亚马逊州玛瑙斯市2018-2019年人类皮肤利什曼病回顾性研究

George Jefferson Gomes Maia, Mariana Silva Albuquerque, Vitória Elizabeth de Souza Rocha, Jamires Silva de Souza, Edson Francisco do Espírito Santo
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摘要

美洲蹼状利什曼病(ATL)是一种由利什曼原虫属原虫引起的人畜共患病,呈慢性、非传染性进化,通过沙蝇叮咬传播(双翅目:沙蝇科)。城市、农业边界的扩张和对周边地区的占领都是导致该病流行的原因。本文旨在研究马瑙斯市人类ATL病例的发病率,定性和定量地描述该疾病的发生。根据亚马逊健康监测基金会(FVS/AM)提供的法定疾病信息系统(SINAN)的数据转移,本研究描述了2018年至2019年在亚马逊州首都发生的总共789例病例,这些病例根据年龄、性别、职业、临床症状以及本地病例的状况、与工作的关系和病例的演变进行了分类。结果,确诊了789例病例,年龄从1岁到90岁不等,男性发病率较高。在病变形式方面,98.73%的病例确诊为皮肤型,57%的病例临床治愈。结果表明,ATL是一种与患者所处的社会经济状况和主要健康状况有关的疾病,在不断扩大的大城市,如马瑙斯市,患者人数很多。因此,需要进一步的工作来澄清这种疾病,特别是在亚马逊州,因为它仍然是一种被忽视的疾病,与人口的生活条件有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Retrospective study of american cutaneous leishmaniosis in humans in the city of Manaus, Amazonas (2018-2019)
American Tegumentary Leishmaniasis (ATL) is characterized as a zoonosis caused by protozoa of the genus Leishmania spp., presenting a chronic, non-contagious evolution, and its transmission occurs through the bite of sand fly insects (Diptera: Psychodidae). The process of expansion of cities, agricultural frontiers, and the occupation of peripheral areas contribute to the occurrence of epidemic outbreaks of the disease. This article aimed to study the incidence of human cases of ATL in the city of Manaus, describing qualitatively and quantitatively the occurrence of this disease. From the transfer of data from the Notifiable Diseases Information System - SINAN, made available by the Amazonas Health Surveillance Foundation - FVS/AM, this study describes a total of 789 cases, which occurred between 2018 and 2019, in the capital of Amazonas, which were classified according to age, gender, occupation, clinical signs, as well as the condition of the autochthonous case, the relationship with work, and the evolution of the case. As a result, 789 cases were confirmed, ranging in age from 1 to 90 years, and with a higher prevalence in males. As for the form of the lesion, the cutaneous type was identified in 98.73% of the cases, and 57% of the cases had a clinical cure. The results show ATL as a disease related to the socioeconomic and mainly health conditions in which the patient fits, with a high number of patients in large expanding cities, such as the city of Manaus. Thus, further work is needed to provide clarification on the disease, especially in the state of Amazonas, as it is still a neglected disease and related to the population's living conditions.
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