Magnitude of reactional episodes in leprosy in a specialized outpatient service
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , |
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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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 |
_version_ |
1796797581670481920 |