巴西东北部一个地方病流行区播散性组织胞浆菌病与艾滋病合并感染的空间分布。
Spatial distribution of disseminated histoplasmosis and AIDS co-infection in an endemic area of Northeastern Brazil.
作者信息
Correia Francisco Gustavo Silveira, Alencar Carlos Henrique, Damasceno Lisandra Serra, Ramos Isadora Cavalcanti, Pontes Lícia Borges, Leitão Terezinha do Menino Jesus Silva
机构信息
Departamento de Saúde Coletiva, Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, Ceará, Brazil.
出版信息
Rev Soc Bras Med Trop. 2016 Apr;49(2):227-31. doi: 10.1590/0037-8682-0327-2015.
INTRODUCTION
The spatial distribution of disseminated histoplasmosis (DH) and acquired immunodeficiency syndrome (AIDS) co-infection in adult residents of Fortaleza, Ceará, Brazil was evaluated.
METHODS
Socio-demographic data for the DH/AIDS cases were obtained from a reference hospital, and socio-environmental indicators were obtained from an official Brazilian institute. Kernel analysis and local indicators of spatial autocorrelation (LISA) cluster maps were used to estimate the case density within the city.
RESULTS
DH/AIDS cases were concentrated in the Northwestern and Southwestern peripheral areas of the city, related with low human development indices, but different from AIDS cases distribution.
CONCLUSION
Risk factors other than AIDS infection must affect histoplasmosis development in this area.
引言
对巴西塞阿拉州福塔莱萨成年居民中播散性组织胞浆菌病（DH）与获得性免疫缺陷综合征（AIDS）合并感染的空间分布进行了评估。
方法
从一家参考医院获取DH/AIDS病例的社会人口统计学数据，并从巴西官方机构获取社会环境指标。采用核分析和空间自相关局部指标（LISA）聚类图来估计城市内的病例密度。
结果
DH/AIDS病例集中在城市的西北和西南周边地区，与人类发展指数较低有关，但与AIDS病例分布不同。
结论
除AIDS感染外的其他危险因素必定影响该地区组织胞浆菌病的发展。
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