Relapse in leprosy: revelations from epidemiological notifications
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Hansenologia Internationalis (Online) |
Texto Completo: | https://periodicos.saude.sp.gov.br/hansenologia/article/view/34965 |
Resumo: | Type of study: comparative, observational, crosssectional, descriptive study. Objectives: to verify characteristics of leprosy relapsing cases; to clarify peculiarities of such people; to compare results with pertinent technical literature information; to try to understand respective convergences and divergences. Methods: study carried out on data from Health Surveillance Unit of Hospital and Maternity Celso Pierro, Campinas, Brazil, on 110 epidemiological notification information forms have been recorded from the National System on Diseases (SINAN) during eight consecutive years. Descriptive results, referring to position and variability measures are presented on table configuration. Associations have been searched by Goodman’s tests intra and inter multinomial proportions. Results: it was observed that, in the diagnosis process, no relapse cases are more probably referred by other services, affected only by one lesion, with one or two nerves impaired and no physical disabilities. Otherwise, relapsed patients are classified as multibacillary, even if with negative bacilloscopy. Conclusions: such characteristics differ in some aspects in relation to what is mentioned on the literature. This can be explained by the way SINAN data are collected and processed, as well as by medical experience on detecting relapses and by operational difficulties presented in the Basic Health Units. |
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Relapse in leprosy: revelations from epidemiological notificationsRecidiva em hanseníase: revelações a partir de notifcações epidemiológicasEpidemiologiaHanseníaseSaúde PúblicaEpidemiologyLeprosyPublic HealthType of study: comparative, observational, crosssectional, descriptive study. Objectives: to verify characteristics of leprosy relapsing cases; to clarify peculiarities of such people; to compare results with pertinent technical literature information; to try to understand respective convergences and divergences. Methods: study carried out on data from Health Surveillance Unit of Hospital and Maternity Celso Pierro, Campinas, Brazil, on 110 epidemiological notification information forms have been recorded from the National System on Diseases (SINAN) during eight consecutive years. Descriptive results, referring to position and variability measures are presented on table configuration. Associations have been searched by Goodman’s tests intra and inter multinomial proportions. Results: it was observed that, in the diagnosis process, no relapse cases are more probably referred by other services, affected only by one lesion, with one or two nerves impaired and no physical disabilities. Otherwise, relapsed patients are classified as multibacillary, even if with negative bacilloscopy. Conclusions: such characteristics differ in some aspects in relation to what is mentioned on the literature. This can be explained by the way SINAN data are collected and processed, as well as by medical experience on detecting relapses and by operational difficulties presented in the Basic Health Units.Modelo do estudo: estudo observacional transversal seriado descritivo de retro-análise comparativo multifásico. Objetivos do estudo: verificar características clínicas de casos de recidiva em hanseníase, identificados no momento da notificação. Metodologia: estudo realizado a partir da Unidade de Vigilância em Saúde (VISA) do Hospital e Maternidade Celso Pierro (HMCP), através da coleta de dados de 110 fichas de notificação / investigação de hanseníase do Sistema de Informação de Agravos de Notificação (SINAN) referentes a período de oito anos consecutivos, complementados com registros clínicos viáveis, em serviço médico-hospitalar universitário. Resultados descritivos, relativos às medidas de posição e variabilidade, apresentados sob forma tabular. Para os estudos das associações entre os atributos e as categorias de respostas, aplicação do teste de Goodman intra e inter proporções multinomiais. Todas as inferências estatísticas foram realizadas ao nível de 5% de significância. Resultados: apurou-se que, diante de casos novos para diagnóstico, são mais provavelmente não recidivantes aqueles detectados por encaminhamento que apresentam lesão única, um ou dois nervos afetados e sem incapacidades físicas. Já os recidivantes se classificam predominantemente como multibacilares, embora com baciloscopia negativa. Conclusões: Tais características divergem em alguns aspectos do encontrado na literatura técnica, cogitando-se como fatores explicativos possíveis a forma como são coletados e processados os dados do SINAN, o preparo dos médicos em detectar e a própria dificuldade do diagnóstico mediante a dinâmica das unidades básicas de saúde.Instituto Lauro de Souza Lima da Secretaria de Estado da Saúde de São Paulo2017-11-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionAvaliado pelos paresapplication/pdfhttps://periodicos.saude.sp.gov.br/hansenologia/article/view/3496510.47878/hi.2017.v42.34965Hansenologia