Leprosy in Buriticupu, state of Maranhão: active search in the general population

Detalhes bibliográficos
Autor(a) principal: Silva,Antonio Rafael da
Data de Publicação: 2012
Outros Autores: Santos,Ana Raquel Ribeiro dos, Santos,Gisele Maria Campelo dos, Silva,Vitor Emmanuel Bouças, Gonçalves,Eloisa da Graça do Rosário
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista da Sociedade Brasileira de Medicina Tropical
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822012000200012
Resumo: INTRODUCTION: This study was developed to evaluate the situation of leprosy in the general population of the municipality of Buriticupu, State of Maranhão, Brazil. METHODS: We used the method of active search to identify new cases from 2008 to 2010. Bacilloscopy of intradermal scrapings was performed in all patients with skin lesions compatible with leprosy, and histopathological examination in those who had doubts on the definition of the clinical form. RESULTS: The study included 19,104 individuals, with 42 patients diagnosed with leprosy after clinical examination, representing a detection rate of 219.84 per 100,000 inhabitants. The predominant clinical presentation was tuberculoid with 24 (57.1%) cases, followed by borderline with 11, indeterminate with four, and lepromatous with three cases. The study also allowed the identification of 81 patients with a history of leprosy and other skin diseases, such as pityriasis versicolor, dermatophytosis, scabies, vitiligo, and skin carcinoma. The binomial test showed that the proportion of cases in the headquarters was significantly higher than that in the villages (p = 0.04), and the generalized exact test showed that there was no association between age and clinical form (p = 0.438) and between age and gender (p = 0.083). CONCLUSIONS: The elevated detection rate defines the city as hyperendemic for leprosy; the active search for cases, as well as the organization of health services, is an important method for disease control.
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spelling Leprosy in Buriticupu, state of Maranhão: active search in the general populationLeprosyDetectionActive searchState of MaranhãoINTRODUCTION: This study was developed to evaluate the situation of leprosy in the general population of the municipality of Buriticupu, State of Maranhão, Brazil. METHODS: We used the method of active search to identify new cases from 2008 to 2010. Bacilloscopy of intradermal scrapings was performed in all patients with skin lesions compatible with leprosy, and histopathological examination in those who had doubts on the definition of the clinical form. RESULTS: The study included 19,104 individuals, with 42 patients diagnosed with leprosy after clinical examination, representing a detection rate of 219.84 per 100,000 inhabitants. The predominant clinical presentation was tuberculoid with 24 (57.1%) cases, followed by borderline with 11, indeterminate with four, and lepromatous with three cases. The study also allowed the identification of 81 patients with a history of leprosy and other skin diseases, such as pityriasis versicolor, dermatophytosis, scabies, vitiligo, and skin carcinoma. The binomial test showed that the proportion of cases in the headquarters was significantly higher than that in the villages (p = 0.04), and the generalized exact test showed that there was no association between age and clinical form (p = 0.438) and between age and gender (p = 0.083). CONCLUSIONS: The elevated detection rate defines the city as hyperendemic for leprosy; the active search for cases, as well as the organization of health services, is an important method for disease control.Sociedade Brasileira de Medicina Tropical - SBMT2012-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822012000200012Revista da Sociedade Brasileira de Medicina Tropical v.45 n.2 2012reponame:Revista da Sociedade Brasileira de Medicina Tropicalinstname:Sociedade Brasileira de Medicina Tropical (SBMT)instacron:SBMT10.1590/S0037-86822012000200012info:eu-repo/semantics/openAccessSilva,Antonio Rafael daSantos,Ana Raquel Ribeiro dosSantos,Gisele Maria Campelo dosSilva,Vitor Emmanuel BouçasGonçalves,Eloisa da Graça do Rosárioeng2012-04-24T00:00:00Zoai:scielo:S0037-86822012000200012Revistahttps://www.sbmt.org.br/portal/revista/ONGhttps://old.scielo.br/oai/scielo-oai.php||dalmo@rsbmt.uftm.edu.br|| rsbmt@rsbmt.uftm.edu.br1678-98490037-8682opendoar:2012-04-24T00:00Revista da Sociedade Brasileira de Medicina Tropical - Sociedade Brasileira de Medicina Tropical (SBMT)false
