Silva Natal Santos da, Muniz Vitor Dantas
Departamento de Parasitologia, Instituto de Ciências Biomédicas, Universidade de São Paulo, São Paulo, Brasil.
Cad Saude Publica. 2009 Jun;25(6):1325-36. doi: 10.1590/s0102-311x2009000600015.
This was a descriptive statistical study of 8,516 cases of American tegumentary leishmaniasis in the State of Acre, Brazil, from 2001 to 2006 (second period), comparing the results to a previous publication with data from the same State for 1992 to 1997 (first period). Prevalence in the State more than doubled (55.7/10,000 inhabitants from 1992 to 1997 and 128.5/10,000 inhabitants from 2001 to 2006). Males predominated (68.8%, n = 5,860) in the second period. Mean age in the second period was 26.3 years, slightly lower than in the first. Individuals with low schooling were more affected by the disease. The other variables were area of residence, occupation, diagnostic criterion, clinical form, treatment, relapse, time before seeking treatment, and evolution. In conclusion, American tegumentary leishmaniasis epidemiological indicators worsened in the State between the two periods.
这是一项对巴西阿克里州2001年至2006年（第二阶段）8516例美洲皮肤利什曼病病例的描述性统计研究，将结果与之前发表的该州1992年至1997年（第一阶段）的数据进行了比较。该州的患病率增加了一倍多（1992年至1997年为55.7/万居民，2001年至2006年为128.5/万居民）。在第二阶段，男性占主导（68.8%，n = 5860）。第二阶段的平均年龄为26.3岁，略低于第一阶段。受教育程度低的个体受该病影响更大。其他变量包括居住地区、职业、诊断标准、临床类型、治疗、复发、就诊前时间以及病情发展。总之，在这两个阶段之间，该州美洲皮肤利什曼病的流行病学指标恶化。
