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梅毒的流行病学概况、空间分布及时间序列:巴西某城市的一项横断面研究

Epidemiological profile, spatial distribution, and syphilis time series: a cross-sectional study in a Brazilian municipality.

作者信息

Lino Carolina Matteussi, Sousa Maria da Luz Rosário de, Batista Marília Jesus

机构信息

Department of Health Sciences and Child Dentistry, Piracicaba School of Dentistry, Campinas State University, Piracicaba, São Paulo, Brazil.

出版信息

J Infect Dev Ctries. 2021 Oct 31;15(10):1462-1470. doi: 10.3855/jidc.13780.

Abstract

INTRODUCTION

Syphilis is an infectious disease of bacterial nature, acting on organs and/or systems. The increase in the number of cases worldwide has been of concern and the infection has been considered a public health problem. Given this scenario, this study evaluates the epidemiological profile, spatial distribution, and time series of the cases of acquired syphilis, syphilis in pregnant women, and congenital syphilis in a Brazilian municipality.

METHODOLOGY

This is a cross-sectional and descriptive study with second data of the notified cases. For the definition of the population universe, an initial survey of syphilis cases notified in the municipality was carried out, from January 1, 2013 to December 31, 2017.

RESULTS

There was an increase in the notified cases and the detection/incidence rates of syphilis. The epidemiological profile was composed of men (76.7%), adults (24.8%), white (60.4%), with eight or more years of study (53.7%) in addition to pregnant adolescents (36.7%) and young adults (26.0%), with inadequate treatment and untreated partners. A concentration of cases was identified in the regions with the lowest monthly income and the time series showed an increasing trend (p-value < 0.001).

CONCLUSIONS

Health actions should continue to improve access to diagnosis and to notification, focusing on treatment, cure and health education actions to control and prevent new cases.

摘要

引言

梅毒是一种细菌性传染病,可侵袭器官和/或系统。全球梅毒病例数的增加令人担忧,该感染已被视为一个公共卫生问题。鉴于此情况,本研究评估了巴西一个城市中获得性梅毒、孕妇梅毒和先天性梅毒病例的流行病学特征、空间分布和时间序列。

方法

这是一项利用已通报病例的二手数据进行的横断面描述性研究。为确定总体人群,对2013年1月1日至2017年12月31日该城市通报的梅毒病例进行了初步调查。

结果

梅毒通报病例数及检测/发病率有所增加。流行病学特征包括男性(76.7%)、成年人(24.8%)、白人(60.4%)、接受过八年或以上教育(53.7%),此外还有怀孕青少年(36.7%)和年轻成年人(26.0%),其性伴侣治疗不充分或未接受治疗。在月收入最低的地区发现了病例聚集情况,时间序列显示呈上升趋势(p值<0.001)。

结论

卫生行动应继续改善诊断和通报的可及性,重点是治疗、治愈以及开展健康教育行动,以控制和预防新病例。

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