Lise Michael Laurence Zini, Widdicombe Jo, Lise Claudia Ribeiro Zini, Oliveira Stefan Vilges de, Pacheco de Caldas Eduardo, Entezami Mahbod, Prada Joaquín M, Ghiotti Nilton, Rodrigues E Silva Rosângela, Vizcaychipi Katherina A, Del Rio Vilas Victor
Secretaria de Vigilância em Saúde, Ministério da Saúde do Brasil, Brasília 70300-904, Brazil.
School of Veterinary Medicine, University of Surrey, Guildford GU2 7AL, UK.
Vet Sci. 2022 Aug 16;9(8):436. doi: 10.3390/vetsci9080436.
Echinococcosis is a zoonotic disease relevant to public health in many countries, on all continents except Antarctica. The objective of the study is to describe the registered cases and mortality from echinococcosis in Brazil, from 1995 to 2016. The records of two national databases, the Hospital Information System (HIS) and the Mortality Information System (MIS), were accessed during the period of 1995-2016. Demographic, epidemiological, and health care data related to the occurrence of disease and deaths attributed to echinococcosis in Brazil are described. The results showed that 7955 records of hospitalizations were documented in the HIS, during the study period, with 185 deaths from echinococcosis, and 113 records of deaths were documented in the MIS Deaths in every state of Brazil in the period. When comparing between states, the HIS showed great variability in mortality rates, possibly indicating heterogeneity in diagnosis and in the quality of health care received by patients. Less severe cases that do not require specialized care are not recorded by the information systems, thus the true burden of the disease could be underrepresented in the country. A change in the coding of disease records in the HIS in the late 1990s, (the integration of echinococcosis cases with other pathologies), led to the loss of specificity of the records. The records showed a wide geographic distribution of deaths from echinococcosis, reinforcing the need to expand the notification of the disease in Brazil. Currently, notification of cases is compulsory in the state of Rio Grande do Sul.
棘球蚴病是一种在除南极洲以外的各大洲许多国家都与公共卫生相关的人畜共患病。本研究的目的是描述1995年至2016年巴西棘球蚴病的登记病例和死亡率。在1995 - 2016年期间访问了两个国家数据库的记录，即医院信息系统（HIS）和死亡率信息系统（MIS）。描述了与巴西棘球蚴病所致疾病和死亡发生情况相关的人口统计学、流行病学和医疗保健数据。结果显示，在研究期间，HIS记录了7955例住院病例，其中185例死于棘球蚴病，MIS记录了113例死亡病例。在此期间巴西各州均有死亡病例。在各州之间进行比较时，HIS显示死亡率差异很大，这可能表明诊断存在异质性以及患者接受的医疗保健质量存在差异。信息系统未记录不需要专科护理的不太严重的病例，因此该国该疾病的实际负担可能被低估。20世纪90年代后期HIS中疾病记录编码的变化（将棘球蚴病病例与其他病理合并）导致记录失去特异性。记录显示棘球蚴病死亡病例的地理分布广泛，这进一步证明了在巴西扩大该疾病通报的必要性。目前，南里奥格兰德州强制要求通报病例。
