Leprosy: clinical and epidemiological study in patients above 60 years in Espírito Santo State - Brazil
An. bras. dermatol
; 93(6): 824-828, Nov.-Dec. 2018. graf
Artículo
en Inglés
| LILACS
| ID: biblio-973623
Biblioteca responsable:
BR1.1
ABSTRACT
Abstract Background:
Leprosy is a chronic infectious disease that is endemic in Brazil and little studied in patients over 60 years old.Objective:
The aim of this study was the epidemiological and clinical description of cases of leprosy in individuals older than 60 years, notified in the State of Espírito Santo - Brazil.Methods:
It was an observational, descriptive and retrospective study of leprosy patients notified between 2001 and 2011.Results:
Out of 16,025 notifications, 2,510 (15.6%) were of patients over 60 years of age; the distribution among the period was egalitarian except in the last 2 years, when there was a mild reduction of cases; the average was 70 years of age (±7 years); 46% were women, being 62% of those paucibacillary cases; 1,145 (50.5%) were dark-skined people in particular among paucibacillary cases; 1,638 (72.9%) were illiterates or poorly instructed n particular among multibacillary cases (P=0.022); 59.9% patients were clinically multibacillary cases and 37.4% had positive bacilloscopy; 37.9% patients had clinical alterations on peripheral nerves, 36.7% of all the multibacillary cases were classified as grade I and 15.3% as grade in assessment of disability. Studylimitations:
This was a retrospective study, which used secondary data generated by physicians and notified by other professionals, whar could have enabled possible errors on original data.Conclusions:
Leprosy in this age group suggests a long incubation period with reactivation of latent focus or late infection. Men were more affected, as well as the afro descendent race was statistically significant in the paucibacillary cases (P=0.000) and illiterate/poor education in multibacillary cases (P=0.022). Nearly 40% of patients had positive bacilloscopy and grade I/II disability, demonstrating a late diagnosis.
Texto completo:
Disponible
Colección:
Bases de datos internacionales
Contexto en salud:
ODS3 - Salud y Bienestar
/
Enfermedades Desatendidas
Problema de salud:
Meta 3.3: Poner fin a las enfermedades desatendidas y detener enfermedades transmisibles
/
Lepra
/
Enfermedades Desatendidas
Base de datos:
LILACS
Asunto principal:
Lepra Multibacilar
/
Lepra Paucibacilar
Tipo de estudio:
Estudio observacional
/
Factores de riesgo
Límite:
Anciano
/
Anciano de 80 o más años
/
Femenino
/
Humanos
/
Masculino
País/Región como asunto:
America del Sur
/
Brasil
Idioma:
Inglés
Revista:
An. bras. dermatol
Asunto de la revista:
Dermatologia
Año:
2018
Tipo del documento:
Artículo
País de afiliación:
Brasil
Institución/País de afiliación:
Universidade Federal do Espírito Santo/BR
/
Universidade Federal do Maranhão/BR