Clinical and epidemiological profile of patients who dropped out leprosy treatment
Autor(a) principal: | |
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Data de Publicação: | 2014 |
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/36185 |
Resumo: | Leprosy control depends on a treatment based on full dose within 18 months, the dropping out of the treatment implies in transmission and development of disability. OBJECTIVE: The objective of the study was to identify the clinical and epidemiological profile of patients who dropped out the leprosy treatment in Teresina, PI. MATERIAL AND METHODS: It is a descriptive, transversal study with a quantitative approach. Data relating to individuals in the cohorts from 2011 to 2014 were obtained from the Notifiable Diseases Information System. RESULTS: From the total 1770 leprosy cases reported in the period, 34 cases were considered treatment dropouts, 54.9% of them were men, 79.5% aged between 15 and 59 years, 68% were from brown and 59% had up to 3 years of schooling. Most of the abandonment cases were multibacillary patients (61.8%) and 32% had borderline leprosy. The majority of the diagnosis was made by spontaneous demand (55.8%). At diagnosis, 29.4% of patients had some degree of disability. Multibacillary patients had an average of 3.6 contacts, and about half were examined. Regarding the suspension of multidrug therapy, it was observed that paucibacillary took 1.84 doses, while multibacillary, 6.94 doses. CONCLUSION: Multibacillary patients showed lower adherence to treatment, presenting higher risk of transmission. Campaigns for active search of new cases are necessary to prevent disease evolution and the resulting physical disabilities , while reducing the possibility of transmission between contacts. |
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Clinical and epidemiological profile of patients who dropped out leprosy treatmentPerfil clínico-epidemiológico de pacientes que abandonaram o tratamento de hanseníaseHanseníaseEpidemiologiaSuspensão de TratamentoLeprosyEpidemiologyWithholding TreatmentLeprosy control depends on a treatment based on full dose within 18 months, the dropping out of the treatment implies in transmission and development of disability. OBJECTIVE: The objective of the study was to identify the clinical and epidemiological profile of patients who dropped out the leprosy treatment in Teresina, PI. MATERIAL AND METHODS: It is a descriptive, transversal study with a quantitative approach. Data relating to individuals in the cohorts from 2011 to 2014 were obtained from the Notifiable Diseases Information System. RESULTS: From the total 1770 leprosy cases reported in the period, 34 cases were considered treatment dropouts, 54.9% of them were men, 79.5% aged between 15 and 59 years, 68% were from brown and 59% had up to 3 years of schooling. Most of the abandonment cases were multibacillary patients (61.8%) and 32% had borderline leprosy. The majority of the diagnosis was made by spontaneous demand (55.8%). At diagnosis, 29.4% of patients had some degree of disability. Multibacillary patients had an average of 3.6 contacts, and about half were examined. Regarding the suspension of multidrug therapy, it was observed that paucibacillary took 1.84 doses, while multibacillary, 6.94 doses. CONCLUSION: Multibacillary patients showed lower adherence to treatment, presenting higher risk of transmission. Campaigns for active search of new cases are necessary to prevent disease evolution and the resulting physical disabilities , while reducing the possibility of transmission between contacts.O controle da hanseníase depende de um tratamento com a dose completa em até 18 meses, o abandono implica na transmissão e em quadros de incapacidade física. OBJETIVO: O objetivo da pesquisa foi identificar o perfil clínico-epidemiológico dos pacientes que abandonaram o tratamento de hanseníase em Teresina-PI. MATERIAL E MÉTODOS: Trata-se de um estudo de natureza descritiva, transversal, com abordagem quantitativa. Os dados referentes a esses indivíduos nas coortes de 2011 a 2014 foram obtidos por meio do Sistema de Informações de Agravos de Notificação. RESULTADOS: Do total de 1770 casos de hanseníase notificados nesse período, 34 casos foram considerados abandono de tratamento. Verificou-se que 54,9% eram homens, 79,5% estavam na faixa etária de 15 a 59 anos, 68% eram pardos e 59% tinham até 3 anos de escolaridade . A maioria dos casos de abandono era pacientes multibacilares (61,8%) e 32% apresentava a forma dimorfa. A maior parte dos diagnósticos deu-se por demanda espontânea (55,8%). No momento do diagnóstico, 29,4% dos pacientes possuía algum grau de incapacidade física. Pacientes multibacilares tiveram uma média de 3,6 contatos, sendo que cerca da metade foram examinados. Com relação à suspensão da poliquimioterapia, observa-se que paucibacilares tomaram 1,84 doses, enquanto multibacilares, 6,94 doses. CONCLUSÃO: Os multibacilares apresentaram menor adesão ao tratamento, evidenciando maior risco de transmissão. Fazem-se necessárias campanhas de detecção da doença, para evitar sua evolução e as consequentes