Prevalence and control of Hansen’s disease: a research in an urban occupation area of São Luis, Maranhão state, Brazil
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Publication Date: | 2013 |
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Format: | Article |
Language: | por |
Source: | Revista Brasileira de Medicina de Família e Comunidade (Online) |
Download full: | https://www.rbmfc.org.br/rbmfc/article/view/690 |
Summary: | Objective: To study the prevalence of patients with disability owing to leprosy in three Primary Healthcare Centres (PHC) in São Luis, Maranhão state and to discuss possible ways of disease control. Methods: A retrospective descriptive study based on medical records of all leprosy patients (n=57) registered in these PHCs between 2008 and 2009. The following variables were analyzed: age, sex, aspect and clinical status (DPD - Degree of Physical Disability, operational classification and clinical form). Results: Fifty-seven medical records of patients with leprosy were found, and 24 of them contained some alteration in the DPD of patients. Among those who presented some degree of disability, eight patients (33.3%) were between 21 and 30 years old, 2 (8.3%) were under than 10 years of age, and 1 patient (4.1%) was over 60 years old. Regarding sex, 15 were men (62.5%) and 9 were women (37.5%). With respect to the operational classification of disease, 3 cases were paucibacillary and 21 were multibacillary. Of the 57 cases, 33 patients presented DPD 0; 17 patients showed DPD I; and 7 patients presented DPD II. The prevalence of physical disabilities in leprosy patients in this study was 42.1%, corresponding to 24 patients. Conclusion: The prevalence of 12.28% of DPD II patients suggests that treatment and rehabilitation measures are needed, with a more specific approach and focus on primary care services to prevent the worsening of this disease and allow the control of its disabilities. |
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Prevalence and control of Hansen’s disease: a research in an urban occupation area of São Luis, Maranhão state, BrazilPrevalencia y control de la lepra: investigación en una ocupación urbana de São Luís, Maranhão, BrasilPrevalência e controle de hanseníase: pesquisa em uma ocupação urbana de São Luís, Maranhão, BrasilPrevalenceLeprosyFamily PracticePrimary Health CarePrevalenciaLepraMedicina Familiar y ComunitariaAtención Primaria de SaludPrevalênciaHanseníaseMedicina de Família e ComunidadeAtenção Primária à SaúdePrevalencia e controle de hanseníaseObjective: To study the prevalence of patients with disability owing to leprosy in three Primary Healthcare Centres (PHC) in São Luis, Maranhão state and to discuss possible ways of disease control. Methods: A retrospective descriptive study based on medical records of all leprosy patients (n=57) registered in these PHCs between 2008 and 2009. The following variables were analyzed: age, sex, aspect and clinical status (DPD - Degree of Physical Disability, operational classification and clinical form). Results: Fifty-seven medical records of patients with leprosy were found, and 24 of them contained some alteration in the DPD of patients. Among those who presented some degree of disability, eight patients (33.3%) were between 21 and 30 years old, 2 (8.3%) were under than 10 years of age, and 1 patient (4.1%) was over 60 years old. Regarding sex, 15 were men (62.5%) and 9 were women (37.5%). With respect to the operational classification of disease, 3 cases were paucibacillary and 21 were multibacillary. Of the 57 cases, 33 patients presented DPD 0; 17 patients showed DPD I; and 7 patients presented DPD II. The prevalence of physical disabilities in leprosy patients in this study was 42.1%, corresponding to 24 patients. Conclusion: The prevalence of 12.28% of DPD II patients suggests that treatment and rehabilitation measures are needed, with a more specific approach and focus on primary care services to prevent the worsening of this disease and allow the control of its disabilities. Objetivo: Investigar la prevalencia de las discapacidades en los pacientes con lepra en tres Unidades Básicas de Salud (UBS) de São Luís de Maranhão, y preliminarmente discutir posibles formas de controlar la enfermedad. Métodos: Se realizó un estudio retrospectivo descriptivo a través de los historiales clínicos de todos los pacientes con lepra (n=57) registrados en las UBS, en el período correspondiente a los años que van de 2008 a 2009. Las variables recogidas fueron: edad, sexo, aspectos y estado clínico de los pacientes (GDF - Grado de discapacidad física, clasificación operativa y forma clínica). Resultados: Se encontraron 57 registros médicos de pacientes con lepra, de los cuales 24 contenían alguna alteración relacionada con el grado de discapacidad de los pacientes. Entre los que tenían algún grado de