Magnitude of reactional episodes in leprosy in a specialized outpatient service

Detalhes bibliográficos
Autor(a) principal: Chaves, André Felipe de Castro Pereira
Data de Publicação: 2022
Outros Autores: Araújo, Olívia Dias de, Sousa, Ellen Cristina da Costa Leite, Cardoso, Jonas Alves, Rodrigues, Érica de Alencar, Moura, Edmércia Holanda
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Hansenologia Internationalis (Online)
Texto Completo: https://periodicos.saude.sp.gov.br/hansenologia/article/view/37318
Resumo: The goal of this study is to characterize reactional episodes according to sociodemographic, clinical, and epidemiological data of patients with leprosy in a hyperendemic municipality in Piauí state, Brazil, from 2013 to 2017. For this purpose, a descriptive, cross-sectional, and retrospective study used leprosy cases, reported in the Notification Diseases Information System (SINAN), alongwith a medicine dispensation form of the study site. Univariate analyses were performed, through simple descriptive statistics, and bivariate analysis, using Pearson’s Chi Square to associate quantitative variables with the response variable of the study, which is the moment of leprosy reaction. Statistical significance was fixed in p < 0.05. It was observed that most of the reactional episodes occurred during leprosy treatment. Men, browns, people with complete or incomplete primary education, masons, urban dwellers, dimorphic individuals, and multibacillary individuals with the presence of degree 0 of physical disability, predominated in the emergence of reaction. Type 1 reaction prevailed, followed by type 2 reaction, and, lastly, mixed reactions. That said, it is understood that individual, social, and economic vulnerabilities directly impact the development of leprosy reactions.
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spelling Magnitude of reactional episodes in leprosy in a specialized outpatient serviceMagnitud de los episodios reaccionales en lepra en un servicio ambulatorio especializadoMagnitude dos episódios reacionais na hanseníase em serviço ambulatorial especializadoReações hansênicasPessoas com deficiênciaVulnerabilidade em saúdeVulnerabilidade socialLeprosy reactionsDisabled personsHealth vulnerabilitySocial vulnerabilityReacciones de la lepraPersonas con discapacidadVulnerabilidad en saludVulnerabilidad socialThe goal of this study is to characterize reactional episodes according to sociodemographic, clinical, and epidemiological data of patients with leprosy in a hyperendemic municipality in Piauí state, Brazil, from 2013 to 2017. For this purpose, a descriptive, cross-sectional, and retrospective study used leprosy cases, reported in the Notification Diseases Information System (SINAN), alongwith a medicine dispensation form of the study site. Univariate analyses were performed, through simple descriptive statistics, and bivariate analysis, using Pearson’s Chi Square to associate quantitative variables with the response variable of the study, which is the moment of leprosy reaction. Statistical significance was fixed in p < 0.05. It was observed that most of the reactional episodes occurred during leprosy treatment. Men, browns, people with complete or incomplete primary education, masons, urban dwellers, dimorphic individuals, and multibacillary individuals with the presence of degree 0 of physical disability, predominated in the emergence of reaction. Type 1 reaction prevailed, followed by type 2 reaction, and, lastly, mixed reactions. That said, it is understood that individual, social, and economic vulnerabilities directly impact the development of leprosy reactions.El objetivo del estudio es caracterizar los episodios reacciones según datos sociodemográficos, clínicos y epidemiológicos de los pacientes con lepra en un municipio hiperendémico del estado de Piauí, Brasil, en el período de 2013 a 2017. Se realizó análisis univariado mediante estadística descriptiva simple y análisis bivariado, utilizándose Chi-cuadrado de Pearson para asociar las variables cuantitativas con la variable respuesta del estudio, que es el momento de la reacción leprosa. La significación estadística se fijó en p<0,05. Se observó que  la mayoría de los episodios de reacción ocurrieron durante el tratamiento de la lepra. Los hombres, pardos, personas con educación primaria, ya sea completa o incompleta, albañiles, residentes de la zona urbana, individuos dimórficos,multibacilares y con presencia de grado 0 de discapacidad física, fueron los que predominaron en la aparición de reacción. La reacción que predominó fue la de tipo 1, seguida de la de tipo 2 y finalmente la reacción mixta. Ante ello, se entiende que las vulnerabilidades individuales, sociales y económicas impactan directamente en el desarrollo de la reacción leprosa.O objetivo do estudo é caracterizar os episódios reacionais segundo os dados sociodemográficos, clínicos e epidemiológicos de pacientes com hanseníase em um município hiperendêmico do estado do Piauí, Brasil, no período de 2013 a 2017. Para tanto, um estudo descritivo, transversal e retrospectivo utilizou-se os casos de hanseníase, notificados no Sistema de Informação de Agravos de Notificação (SINAN), juntamente com a ficha de dispensação de medicamentos do local em estudo. Foram realizadas análise univariada, por meio de estatística descritiva simples, e análise bivariada, utilizando o Qui-quadrado de Pearson para associar as variáveis quantitativas com a variável resposta do estudo, que é o momento da reação hansênica. A significância estatística foi fixada em p<0,05. Observou-se que a maioria dos episódios reacionais ocorreram durante o tratamento para hanseníase. Homens, pardos, pessoas com ensino fundamental completo ou incompleto, pedreiros, moradores da zona urbana, indivíduos dimorfos, multibacilares e com presença de grau 0 de incapacidade física, predominaram no aparecimento de reação. A reação que prevaleceu foi a do tipo 1, seguida pelo tipo 2, e em última, a