dc.title.none.fl_str_mv Leprosy in Buriticupu, state of Maranhão: active search in the general population
title Leprosy in Buriticupu, state of Maranhão: active search in the general population
spellingShingle Leprosy in Buriticupu, state of Maranhão: active search in the general population
Silva,Antonio Rafael da
Leprosy
Detection
Active search
State of Maranhão
title_short Leprosy in Buriticupu, state of Maranhão: active search in the general population
title_full Leprosy in Buriticupu, state of Maranhão: active search in the general population
title_fullStr Leprosy in Buriticupu, state of Maranhão: active search in the general population
title_full_unstemmed Leprosy in Buriticupu, state of Maranhão: active search in the general population
title_sort Leprosy in Buriticupu, state of Maranhão: active search in the general population
author Silva,Antonio Rafael da
author_facet Silva,Antonio Rafael da
Santos,Ana Raquel Ribeiro dos
Santos,Gisele Maria Campelo dos
Silva,Vitor Emmanuel Bouças
Gonçalves,Eloisa da Graça do Rosário
author_role author
author2 Santos,Ana Raquel Ribeiro dos
Santos,Gisele Maria Campelo dos
Silva,Vitor Emmanuel Bouças
Gonçalves,Eloisa da Graça do Rosário
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Silva,Antonio Rafael da
Santos,Ana Raquel Ribeiro dos
Santos,Gisele Maria Campelo dos
Silva,Vitor Emmanuel Bouças
Gonçalves,Eloisa da Graça do Rosário
dc.subject.por.fl_str_mv Leprosy
Detection
Active search
State of Maranhão
topic Leprosy
Detection
Active search
State of Maranhão
description INTRODUCTION: This study was developed to evaluate the situation of leprosy in the general population of the municipality of Buriticupu, State of Maranhão, Brazil. METHODS: We used the method of active search to identify new cases from 2008 to 2010. Bacilloscopy of intradermal scrapings was performed in all patients with skin lesions compatible with leprosy, and histopathological examination in those who had doubts on the definition of the clinical form. RESULTS: The study included 19,104 individuals, with 42 patients diagnosed with leprosy after clinical examination, representing a detection rate of 219.84 per 100,000 inhabitants. The predominant clinical presentation was tuberculoid with 24 (57.1%) cases, followed by borderline with 11, indeterminate with four, and lepromatous with three cases. The study also allowed the identification of 81 patients with a history of leprosy and other skin diseases, such as pityriasis versicolor, dermatophytosis, scabies, vitiligo, and skin carcinoma. The binomial test showed that the proportion of cases in the headquarters was significantly higher than that in the villages (p = 0.04), and the generalized exact test showed that there was no association between age and clinical form (p = 0.438) and between age and gender (p = 0.083). CONCLUSIONS: The elevated detection rate defines the city as hyperendemic for leprosy; the active search for cases, as well as the organization of health services, is an important method for disease control.
publishDate 2012
dc.date.none.fl_str_mv 2012-04-01
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv 10.1590/S0037-86822012000200012
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dc.publisher.none.fl_str_mv Sociedade Brasileira de Medicina Tropical - SBMT
publisher.none.fl_str_mv Sociedade Brasileira de Medicina Tropical - SBMT
dc.source.none.fl_str_mv Revista da Sociedade Brasileira de Medicina Tropical v.45 n.2 2012
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instname:Sociedade Brasileira de Medicina Tropical (SBMT)
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repository.name.fl_str_mv Revista da Sociedade Brasileira de Medicina Tropical - Sociedade Brasileira de Medicina Tropical (SBMT)
repository.mail.fl_str_mv ||dalmo@rsbmt.uftm.edu.br|| rsbmt@rsbmt.uftm.edu.br
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