discapacidad física, 8 (33,3%) tenían entre 21 y 30 años, 2 (8,3%) tenían menos de 10 años, y 1 paciente (4,1%) tenía más de 60 años. Con respecto al sexo, 15 eran hombres (62,5%) y 9 eran mujeres (37,5%). En cuanto a la clasificación operativa de la enfermedad, tres casos fueron paucibacilares y 21 multibacilares. De los 57 casos estudiados, 33 usuarios presentaron GIF 0; 17 pacientes GIF I; y 7 pacientes GIF II. La prevalencia de las discapacidades físicas en pacientes con lepra en este estudio fue del 42,1%, que corresponde a 24 pacientes. Conclusión: El porcentaje de 12,28% para GIF II sugiere que se necesitan medidas de tratamiento y rehabilitación con un enfoque más específico y focalizado en los servicios de atención primaria, para impedir el empeoramiento de la enfermedad y permitir el control de las discapacidades.Objetivo: Investigar a prevalência de incapacidades em pacientes com Hanseníase em três Unidades Básicas de Saúde (UBS) de São Luís no Maranhão e discutir preliminarmente possíveis modos de controle da doença. Métodos: Foi realizado estudo retrospectivo descritivo por meio dos prontuários de todos os pacientes hansenianos (n=57) cadastrados nas UBS, no período correspondente aos anos de 2008 a 2009. As variáveis coletadas foram: idade, sexo, aspectos e situação clínica dos pacientes (GIF- Grau de incapacidade física, classificação operacional e forma clínica). Resultados: Foram encontrados 57 prontuários de pacientes hansenianos, dos quais 24 continham alguma alteração quanto ao grau de incapacidade dos pacientes. Entre aqueles que tinham algum grau de incapacidade física, 8 (33,3%) encontravam-se entre 21 e 30 anos, 2 (8,3%) tinham menos de 10 anos, 1 paciente (4,1%) tinha mais de 60 anos. Com relação ao sexo, 15 eram homens (62,5%) e 9 eram mulheres (37,5%). Quanto à classificação operacional da doença, três casos eram paucibacilares e 21 multibacilares. Dos 57 casos estudados, 33 usuários apresentaram GIF 0; 17 pacientes, GIF I; e 7 pacientes, GIF II. A prevalência de incapacidades físicas em pacientes com hanseníase neste estudo foi de 42,1%, correspondendo a 24 pacientes. Conclusão: O percentual de 12,28% para GIF II sugere que são necessárias medidas de tratamento e reabilitação com uma abordagem mais específica e foco nos serviços de atenção primária, para se evitar o agravamento da enfermidade e permitir o controle das incapacidades. Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC)2013-11-25info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos Originais; Original ArticlesEstudo restrospectivo analíticoapplication/pdfhttps://www.rbmfc.org.br/rbmfc/article/view/69010.5712/rbmfc9(30)690Revista Brasileira de Medicina de Família e Comunidade; Vol. 9 No. 30 (2014): Janeiro-Março; 23-30Revista Brasileira de Medicina de Família e Comunidade; Vol. 9 Núm. 30 (2014): Janeiro-Março; 23-30Revista Brasileira de Medicina de Família e Comunidade; v. 9 n. 30 (2014): Janeiro-Março; 23-302179-79941809-5909reponame:Revista Brasileira de Medicina de Família e Comunidade (Online)instname:Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC)instacron:SBMFCporhttps://www.rbmfc.org.br/rbmfc/article/view/690/602Copyright (c) 2014 Marcos Antonio Barbosa Pacheco, Monica Lice Leite Aires, Emanuelle Samary Seixasinfo:eu-repo/semantics/openAccessPacheco, Marcos Antonio BarbosaAires, Monica Lice LeiteSeixas, Emanuelle Samary2020-05-21T20:31:32Zoai:ojs.rbmfc.org.br:article/690Revistahttp://www.rbmfc.org.br/index.php/rbmfchttps://www.rbmfc.org.br/rbmfc/oai||david@sbmfc.org.br2179-79941809-5909opendoar:2020-05-21T20:31:32Revista Brasileira de Medicina de Família e Comunidade (Online) - Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC)false |
dc.title.none.fl_str_mv |
Prevalence and control of Hansen’s disease: a research in an urban occupation area of São Luis, Maranhão state, Brazil Prevalencia y control de la lepra: investigación en una ocupación urbana de São Luís, Maranhão, Brasil Prevalência e controle de hanseníase: pesquisa em uma ocupação urbana de São Luís, Maranhão, Brasil |
title |
Prevalence and control of Hansen’s disease: a research in an urban occupation area of São Luis, Maranhão state, Brazil |
spellingShingle |
Prevalence and control of Hansen’s disease: a research in an urban occupation area of São Luis, Maranhão state, Brazil Pacheco, Marcos Antonio Barbosa Prevalence Leprosy Family Practice Primary Health Care Prevalencia Lepra Medicina Familiar y Comunitaria Atención Primaria de Salud Prevalência Hanseníase Medicina de Família e Comunidade Atenção Primária à Saúde Prevalencia e controle de hanseníase |
title_short |
Prevalence and control of Hansen’s disease: a research in an urban occupation area of São Luis, Maranhão state, Brazil |
title_full |
Prevalence and control of Hansen’s disease: a research in an urban occupation area of São Luis, Maranhão state, Brazil |
