Perfil epidemiológico dos óbitos de dengue em Goiânia, 2011 a 2013

• Autor(a) principal: Maciel, Ivaneusa Gomes de Ávila
• Data de Publicação: 2015
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da UFG
• dARK ID: ark:/38995/0013000005hnc
• Texto Completo: http://repositorio.bc.ufg.br/tede/handle/tede/5463
• topic: Dengue; Óbitos dengue; Vigilância de óbitos; Dengue deaths; Deaths surveillance; CIENCIAS DA SAUDE::SAUDE COLETIVA

Introduction: the ineffectiveness of control measures, the lack of an effective vaccine against dengue and the increase of deaths from severe forms is a challenge to global public health. In Goiania, since 1994, realize an increase of dengue´s mortality rates, especially in young adults, which is the driving force economic development. Objectives: evaluate the epidemiological profile of dengue´s deaths in Goiania, the factors that contributed to the severity and importance of the State Committee of the Serious Case Assessment Technical and Deaths Suspected Dengue to reduce the fatality rate. Methodology: descriptive and retrospective study from 2011 to 2013. We investigated 73 dengue´s deaths confirmed by laboratory and epidemiological criteria, which were assessed by the Committee. Data were collected on sheets Dengue Research (SINAN / MS), Medical records and deaths Assessment Worksheet. The database was analyzed in SPSS Statistics 22.0 and Open Epi. Results: from the 73 deaths, 60.3% were male and 74% were aged between 15-59 years. In 57.5% of the deaths were classified as dengue with complications (DCC) and 42.5% as Dengue Hemorrhagic Fever (DHF). As you increase the clinical symptoms, greater the risk of death is. In 56.2% of the deaths were observed fever and more 4 clinical symptoms of the disease. Haemorrhagic manifestations occurred in 72.6% of the deaths. Examination of the tourniquet test showed effectiveness in the diagnosis of dengue, with a positivity of 80%. The warning signs were important indicators for the evolution of the disease because they were present in 98.6% of deaths and comorbidities in 67.1% of the patients. Regarding care, 50.7% sought for health care only in the public sector and 24.6% in both sectors. About 52.1% of patients sought treatment early, within 2 days from the start date of symptoms. Of the total, who sought treatment after two days, noticed that 71.2% had a fatal outcome. The public health sector registered 60.3% of deaths. The average attendance of patients was about 2 times. Clinical management was considered inappropriate in 42.5% of deaths. All the deaths were assessed by the Committee. Most of the deaths were reported by the Death Verification Service (69.9%). Conclusion: study showed underreporting of dengue´s deaths in the public and private sector. The majority of reports were late. The Coroner's system constituted an important source of funding dengue´s deaths. The Case of the Evaluation Technical Committee Graves and Deaths Suspected Dengue proved to be of low utility for the implementation of measures to reduce dengue´s mortality.