Internationalis: leprosy and other infectious diseases; Vol. 42 No. 1/2 (2017); 2-11Hansenologia Internationalis: hanseníase e outras doenças infecciosas; v. 42 n. 1/2 (2017); 2-111982-5161reponame:Hansenologia Internationalis (Online)instname:Instituto Lauro de Souza Lima (ILSL)instacron:ILSLporhttps://periodicos.saude.sp.gov.br/hansenologia/article/view/34965/33463Paschoal, Ana BeatrizGonçalves, AguinaldoPadovani, Carlos Robertoinfo:eu-repo/semantics/openAccess2021-06-04T01:26:53Zoai:ojs.periodicos.saude.sp.gov.br:article/34965Revistahttps://periodicos.saude.sp.gov.br/hansenologiaPRIhttps://periodicos.saude.sp.gov.br/hansenologia/oaihansen_int@ilsl.br || hansenologia.internationalis@gmail.com || periodicossp@saude.sp.gov.br1982-51610100-3283opendoar:2021-06-04T01:26:53Hansenologia Internationalis (Online) - Instituto Lauro de Souza Lima (ILSL)false |
dc.title.none.fl_str_mv |
Relapse in leprosy: revelations from epidemiological notifications Recidiva em hanseníase: revelações a partir de notifcações epidemiológicas |
title |
Relapse in leprosy: revelations from epidemiological notifications |
spellingShingle |
Relapse in leprosy: revelations from epidemiological notifications Paschoal, Ana Beatriz Epidemiologia Hanseníase Saúde Pública Epidemiology Leprosy Public Health |
title_short |
Relapse in leprosy: revelations from epidemiological notifications |
title_full |
Relapse in leprosy: revelations from epidemiological notifications |
title_fullStr |
Relapse in leprosy: revelations from epidemiological notifications |
title_full_unstemmed |
Relapse in leprosy: revelations from epidemiological notifications |
title_sort |
Relapse in leprosy: revelations from epidemiological notifications |
author |
Paschoal, Ana Beatriz |
author_facet |
Paschoal, Ana Beatriz Gonçalves, Aguinaldo Padovani, Carlos Roberto |
author_role |
author |
author2 |
Gonçalves, Aguinaldo Padovani, Carlos Roberto |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Paschoal, Ana Beatriz Gonçalves, Aguinaldo Padovani, Carlos Roberto |
dc.subject.por.fl_str_mv |
Epidemiologia Hanseníase Saúde Pública Epidemiology Leprosy Public Health |
topic |
Epidemiologia Hanseníase Saúde Pública Epidemiology Leprosy Public Health |
description |
Type of study: comparative, observational, crosssectional, descriptive study. Objectives: to verify characteristics of leprosy relapsing cases; to clarify peculiarities of such people; to compare results with pertinent technical literature information; to try to understand respective convergences and divergences. Methods: study carried out on data from Health Surveillance Unit of Hospital and Maternity Celso Pierro, Campinas, Brazil, on 110 epidemiological notification information forms have been recorded from the National System on Diseases (SINAN) during eight consecutive years. Descriptive results, referring to position and variability measures are presented on table configuration. Associations have been searched by Goodman’s tests intra and inter multinomial proportions. Results: it was observed that, in the diagnosis process, no relapse cases are more probably referred by other services, affected only by one lesion, with one or two nerves impaired and no physical disabilities. Otherwise, relapsed patients are classified as multibacillary, even if with negative bacilloscopy. Conclusions: such characteristics differ in some aspects in relation to what is mentioned on the literature. This can be explained by the way SINAN data are collected and processed, as well as by medical experience on detecting relapses and by operational difficulties presented in the Basic Health Units. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-11-30 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Avaliado pelos pares |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.saude.sp.gov.br/hansenologia/article/view/34965 10.47878/hi.2017.v42.34965 |
url |
https://periodicos.saude.sp.gov.br/hansenologia/article/view/34965 |
identifier_str_mv |
10.47878/hi.2017.v42.34965 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://periodicos.saude.sp.gov.br/hansenologia/article/view/34965/33463 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Instituto Lauro de Souza Lima da Secretaria de Estado da Saúde de São Paulo |
publisher.none.fl_str_mv |
Instituto Lauro de Souza Lima da Secretaria de Estado da Saúde de São Paulo |
dc.source.none.fl_str_mv |
Hansenologia Internationalis: leprosy and other infectious diseases; Vol. 42 No. 1/2 (2017); 2-11 Hansenologia Internationalis: hanseníase e outras doenças infecciosas; v. 42 n. 1/2 (2017); 2-11 1982-5161 reponame:Hansenologia Internationalis (Online) instname:Instituto Lauro de Souza Lima (ILSL) instacron:ILSL |
instname_str |
Instituto Lauro de Souza Lima (ILSL) |
instacron_str |
ILSL |
institution |
ILSL |
reponame_str |
Hansenologia Internationalis (Online) |
collection |
Hansenologia Internationalis (Online) |
repository.name.fl_str_mv |
Hansenologia Internationalis (Online) - Instituto Lauro de Souza Lima (ILSL) |
repository.mail.fl_str_mv |
hansen_int@ilsl.br || hansenologia.internationalis@gmail.com || periodicossp@saude.sp.gov.br |
_version_ |
1796797578381099008 |