2006 - 2016年巴西马托格罗索州唐加拉达塞拉市活产儿先天性异常情况
Profile of congenital anomalies among live births in the municipality of Tangará da Serra, Mato Grosso, Brazil, 2006-2016.
作者信息
Silva Juliana Herrero da, Terças Ana Cláudia Pereira, Pinheiro Laura Castelo Branco, França Giovanny Vinícius Araújo de, Atanaka Marina, Schüler-Faccini Lavínia
机构信息
Prefeitura Municipal de Tangará da Serra, Secretaria Municipal de Saúde, Tangará da Serra, MT, Brasil.
Universidade do Estado de Mato Grosso, Faculdade de Ciências Biológicas, Agrárias e da Saúde, Tangará da Serra, MT, Brasil.
出版信息
Epidemiol Serv Saude. 2018 Oct 22;27(3):e2018008. doi: 10.5123/S1679-49742018000300017.
OBJECTIVE
to describe congenital anomalies (CA) among live births of mothers resident in Tangará da Serra, MT, Brazil, during the period 2006-2016.
METHODS
this was a descriptive study, using Brazilian Live Birth Information System (SINASC) data.
RESULTS
out of 15,689 births, 77 were registered with CA (prevalence of 4.9/1,000); there was an 80.7% increase of recorded CA in 2016, accounting for 10.3/1,000 live births, including five cases of microcephaly; CA prevalence was higher among children born to women aged over 35 years (prevalence ratio [PR] =1.91; confidence interval [95%CI] 1.01;3.60), preterm (PR=2.22; 95%CI 1.26;3.92) and low birth weight infants (PR=3.21; 95%CI 1.86;5.54).
CONCLUSION
low CA prevalence was found, possibly related to under-recording at birth; the increase observed in 2016 may be related to the Zika epidemic causing microcephaly, as well as greater attention by health professionals in relation to CA during this public health emergency.
目的
描述2006 - 2016年期间居住在巴西马托格罗索州唐加拉达塞拉的母亲所生活产儿中的先天性异常（CA）情况。
方法
这是一项描述性研究，使用巴西活产信息系统（SINASC）的数据。
结果
在15689例出生中，有77例登记有先天性异常（患病率为4.9/1000）；2016年记录的先天性异常增加了80.7%，占活产儿的10.3/1000，其中包括5例小头畸形病例；35岁以上女性所生孩子的先天性异常患病率更高（患病率比[PR]=1.91；置信区间[95%CI]1.01；3.60），早产（PR=2.22；95%CI 1.26；3.92）和低体重儿（PR=3.21；95%CI 1.86；5.54）。
结论
先天性异常患病率较低，可能与出生时记录不全有关；2016年观察到的增加可能与导致小头畸形的寨卡疫情有关，也与公共卫生紧急情况期间卫生专业人员对先天性异常的更多关注有关。
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