incapacidades físicas, e ainda reduzir possibilidade de transmissão entre contatos.Instituto Lauro de Souza Lima da Secretaria de Estado da Saúde de São Paulo2014-11-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionAvaliado pelos paresapplication/pdfhttps://periodicos.saude.sp.gov.br/hansenologia/article/view/3618510.47878/hi.2014.v39.36185Hansenologia Internationalis: leprosy and other infectious diseases; Vol. 39 No. 2 (2014); 55-63Hansenologia Internationalis: hanseníase e outras doenças infecciosas; v. 39 n. 2 (2014); 55-631982-5161reponame:Hansenologia Internationalis (Online)instname:Instituto Lauro de Souza Lima (ILSL)instacron:ILSLporhttps://periodicos.saude.sp.gov.br/hansenologia/article/view/36185/34492https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessAraújo, Maylla MouraSilva, Joycce Huanna de SouzaGomes, André Cipriano SaraivaLopes, Lauro Rodolpho SoaresMarques, Rosemarie Brandim2023-01-18T17:34:25Zoai:ojs.periodicos.saude.sp.gov.br:article/36185Revistahttps://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:2023-01-18T17:34:25Hansenologia Internationalis (Online) - Instituto Lauro de Souza Lima (ILSL)false |
dc.title.none.fl_str_mv |
Clinical and epidemiological profile of patients who dropped out leprosy treatment Perfil clínico-epidemiológico de pacientes que abandonaram o tratamento de hanseníase |
title |
Clinical and epidemiological profile of patients who dropped out leprosy treatment |
spellingShingle |
Clinical and epidemiological profile of patients who dropped out leprosy treatment Araújo, Maylla Moura Hanseníase Epidemiologia Suspensão de Tratamento Leprosy Epidemiology Withholding Treatment |
title_short |
Clinical and epidemiological profile of patients who dropped out leprosy treatment |
title_full |
Clinical and epidemiological profile of patients who dropped out leprosy treatment |
title_fullStr |
Clinical and epidemiological profile of patients who dropped out leprosy treatment |
title_full_unstemmed |
Clinical and epidemiological profile of patients who dropped out leprosy treatment |
title_sort |
Clinical and epidemiological profile of patients who dropped out leprosy treatment |
author |
Araújo, Maylla Moura |
author_facet |
Araújo, Maylla Moura Silva, Joycce Huanna de Souza Gomes, André Cipriano Saraiva Lopes, Lauro Rodolpho Soares Marques, Rosemarie Brandim |
author_role |
author |
author2 |
Silva, Joycce Huanna de Souza Gomes, André Cipriano Saraiva Lopes, Lauro Rodolpho Soares Marques, Rosemarie Brandim |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Araújo, Maylla Moura Silva, Joycce Huanna de Souza Gomes, André Cipriano Saraiva Lopes, Lauro Rodolpho Soares Marques, Rosemarie Brandim |
dc.subject.por.fl_str_mv |
Hanseníase Epidemiologia Suspensão de Tratamento Leprosy Epidemiology Withholding Treatment |
topic |
Hanseníase Epidemiologia Suspensão de Tratamento Leprosy Epidemiology Withholding Treatment |
description |
Leprosy control depends on a treatment based on full dose within 18 months, the dropping out of the treatment implies in transmission and development of disability. OBJECTIVE: The objective of the study was to identify the clinical and epidemiological profile of patients who dropped out the leprosy treatment in Teresina, PI. MATERIAL AND METHODS: It is a descriptive, transversal study with a quantitative approach. Data relating to individuals in the cohorts from 2011 to 2014 were obtained from the Notifiable Diseases Information System. RESULTS: From the total 1770 leprosy cases reported in the period, 34 cases were considered treatment dropouts, 54.9% of them were men, 79.5% aged between 15 and 59 years, 68% were from brown and 59% had up to 3 years of schooling. Most of the abandonment cases were multibacillary patients (61.8%) and 32% had borderline leprosy. The majority of the diagnosis was made by spontaneous demand (55.8%). At diagnosis, 29.4% of patients had some degree of disability. Multibacillary patients had an average of 3.6 contacts, and about half were examined. Regarding the suspension of multidrug therapy, it was observed that paucibacillary took 1.84 doses, while multibacillary, 6.94 doses. CONCLUSION: Multibacillary patients showed lower adherence to treatment, presenting higher risk of transmission. Campaigns for active search of new cases are necessary to prevent disease evolution and the resulting physical disabilities , while reducing the possibility of transmission between contacts. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-11-30 |
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/36185 10.47878/hi.2014.v39.36185 |
url |
https://periodicos.saude.sp.gov.br/hansenologia/article/view/36185 |
identifier_str_mv |
10.47878/hi.2014.v39.36185 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://periodicos.saude.sp.gov.br/hansenologia/article/view/36185/34492 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
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. 39 No. 2 (2014); 55-63 Hansenologia Internationalis: hanseníase e outras doenças infecciosas; v. 39 n. 2 (2014); 55-63 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_ |
1796797580629245952 |