Alencar Carlos Henrique Morais de, Barbosa Jaqueline Caracas, Ramos Alberto Novaes, Alencar Maria de Jesus Freitas de, Pontes Ricardo José Soares, Castro Cláudio Gastão Junqueira de, Heukelbach Jorg
Departamento de Saúde Comunitária, Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, CE.
Rev Bras Enferm. 2008;61 Spec No:694-700. doi: 10.1590/s0034-71672008000700007.
This is a sectional study that aims to analyze the occurrence of Hansen's disease cases in 15 year-old minors in the Municipality of Fortaleza and notified in SINAN. The epidemiological indicators in this population show hiperendemicity. In operational terms is observed the maintenance of the service concentration in some reference units, in spite of some progress. Late diagnosis, a high degree of incapacity in the diagnosis and low degree of evaluation of contacts registered reveal the fragility of the actions of control. This study emphasizes the possibility of error diagnostic front to the characteristics of the infection in this population. The occurrence of cases of leprosy in this population represents an epidemiologic indicator of great importance and its analysis extends the discussion on operational problems in the network of health services.
这是一项横断面研究,旨在分析福塔莱萨市15岁及以下未成年人中在全国麻风病信息系统(SINAN)中通报的汉森病病例的发生情况。该人群的流行病学指标显示为高度地方性流行。在实际操作中,尽管有一些进展,但仍观察到服务集中在某些参考单位。诊断延迟、诊断能力低下以及对登记接触者的评估程度低,揭示了控制措施的薄弱环节。本研究强调了鉴于该人群感染特征可能出现的误诊情况。该人群中麻风病病例的发生是一个非常重要的流行病学指标,对其分析扩展了关于卫生服务网络中操作问题的讨论。