Deps Patricia D, Guedes Bruno V S, Bucker Filho Jander, Andreatta Matheus K, Marcari Rafael S, Rodrigues Laura C
Centro Biomédico, Departamento de Medicina Social, Federal University of Espírito Santo, Avenida Marechal Campos 1468, Vitória-ES, Brazil CEP 29040-090.
Lepr Rev. 2006 Mar;77(1):41-7.
This paper reports on the time between the onset of the first lesion and diagnosis, defined as delay, and is based on results obtained by interviewers from a survey carried out amongst 450 leprosy patients in a leprosy endemic area in the Metropolitan Region of Vitória (MRV), state of Espirito Santo, Brazil. The mean age at diagnosis in all cases was 41.47 years and the median was 42.5 years. The mean age at diagnosis in MB (42.9 years) was greater than in PB (38.5 years). The mean of the delay in all cases was 25.25 months, median 12 months and range 0-360 months. The mean of the delay in MB (27.2 months) was greater than in PB (21.3 months). The results of this study suggest that although the delay in leprosy diagnosis in this region of Brazil was not too long when it was compared with other studies in endemic countries, it is still a problem: 65.4% of patients were diagnosed after a delay of 6 months. The Leprosy Control Programme in this state needs more effective health education in order to reduce the current period of delay before diagnosis.
本文报告了从首个皮损出现到确诊之间的时间（定义为延误），该报告基于访谈人员对巴西圣埃斯皮里图州维多利亚大都市区（MRV）麻风病流行地区450名麻风病患者进行调查所获得的结果。所有病例确诊时的平均年龄为41.47岁，中位数为42.5岁。多菌型（MB）病例确诊时的平均年龄（42.9岁）高于少菌型（PB）病例（38.5岁）。所有病例的平均延误时间为25.25个月，中位数为12个月，范围为0至360个月。多菌型（MB）病例的平均延误时间（27.2个月）长于少菌型（PB）病例（21.3个月）。本研究结果表明，尽管与其他麻风病流行国家的研究相比，巴西该地区麻风病诊断的延误时间不算太长，但这仍是一个问题：65.4%的患者在出现症状6个月后才被确诊。该州的麻风病控制项目需要开展更有效的健康教育，以缩短目前确诊前的延误时间。
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