title_fullStr |
Prevalence and control of Hansen’s disease: a research in an urban occupation area of São Luis, Maranhão state, Brazil |
title_full_unstemmed |
Prevalence and control of Hansen’s disease: a research in an urban occupation area of São Luis, Maranhão state, Brazil |
title_sort |
Prevalence and control of Hansen’s disease: a research in an urban occupation area of São Luis, Maranhão state, Brazil |
author |
Pacheco, Marcos Antonio Barbosa |
author_facet |
Pacheco, Marcos Antonio Barbosa Aires, Monica Lice Leite Seixas, Emanuelle Samary |
author_role |
author |
author2 |
Aires, Monica Lice Leite Seixas, Emanuelle Samary |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Pacheco, Marcos Antonio Barbosa Aires, Monica Lice Leite Seixas, Emanuelle Samary |
dc.subject.por.fl_str_mv |
Prevalence Leprosy Family Practice Primary Health Care Prevalencia Lepra Medicina Familiar y Comunitaria Atención Primaria de Salud Prevalência Hanseníase Medicina de Família e Comunidade Atenção Primária à Saúde Prevalencia e controle de hanseníase |
topic |
Prevalence Leprosy Family Practice Primary Health Care Prevalencia Lepra Medicina Familiar y Comunitaria Atención Primaria de Salud Prevalência Hanseníase Medicina de Família e Comunidade Atenção Primária à Saúde Prevalencia e controle de hanseníase |
description |
Objective: To study the prevalence of patients with disability owing to leprosy in three Primary Healthcare Centres (PHC) in São Luis, Maranhão state and to discuss possible ways of disease control. Methods: A retrospective descriptive study based on medical records of all leprosy patients (n=57) registered in these PHCs between 2008 and 2009. The following variables were analyzed: age, sex, aspect and clinical status (DPD - Degree of Physical Disability, operational classification and clinical form). Results: Fifty-seven medical records of patients with leprosy were found, and 24 of them contained some alteration in the DPD of patients. Among those who presented some degree of disability, eight patients (33.3%) were between 21 and 30 years old, 2 (8.3%) were under than 10 years of age, and 1 patient (4.1%) was over 60 years old. Regarding sex, 15 were men (62.5%) and 9 were women (37.5%). With respect to the operational classification of disease, 3 cases were paucibacillary and 21 were multibacillary. Of the 57 cases, 33 patients presented DPD 0; 17 patients showed DPD I; and 7 patients presented DPD II. The prevalence of physical disabilities in leprosy patients in this study was 42.1%, corresponding to 24 patients. Conclusion: The prevalence of 12.28% of DPD II patients suggests that treatment and rehabilitation measures are needed, with a more specific approach and focus on primary care services to prevent the worsening of this disease and allow the control of its disabilities. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-11-25 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Artigos Originais; Original Articles Estudo restrospectivo analítico |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.rbmfc.org.br/rbmfc/article/view/690 10.5712/rbmfc9(30)690 |
url |
https://www.rbmfc.org.br/rbmfc/article/view/690 |
identifier_str_mv |
10.5712/rbmfc9(30)690 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.rbmfc.org.br/rbmfc/article/view/690/602 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2014 Marcos Antonio Barbosa Pacheco, Monica Lice Leite Aires, Emanuelle Samary Seixas info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2014 Marcos Antonio Barbosa Pacheco, Monica Lice Leite Aires, Emanuelle Samary Seixas |
eu_rights_str_mv |
openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC) |
publisher.none.fl_str_mv |
Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC) |
dc.source.none.fl_str_mv |
Revista Brasileira de Medicina de Família e Comunidade; Vol. 9 No. 30 (2014): Janeiro-Março; 23-30 Revista Brasileira de Medicina de Família e Comunidade; Vol. 9 Núm. 30 (2014): Janeiro-Março; 23-30 Revista Brasileira de Medicina de Família e Comunidade; v. 9 n. 30 (2014): Janeiro-Março; 23-30 2179-7994 1809-5909 reponame:Revista Brasileira de Medicina de Família e Comunidade (Online) instname:Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC) instacron:SBMFC |
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Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC) |
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SBMFC |
institution |
SBMFC |
reponame_str |
Revista Brasileira de Medicina de Família e Comunidade (Online) |
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Revista Brasileira de Medicina de Família e Comunidade (Online) |
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Revista Brasileira de Medicina de Família e Comunidade (Online) - Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC) |
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