Factors influencing inadequate diagnosis and follow-up of leprosy reactions in Rondônia state, Brazil

Detalhes bibliográficos
Autor(a) principal: Oliveira, Carmelita Ribeiro de
Data de Publicação: 2007
Outros Autores: Alencar, Maria de Jesus Freitas de, Santana, Sônia Carvalho de, Neto, Sebastião Alves de Sena, Ramos Jr, Alberto Novaes
Tipo de documento: Artigo
Idioma: por
Título da fonte: Hansenologia Internationalis (Online)
Texto Completo: https://periodicos.saude.sp.gov.br/hansenologia/article/view/36304
Resumo: Leprosy reactions continue being one of the great challenges for National Leprosy Control Programs in endemic countries. The clinical aspects of reactions are well known, but data on the epidemiology are scanty. This hinders the elaboration of effective control strategies. In this study, factors were characterized which influenced inadequate diagnosis and follow-up of patients with leprosy reactions, as well as the impact of reactions on the development of physical disabilities. The descriptive operational study was done in Rondônia State in 1997, based on newly diagnosed cases and those that received discharge for cure. Data on leprosy reactions were obtained from medical records. Patients with reactions after discharge and progression of disability during treatment were interviewed, and a clinical evaluation was done. In addition, we described the structure of the Leprosy Control Programs in selected municipalities. Our data show that in Rondônia, despite progress in case detection, better availability of multidrug therapy, and reduction of disability grade at diagnosis and discharge from treatment, there continue to be difficulties in the management of leprosy reactions. Thus, it is necessary to define priorities focussing on the management of reactions, as a strategy to improve integrated patient care.
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spelling Factors influencing inadequate diagnosis and follow-up of leprosy reactions in Rondônia state, BrazilFatores que influenciaram a inadequação do diagnóstico e do acompanhamento dos estados reacionais em hanseníase no estado de Rondônia, Brasilhanseníasecomplicaçõesepidemiologiaprevenção de incapacidades reações hansênicasleprosycomplicationepidemiologyprevention of disabilitiesleprosy reactionsLeprosy reactions continue being one of the great challenges for National Leprosy Control Programs in endemic countries. The clinical aspects of reactions are well known, but data on the epidemiology are scanty. This hinders the elaboration of effective control strategies. In this study, factors were characterized which influenced inadequate diagnosis and follow-up of patients with leprosy reactions, as well as the impact of reactions on the development of physical disabilities. The descriptive operational study was done in Rondônia State in 1997, based on newly diagnosed cases and those that received discharge for cure. Data on leprosy reactions were obtained from medical records. Patients with reactions after discharge and progression of disability during treatment were interviewed, and a clinical evaluation was done. In addition, we described the structure of the Leprosy Control Programs in selected municipalities. Our data show that in Rondônia, despite progress in case detection, better availability of multidrug therapy, and reduction of disability grade at diagnosis and discharge from treatment, there continue to be difficulties in the management of leprosy reactions. Thus, it is necessary to define priorities focussing on the management of reactions, as a strategy to improve integrated patient care.Os episódios reacionais em hanseníase mantêm-se como um dos grandes desafios para os Programas de Controle de Hanseníase em países endêmicos. Apesar de se reconhecerem os seus aspectos clínicos, ainda persistem questões abertas sobre vários aspectos relacionados a fisiopatologia destas reações, dificultando a definição de critérios para operacionalização do seu controle. Neste estudo avaliaram-se os fatores que influenciaram a inadequação do diagnóstico e acompanhamento dos casos que apresentaram reações hansênicas e da repercussão destes episódios no grau de incapacidade física determinada pela avaliação fisioterápica. Estudo descritivo, operacional, realizado no Estado de Rondônia durante o ano de 1997 nos casos novos diagnosticados e nos que receberam alta por cura. Realizou-se pesquisa em prontuários para identificação dos casos que desenvolveram reações. Para a entrevista foram selecionados pacientes com reações após a alta e os com progressão do grau de incapacidade durante tratamento, sendo realizada avaliação clínica. O estudo possibilitou avaliar a estrutura do programa de controle nos municípios selecionados. Em Rondônia, apesar dos avanços obtidos na detecção de casos, disponibilização da poliquimioterapia e redução do grau de incapacidades físicas no início e término deste tratamento, mantêm-se as dificuldades da abordagem destas reações. Faz-se necessária redefinição de prioridades incorporando a abordagem das reações como estratégica para melhorar a atenção integral aos pacientes.Instituto Lauro de Souza Lima da Secretaria de Estado