reação mista. Diante disso, compreende-se que as vulnerabilidades individuais, sociais e econômicas impactam diretamente no desenvolvimento de reação hansênica.Instituto Lauro de Souza Lima da Secretaria de Estado da Saúde de São Paulo2022-11-21info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionAvaliado pelos paresapplication/pdfapplication/pdfhttps://periodicos.saude.sp.gov.br/hansenologia/article/view/3731810.47878/hi.2022.v47.37318Hansenologia Internationalis: leprosy and other infectious diseases; Vol. 47 (2022); 1-12Hansenologia Internationalis: hanseníase e outras doenças infecciosas; v. 47 (2022); 1-121982-5161reponame:Hansenologia Internationalis (Online)instname:Instituto Lauro de Souza Lima (ILSL)instacron:ILSLporenghttps://periodicos.saude.sp.gov.br/hansenologia/article/view/37318/36562https://periodicos.saude.sp.gov.br/hansenologia/article/view/37318/37096Copyright (c) 2022 André Felipe de Castro Pereira Chaves, Olívia Dias de Araújo, Ellen Cristina da Costa Leite Sousa, Jonas Alves Cardoso, Érica de Alencar Rodrigues, Edmércia Holanda Mourahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessChaves, André Felipe de Castro Pereira Araújo, Olívia Dias de Sousa, Ellen Cristina da Costa Leite Cardoso, Jonas Alves Rodrigues, Érica de AlencarMoura, Edmércia Holanda 2023-08-10T17:50:07Zoai:ojs.periodicos.saude.sp.gov.br:article/37318Revistahttps://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:2023-08-10T17:50:07Hansenologia Internationalis (Online) - Instituto Lauro de Souza Lima (ILSL)false
dc.title.none.fl_str_mv Magnitude of reactional episodes in leprosy in a specialized outpatient service
Magnitud de los episodios reaccionales en lepra en un servicio ambulatorio especializado
Magnitude dos episódios reacionais na hanseníase em serviço ambulatorial especializado
title Magnitude of reactional episodes in leprosy in a specialized outpatient service
spellingShingle Magnitude of reactional episodes in leprosy in a specialized outpatient service
Chaves, André Felipe de Castro Pereira
Reações hansênicas
Pessoas com deficiência
Vulnerabilidade em saúde
Vulnerabilidade social
Leprosy reactions
Disabled persons
Health vulnerability
Social vulnerability
Reacciones de la lepra
Personas con discapacidad
Vulnerabilidad en salud
Vulnerabilidad social
title_short Magnitude of reactional episodes in leprosy in a specialized outpatient service
title_full Magnitude of reactional episodes in leprosy in a specialized outpatient service
title_fullStr Magnitude of reactional episodes in leprosy in a specialized outpatient service
title_full_unstemmed Magnitude of reactional episodes in leprosy in a specialized outpatient service
title_sort Magnitude of reactional episodes in leprosy in a specialized outpatient service
author Chaves, André Felipe de Castro Pereira
author_facet Chaves, André Felipe de Castro Pereira
Araújo, Olívia Dias de
Sousa, Ellen Cristina da Costa Leite
Cardoso, Jonas Alves
Rodrigues, Érica de Alencar
Moura, Edmércia Holanda
author_role author
author2 Araújo, Olívia Dias de
Sousa, Ellen Cristina da Costa Leite
Cardoso, Jonas Alves
Rodrigues, Érica de Alencar
Moura, Edmércia Holanda
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Chaves, André Felipe de Castro Pereira
Araújo, Olívia Dias de
Sousa, Ellen Cristina da Costa Leite
Cardoso, Jonas Alves
Rodrigues, Érica de Alencar
Moura, Edmércia Holanda
dc.subject.por.fl_str_mv Reações hansênicas
Pessoas com deficiência
Vulnerabilidade em saúde
Vulnerabilidade social
Leprosy reactions
Disabled persons
Health vulnerability
Social vulnerability
Reacciones de la lepra
Personas con discapacidad
Vulnerabilidad en salud
Vulnerabilidad social
topic Reações hansênicas
Pessoas com deficiência
Vulnerabilidade em saúde
Vulnerabilidade social
Leprosy reactions
Disabled persons
Health vulnerability
Social vulnerability
Reacciones de la lepra
Personas con discapacidad
Vulnerabilidad en salud
Vulnerabilidad social
description The goal of this study is to characterize reactional episodes according to sociodemographic, clinical, and epidemiological data of patients with leprosy in a hyperendemic municipality in Piauí state, Brazil, from 2013 to 2017. For this purpose, a descriptive, cross-sectional, and retrospective study used leprosy cases, reported in the Notification Diseases Information System (SINAN), alongwith a medicine dispensation form of the study site. Univariate analyses were performed, through simple descriptive statistics, and bivariate analysis, using Pearson’s Chi Square to associate quantitative variables with the response variable of the study, which is the moment of leprosy reaction. Statistical significance was fixed in p < 0.05. It was observed that most of the reactional episodes occurred during leprosy treatment. Men, browns, people with complete or incomplete primary education, masons, urban dwellers, dimorphic individuals, and multibacillary individuals with the presence of degree 0 of physical disability, predominated in the emergence of reaction. Type 1 reaction prevailed, followed by type 2 reaction, and, lastly, mixed reactions. That said, it is understood that individual, social, and economic vulnerabilities directly impact the development of leprosy reactions.
publishDate 2022
dc.date.none.fl_str_mv 2022-11-21
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/37318
10.47878/hi.2022.v47.37318
url https://periodicos.saude.sp.gov.br/hansenologia/article/view/37318
identifier_str_mv 10.47878/hi.2022.v47.37318
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://periodicos.saude.sp.gov.br/hansenologia/article/view/37318/36562
https://periodicos.saude.sp.gov.br/hansenologia/article/view/37318/37096
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
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. 47 (2022); 1-12
Hansenologia Internationalis: hanseníase e outras doenças infecciosas; v. 47 (2022); 1-12
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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