2011 - 2014年巴西南马托格罗索州原住民中妊娠梅毒、先天性梅毒和后天性梅毒的报告不足情况
Underreporting of gestational, congenital and acquired syphilis among indigenous peoples in Mato Grosso do Sul State, Brazil, 2011-2014.
作者信息
Tiago Zuleica da Silva, Picoli Renata Palópoli, Graeff Samara Vilas-Boas, Cunha Rivaldo Venâncio da, Arantes Rui
机构信息
Universidade Federal de Mato Grosso do Sul, Programa de Mestrado Profissional em Saúde da Família, Campo Grande-MS, Brasil.
Fundação Oswaldo Cruz/Mato Grosso do Sul, Campo Grande-MS, Brasil.
出版信息
Epidemiol Serv Saude. 2017 Jul-Sep;26(3):503-512. doi: 10.5123/S1679-49742017000300008.
OBJECTIVE
to describe the distribution, incidence, and underreporting of syphilis among indigenous peoples from Mato Grosso do Sul, Brazil.
METHODS
descriptive study performed with secondary data of the Information System for Notifiable Diseases (Sinan) and of the Special Indigenous Sanitary District of Mato Grosso do Sul (DSEI-MS), from 2011 to 2014; the data from both sources were compared to identify underreporting.
RESULTS
the highest incidence rates of syphilis in pregnant women were observed in 2014 (41.1/1,000 live births) and of congenital syphilis, in 2013 (10.7/1,000 live births); the highest numbers of underreporting of cases were for syphilis in pregnant women on Sinan (45/79), of congenital syphilis at DSEI-MS (8/17) in 2014, and of acquired syphilis on Sinan in 2011 and 2013 (5/9 and 10/18, respectively).
CONCLUSION
syphilis has a high incidence; underreporting hides the extent of the disease in indigenous peoples from Mato Grosso do Sul.
目的
描述巴西南马托格罗索州原住民梅毒的分布、发病率及报告不足情况。
方法
利用2011年至2014年法定传染病信息系统（Sinan）和南马托格罗索州特殊原住民卫生区（DSEI-MS）的二手数据进行描述性研究；对这两个来源的数据进行比较以确定报告不足情况。
结果
2014年观察到孕妇梅毒发病率最高（41.1/1000活产），2013年先天性梅毒发病率最高（10.7/1000活产）；2014年Sinan上孕妇梅毒报告不足病例数最多（45/79），DSEI-MS上先天性梅毒报告不足病例数最多（8/17），2011年和2013年Sinan上获得性梅毒报告不足病例数分别为（5/9和10/18）。
结论
梅毒发病率高；报告不足掩盖了南马托格罗索州原住民中该病的实际情况。
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