da Saúde de São Paulo2007-11-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionAvaliado pelos paresapplication/pdfhttps://periodicos.saude.sp.gov.br/hansenologia/article/view/3630410.47878/hi.2007.v32.36304Hansenologia Internationalis: leprosy and other infectious diseases; Vol. 32 No. 2 (2007); 185-196Hansenologia Internationalis: hanseníase e outras doenças infecciosas; v. 32 n. 2 (2007); 185-1961982-5161reponame:Hansenologia Internationalis (Online)instname:Instituto Lauro de Souza Lima (ILSL)instacron:ILSLporhttps://periodicos.saude.sp.gov.br/hansenologia/article/view/36304/34592https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessOliveira, Carmelita Ribeiro deAlencar, Maria de Jesus Freitas deSantana, Sônia Carvalho deNeto, Sebastião Alves de SenaRamos Jr, Alberto Novaes2023-02-17T18:44:34Zoai:ojs.periodicos.saude.sp.gov.br:article/36304Revistahttps://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:2023-02-17T18:44:34Hansenologia Internationalis (Online) - Instituto Lauro de Souza Lima (ILSL)false
dc.title.none.fl_str_mv Factors influencing inadequate diagnosis and follow-up of leprosy reactions in Rondônia state, Brazil
Fatores que influenciaram a inadequação do diagnóstico e do acompanhamento dos estados reacionais em hanseníase no estado de Rondônia, Brasil
title Factors influencing inadequate diagnosis and follow-up of leprosy reactions in Rondônia state, Brazil
spellingShingle Factors influencing inadequate diagnosis and follow-up of leprosy reactions in Rondônia state, Brazil
Oliveira, Carmelita Ribeiro de
hanseníase
complicações
epidemiologia
prevenção de incapacidades reações hansênicas
leprosy
complication
epidemiology
prevention of disabilities
leprosy reactions
title_short Factors influencing inadequate diagnosis and follow-up of leprosy reactions in Rondônia state, Brazil
title_full Factors influencing inadequate diagnosis and follow-up of leprosy reactions in Rondônia state, Brazil
title_fullStr Factors influencing inadequate diagnosis and follow-up of leprosy reactions in Rondônia state, Brazil
title_full_unstemmed Factors influencing inadequate diagnosis and follow-up of leprosy reactions in Rondônia state, Brazil
title_sort Factors influencing inadequate diagnosis and follow-up of leprosy reactions in Rondônia state, Brazil
author Oliveira, Carmelita Ribeiro de
author_facet Oliveira, Carmelita Ribeiro de
Alencar, Maria de Jesus Freitas de
Santana, Sônia Carvalho de
Neto, Sebastião Alves de Sena
Ramos Jr, Alberto Novaes
author_role author
author2 Alencar, Maria de Jesus Freitas de
Santana, Sônia Carvalho de
Neto, Sebastião Alves de Sena
Ramos Jr, Alberto Novaes
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Oliveira, Carmelita Ribeiro de
Alencar, Maria de Jesus Freitas de
Santana, Sônia Carvalho de
Neto, Sebastião Alves de Sena
Ramos Jr, Alberto Novaes
dc.subject.por.fl_str_mv hanseníase
complicações
epidemiologia
prevenção de incapacidades reações hansênicas
leprosy
complication
epidemiology
prevention of disabilities
leprosy reactions
topic hanseníase
complicações
epidemiologia
prevenção de incapacidades reações hansênicas
leprosy
complication
epidemiology
prevention of disabilities
leprosy reactions
description Leprosy reactions continue being one of the great challenges for National Leprosy Control Programs in endemic countries. The clinical aspects of reactions are well known, but data on the epidemiology are scanty. This hinders the elaboration of effective control strategies. In this study, factors were characterized which influenced inadequate diagnosis and follow-up of patients with leprosy reactions, as well as the impact of reactions on the development of physical disabilities. The descriptive operational study was done in Rondônia State in 1997, based on newly diagnosed cases and those that received discharge for cure. Data on leprosy reactions were obtained from medical records. Patients with reactions after discharge and progression of disability during treatment were interviewed, and a clinical evaluation was done. In addition, we described the structure of the Leprosy Control Programs in selected municipalities. Our data show that in Rondônia, despite progress in case detection, better availability of multidrug therapy, and reduction of disability grade at diagnosis and discharge from treatment, there continue to be difficulties in the management of leprosy reactions. Thus, it is necessary to define priorities focussing on the management of reactions, as a strategy to improve integrated patient care.
publishDate 2007
dc.date.none.fl_str_mv 2007-11-30
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/36304
10.47878/hi.2007.v32.36304
url https://periodicos.saude.sp.gov.br/hansenologia/article/view/36304
identifier_str_mv 10.47878/hi.2007.v32.36304
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://periodicos.saude.sp.gov.br/hansenologia/article/view/36304/34592
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. 32 No. 2 (2007); 185-196
Hansenologia Internationalis: hanseníase e outras doenças infecciosas; v. 32 n. 2 (2007); 185-196
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
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