2007-2021 年巴西重要流行地区斑点热确诊和死亡相关因素。
Factors associated with the confirmation and death for Brazilian spotted fever in an important endemic area of the State of São Paulo, 2007-2021.
机构信息
Secretaria de Saúde de Americana, Unidade de Vigilância em Saúde, Americana, SP, Brasil.
Universidade Estadual de Campinas, Programa de Pós-Graduação em Saúde Coletiva, Campinas, SP, Brasil.
出版信息
Rev Soc Bras Med Trop. 2024 Jul 29;57:e00708. doi: 10.1590/0037-8682-0617-2023. eCollection 2024.
BACKGROUND
We evaluated the predictive factors for case confirmation and death from Brazilian spotted fever in an endemic area of Southeastern Brazil.
METHODS
A cross-sectional study was conducted. All suspected cases reported between 2007 and 2021 were analyzed using two logistic regression models.
RESULTS
60 cases were confirmed. Male sex, age group of 40-59 years, tick parasitism, presence of capybaras or horses, exanthema and hospitalization were positively associated with confirmation. Death was associated with a longer period between first symptom-hospitalization and shorter treatment.
CONCLUSIONS
Complete clinical evaluation and information on risk exposure are key to early suspicion, diagnosis, treatment and prevention of deaths.
背景
我们评估了巴西东南部流行地区巴西斑疹热病例确诊和死亡的预测因素。
方法
进行了一项横断面研究。使用两个逻辑回归模型分析了 2007 年至 2021 年期间报告的所有疑似病例。
结果
确诊 60 例。男性、40-59 岁年龄组、蜱虫寄生、有水豚或马、出疹和住院与确诊呈正相关。死亡与首次症状-住院时间延长和治疗时间缩短有关。
结论
完整的临床评估和风险暴露信息是早期怀疑、诊断、治疗和预防死亡的关键。
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