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从巴西公共卫生系统的角度来看,2000 年至 2015 年米纳斯吉拉斯州与登革热和重症登革热相关的住院和死亡记录概况。

Profile of hospitalization and death records associated to dengue and severe dengue in Minas Gerais between 2000 and 2015 from the Brazilian Public Health System perspective.

机构信息

Universidade do Estado de Minas Gerais, Av. Paraná, 3001 - Jardim Belvedere, Divinópolis, MG, CEP 35501-170, Minas Gerais, Brazil.

Researcher of the Group (CNPq) for Center for Research in Management, Society and Epidemiology in Nursing and in the Network of Health Care - Universidade do Estado de Minas Gerais; Av. Paraná, 3001 - Jardim Belvedere, Divinópolis - MG, CEP 35501-170, Minas Gerais; Researcher of the Group (CNPq) for Epidemiological, Economic & Pharmacological Studies of Arboviruses (EEPIFARBO); Institute of Health and Biological Studies - Universidade Federal do Sul e Sudeste do Pará, Avenida dos Ipês, s/n, Cidade Universitária, Cidade Jardim, Marabá, Pará, Brazil.

出版信息

J Vector Borne Dis. 2021 Jan-Mar;58(1):54-62. doi: 10.4103/0972-9062.321738.

Abstract

BACKGROUND & OBJECTIVES: Dengue is one of the most important arboviruses and public health problem associated with increasingly large outbreaks, especially in tropical countries such as Brazil. The state of Minas Gerais, in particular, has had high numbers of cases of this infection in recent years.

METHODS

Our study evaluated the epidemiological impact of dengue fever in the state of Minas Gerais from the National Health System (Sistema Único de Saúde, SUS) perspective between 2000 to 2015 using the Brazilian Notifiable Diseases Information System (SINAN, notification cases) and Hospital Information System (SIH)/SUS (hospitalization registers) databases.

RESULTS

The SUS database recorded 34,996 reports of dengue (International Classification of Diseases [ICD]: A90) as well as 1984 verified cases of severe dengue (ICD-A91). These hospitalizations for dengue and cases of severe dengue generally affected individuals aged 15-24 (17.74%) and 5-14 (20.86%) years, respectively. The epidemiological burden of dengue was substantial in Minas Gerais state, with the highest number of notifications nationally in 2013.

INTERPRETATION & CONCLUSION: From retrospective data associated with dengue records, our study sought to better highlight the locations with the largest number of dengue cases in the Minas Gerais state, and contribute to direct educational and surveillance actions of these regions applied to this infection.

摘要

背景与目的

登革热是最重要的虫媒病毒之一,也是与日俱增的大规模疫情相关的公共卫生问题,尤其在巴西等热带国家。在过去几年中,米纳斯吉拉斯州的该疾病感染病例数量一直很高。

方法

本研究从国家卫生系统(Sistema Único de Saúde,SUS)的角度,使用巴西法定传染病信息系统(Sistema de Informação de Agravos de Notificação,SINAN,法定传染病病例)和医院信息系统(Sistema de Informação Hospitalar/SUS,SIH/SUS,住院登记)数据库,评估了 2000 年至 2015 年米纳斯吉拉斯州登革热的流行病学影响。

结果

SUS 数据库记录了 34996 例登革热(国际疾病分类[A90])和 1984 例确诊重症登革热(A91)病例。这些登革热住院和重症登革热病例主要影响 15-24 岁(17.74%)和 5-14 岁(20.86%)的人群。登革热在米纳斯吉拉斯州的流行程度很高,2013 年的报告病例数在全国最多。

解释与结论

从与登革热记录相关的回顾性数据中,我们的研究旨在更好地突出米纳斯吉拉斯州登革热病例数量最多的地区,并有助于针对这些地区开展该感染的直接教育和监测活动。

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