巴西米纳斯吉拉斯州中西部地区登革热的流行病学影响和住院费用:从 SUS 角度。
Epidemiological Impact and Hospitalization costs applied to dengue in the Midwest region of Minas Gerais state, Brazil, from SUS perspective.
机构信息
Universidade do Estado de Minas Gerais, Av. Paraná, 3001 - Jardim Belvedere, Divinópolis - MG, CEP 35501-170, Minas Gerais, Brazil.
Secretaria de Vigilância em Saúde de Divinópolis, Minas Gerais Street, 55 Centro, CEP:35500-007 Divinópolis, Minas Gerais, Brazil.
出版信息
J Vector Borne Dis. 2020 Oct-Dec;57(4):331-340. doi: 10.4103/0972-9062.325642.
BACKGROUND & OBJECTIVES: Dengue is considered one of the greatest public health challenges in the world, especially, for tropical and subtropical countries. Brazil highlights with considerable number of registers associated with this arbovirus, with emphasis on the state of Minas Gerais and its municipalities in regions such as the midwest. We aimed to evaluate the economic and epidemiological impact of dengue in the midwest region of minas Gerais, from SUS perspective.
METHODS
Our study evaluated the epidemiological impact of dengue fever in the midwest region of Minas Gerais using data applied to Divinópolis city from SUS perspective between 2000 to 2015 considering SIH/SUS database (hospitalization registers) and 2007 to 2017 using the SINAN database (notification cases). We analyzed the number of notification registers and hospital services, as well as their costs, from a SUS perspective associated with this infection.
RESULTS
There were 26,516 notifications associated with dengue, with 21,953 cases being confirmed by SEMUSA, with a median incidence of 211 cases/100,000 inhabitants of dengue notifications between 2007 and 2017. The southeast and southwest regions in the municipality are highlighted with high number of cases. Additionally, 160 hospitalizations were recorded with 33.79% in individuals between 15 and 34 years old and expenses of USD 53,737.21 for SUS between 2000 and 2015.
INTERPRETATION & CONCLUSION: Divinópolis is the reference (social and economic) municipality of the midwest region in Minas Gerais state. Our study is the first conducted involving a long period of follow up applied to dengue context in this locality, especially, including the costs associated with hospitalization services. We hope to contribute to the discussions regarding the coping strategies of the disease, considering the impact in its different regions, highlighting the need for continued efforts and initiatives aimed at combating the vector of this and other arboviruses such as Zika and chikungunya.
背景与目的
登革热被认为是世界上最严重的公共卫生挑战之一,尤其是对热带和亚热带国家而言。巴西拥有大量与这种虫媒病毒相关的登记册,重点是米纳斯吉拉斯州及其中西部地区的各个城市。我们旨在从巴西全民健康覆盖(SUS)的角度评估米纳斯吉拉斯州中西部地区登革热的经济和流行病学影响。
方法
我们的研究从巴西全民健康覆盖的角度,利用 2000 年至 2015 年在米纳斯吉拉斯州中西部的迪尼多波利斯市应用于 SUS 的数据,评估了登革热的流行病学影响,使用了 SIH/SUS 数据库(住院登记册);并利用 SINAN 数据库(通知病例),评估了 2007 年至 2017 年与该感染相关的通知登记册和医院服务数量及其成本。
结果
共发现 26516 例与登革热相关的通知病例,其中 SEMUSA 确认了 21953 例,2007 年至 2017 年期间,每 10 万居民中有 211 例登革热通知病例,发病率中位数为 211 例。该城市的东南部和西南部地区的病例数量较高。此外,还记录了 160 例住院病例,其中 33.79%的住院患者年龄在 15 至 34 岁之间,2000 年至 2015 年期间,巴西全民健康覆盖的费用为 53737.21 美元。
解释与结论
迪尼多波利斯是米纳斯吉拉斯州中西部地区的参考(社会和经济)城市。我们的研究是首次在该地区进行的涉及登革热背景的长期随访研究,特别是包括与住院服务相关的费用。我们希望为应对该疾病的不同地区的影响的讨论做出贡献,突出需要继续努力和采取措施来防治这种虫媒病毒以及寨卡病毒和基孔肯雅热等其他虫媒病毒。