Post-graduate Program in Health Sciences, Universidade Estadual de Maringá, Maringá, Brazil.
Duke Global Health Institute, Duke University, Durham, North Carolina, USA.
Trop Med Int Health. 2023 Sep;28(9):771-779. doi: 10.1111/tmi.13925. Epub 2023 Aug 9.
To analyse the records of male hospitalisation for fungal infections, including their spatial distribution and the main invasive epidemiological and sociodemographic characteristics in the State of Paraná, Brazil.
Spatial analysis based on data from male admission records for invasive fungal infections (IFIs) in the State of Paraná, from 2015 to 2019. Data were taken from the hospital records obtained in the Hospital Information System of the Unified Health System, being collected, georeferenced and analysed to infer the existence of autocorrelation with the hospitalisation rates in the state.
From 2015 to 2019, there were 385 cases of IFIs in men, being more prevalent in white individuals aged 61-70 years. We observed that the metropolitan, southeast, central-eastern, north-central, northwestern and western regions formed high-high clusters, with regions with a high number of registered cases. In the regression, there was an association with socioeconomic and demographic factors that showed a correlation with the rates of hospitalisation for IFIs.
The study draws attention to Paraná as an endemic region for paracoccidioidomycosis, in addition to presenting high rates of nosocomial fungal infections. We also emphasise the importance of compulsory notification in the state and in the country to gain greater control over the incidence and prevalence of cases and to incentivise the creation of public policies for the prevention of IFIs.
分析巴西巴拉那州男性真菌感染住院记录，包括其空间分布和主要侵袭性流行病学及社会人口统计学特征。
对 2015 年至 2019 年巴西巴拉那州男性侵袭性真菌感染（IFI）住院记录进行空间分析。数据来自于统一卫生系统医院信息系统中的住院记录，经过收集、地理参考和分析，推断该州住院率是否存在自相关。
2015 年至 2019 年期间，共有 385 例男性IFI 病例，61-70 岁的白人男性居多。我们观察到，大都市、东南、中东部、中北部、西北部和西部地区形成了高-高聚集区，这些地区的登记病例较多。在回归分析中，与社会经济和人口因素有关，这些因素与 IFI 的住院率相关。
该研究提醒人们注意巴拉那州是副球孢子菌病的地方性流行区，此外，还存在较高的医院真菌感染率。我们还强调了国家和州强制性报告的重要性，以更好地控制病例的发病率和患病率，并鼓励制定预防 IFI 的公共政策。
