss??o est?? sujeito a uma variabilidade de determinantes, onde se destacam as agress??es do homem ao meio ambiente Este estudo descreve a-situa????o da ecoepidemiologia e vigil??ncia da Leishmaniose Tegumentar Americana (LTA), no Munic??pio de Prainha, Estado do Par??, Amaz??nia, Brasil, utilizando dados secund??rios do Sistema Nacional de Agravos de Notifica????o (SINAN) e dados prim??rios de levantamentos entomol??gicos realizados em ??reas de maior concentra????o de casos. Foram identificados 386 casos, no per??odo de 2002 a 2011, sendo 374 aut??ctones (96%), 356 novos (92,5%), 380 da forma cut??nea (98,4%). Do total de casos, 333 (86,3%) foram confirmados pelo exame direto, 85 pacientes realizaram a Intradermo Rea????o de Montenegro (IDRM), sendo 72 com resultado positivo e apenas 15 realizaram o exame histopatol??gico. O perfil da popula????o afetada ?? de indiv??duos do sexo masculino (84,7%), maior de 10 anos (93,0%), residente na ??rea rural (89,4%), com n??vel de escolaridade fundamental incompleto (55,2). O vetor mais encontrado nos levantamentos entomol??gicos realizados foi a Lutzornyia flaviscutellata no espa??o extradomiciliar, presente nos per??odos mais e menos chuvosos. A conclus??o ?? que o munic??pio est?? na classifica????o de Muito Alto Risco, 4?? quartil, pelo par??metro do Minist??rio da Sa??de, tem vetores competentes para transmiss??o de leishmanias com alto poder de infec????o como a Lu. Flaviseutellwa, Lu. Longipalpis e Lu. Whitmant A Vigil??ncia Epidemiol??gica, apesar de ter apresentado um bom ??ndice de cura e de confirma????o parasitol??gica, ainda apresenta 32,4% de falta de informa????o ao Sistema sobre a evolu????o dos casos
Databáze: OpenAIRE
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