Vita Gilmar Ferreira, Pereira Maria Angélica Vieira DA Costa, Ferreira Ildemar, Sanavria Argemiro, Barbosa Celso Guimarães, Aurnheimer Rita de Cássia Martins, Mello Ericson Ramos de, Silva Claudia Bezerra da, Cabral Rísia Brígida Gonçalves
Universidade Federal Rural do Rio de Janeiro(UFRRJ), Animal Biology Program of Post-Graduation, Seropédica, Rio de Janeiro, Brazil.
University of the Northeast of Rio de Janeiro Darcy Ribeiro(UENF), Animal Health Laboratory Campos dos Goytacazes, Rio de Janeiro, Brazil.
Rev Inst Med Trop Sao Paulo. 2016 Sep 22;58:71. doi: 10.1590/S1678-9946201658071.
The aim of the present study was to analyze the status of the American Tegumentary Leishmaniasis (ATL) in the state of Rio de Janeiro, from 2004 to 2013, through its spatiotemporal distribution. We also described variables considered relevant to the epidemiology of the disease, such as the clinical form, gender, ethnic group, age group, and progression of disease. This is a descriptive study, which used notified secondary data from the Brazilian Information System of Notifiable Diseases (SINAN), Ministry of Health, Brazil, regarding confirmed diagnoses. To help the calculation of coefficients of detection and mortality, we used population data from the Brazilian Institute of Geography and Statistics (IBGE). We analyzed 1,470 cases of ATL with the predominance of the cutaneous clinical form (1,292/87.89%). The data has also revealed seven deaths, a predominance of males (922/62.72%), and a higher incidence of ATL in the white ethnic group (731/49.72%). We observed a high incidence of ATL in the group of 20 - 39 years old (477/32.44%). We concluded that there was a decrease in the number of ATL cases in the state of Rio de Janeiro, based on a coefficient of detection of 1.44/100.000 inhabitants in 2004 decreasing to 0.20/100.000 inhabitants in 2013. The localities with the highest occurrences of ATL were the metropolitan region (843 cases) and the municipality of Rio de Janeiro (740 cases). In 2005, the highest incidence of the disease was observed (351 cases) in the study. Among the variables selected to describe the epidemiology of the disease, the following categories: cutaneous clinical form, male patients, white ethnic group, and the age group of 20 - 39 years old were more affected than the others.
本研究旨在通过时空分布分析2004年至2013年里约热内卢州美洲皮肤利什曼病（ATL）的状况。我们还描述了与该疾病流行病学相关的变量，如临床形式、性别、种族、年龄组和疾病进展情况。这是一项描述性研究，使用了巴西卫生部巴西法定传染病信息系统（SINAN）中关于确诊诊断的上报二手数据。为了帮助计算检测系数和死亡率，我们使用了巴西地理与统计研究所（IBGE）的人口数据。我们分析了1470例ATL病例，其中以皮肤临床形式为主（1292例/87.89%）。数据还显示有7例死亡，男性占主导（922例/62.72%），白种人种族中ATL发病率较高（731例/49.72%）。我们观察到20至39岁年龄组中ATL发病率较高（477例/32.44%）。我们得出结论，里约热内卢州ATL病例数有所下降，基于检测系数从2004年的1.44/10万居民降至2013年的0.20/10万居民。ATL发病率最高的地区是大都市地区（843例）和里约热内卢市（740例）。在该研究中，2005年观察到该疾病的发病率最高（351例）。在选择用于描述该疾病流行病学的变量中，以下类别：皮肤临床形式、男性患者、白种人种族以及20至39岁年龄组比其他类别受影响更大。
