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Epidemiological aspects of American cutaneous leishmaniasis (ACL) in an endemic area of forest extractivist culture in western Brazilian Amazonia.

作者信息

Brilhante Andreia Fernandes, Melchior Leonardo Augusto Kohatsu, Nunes Vânia Lúcia Brandão, Cardoso Cristiane de Oliveira, Galati Eunice Aparecida Bianchi

机构信息

Universidade de São Paulo, Faculdade de Saúde Pública, São Paulo, São Paulo, Brazil.

Universidade Federal do Acre, Rio Branco, Acre, Brazil.

出版信息

Rev Inst Med Trop Sao Paulo. 2017 Apr 13;59:e12. doi: 10.1590/S1678-9946201759012.


DOI:10.1590/S1678-9946201759012
PMID:28423087
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5398184/
Abstract

The study sought to analyze clinical and epidemiological aspects of cutaneous leishmaniasis (CL) in Xapuri, Acre, Brazil. Data from 2008 to 2014 registered in the notification records of the disease of the Information System of the Complaints of Notification (SINAN), and the data of the Information Department of the Unified Health System (DATASUS) available from 2007 to 2013 were used and analyzed in the light of the statistics of the temporal series by the Prais-Winsten method and chi-squared test. A total of 906 cases were registered with 60.2% occurring in men and 39.7% in women. The groups from 0 to 4 years of age (48.0%) and from 5 to 19 years of age (23.3%) were the most affected. Regarding the clinical forms, 77.7% presented CL and 22.3% mucocutaneous leishmaniasis (MCL). Among the 896 cases with information on the diagnostic methods used, Montenegro's skin test predominated (66.4%), with a positive result of 95.8% for CL and 99.3% for MCL. Treatment with N-methylglucamine antimony was performed in 99.4% of the cases, but discontinuously used in the majority of patients. This study presents information which may be used as a tool for the epidemiological surveillance and control of the disease in Xapuri, a region which depends essentially on forest resources and ecological tourism.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a81/5398184/4c45ebb43256/1678-9946-rimtsp-59-e12-gf5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a81/5398184/32873b8d05b3/1678-9946-rimtsp-59-e12-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a81/5398184/ed9dd0e1e2cf/1678-9946-rimtsp-59-e12-gf2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a81/5398184/ddfddc488689/1678-9946-rimtsp-59-e12-gf3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a81/5398184/ff4b8098ab0c/1678-9946-rimtsp-59-e12-gf4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a81/5398184/4c45ebb43256/1678-9946-rimtsp-59-e12-gf5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a81/5398184/32873b8d05b3/1678-9946-rimtsp-59-e12-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a81/5398184/ed9dd0e1e2cf/1678-9946-rimtsp-59-e12-gf2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a81/5398184/ddfddc488689/1678-9946-rimtsp-59-e12-gf3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a81/5398184/ff4b8098ab0c/1678-9946-rimtsp-59-e12-gf4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a81/5398184/4c45ebb43256/1678-9946-rimtsp-59-e12-gf5.jpg

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[1]
Epidemiological aspects of American cutaneous leishmaniasis (ACL) in an endemic area of forest extractivist culture in western Brazilian Amazonia.

Rev Inst Med Trop Sao Paulo. 2017-4-13

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本文引用的文献

[1]
MOLECULAR CHARACTERIZATION OF AMERICAN CUTANEOUS LEISHMANIASIS IN THE TRI‑BORDER AREA OF ASSIS BRASIL, ACRE STATE, BRAZIL.

Rev Inst Med Trop Sao Paulo. 2015

[2]
Host genetic factors in American cutaneous leishmaniasis: a critical appraisal of studies conducted in an endemic area of Brazil.

Mem Inst Oswaldo Cruz. 2014-6

[3]
Mucosal Leishmaniasis caused by Leishmania (Viannia) braziliensis and Leishmania (Viannia) guyanensis in the Brazilian Amazon.

PLoS Negl Trop Dis. 2011-3-8

[4]
Current diagnosis and treatment of cutaneous and mucocutaneous leishmaniasis.

Expert Rev Anti Infect Ther. 2010-4

[5]
[Epidemiology of American tegumentary leishmaniasis in the State of Acre, Brazilian Amazon].

Cad Saude Publica. 2009-6

[6]
Polymerase chain reaction with lesion scrapping for the diagnosis of human American tegumentary leishmaniasis.

Mem Inst Oswaldo Cruz. 2006-6

[7]
Species diversity causing human cutaneous leishmaniasis in Rio Branco, state of Acre, Brazil.

Trop Med Int Health. 2006-9

[8]
[Clinical findings of tegumentary leishmaniasis in children under five years of age in an endemic area of Leishmania (Viannia) braziliensis].

Rev Soc Bras Med Trop. 2006

[9]
Control of mucocutaneous leishmaniasis, a neglected disease: results of a control programme in Satipo Province, Peru.

Trop Med Int Health. 2005-9

[10]
Polymerase chain reaction (PCR) is highly sensitive for diagnosis of mucosal leishmaniasis.

Acta Trop. 2005-4

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