ABSTRACT
ABSTRACT: Introduction: In the American continent, accidents caused by honeybees are a public health problem due to the high incidence and severity of the cases. Despite its medical importance, there are few epidemiological studies on this topic in Brazil, especially referring to the Northeastern states. The present study aims to describe the epidemiological features of honeybee envenomation cases in the state of the Rio Grande do Norte, Northeastern Brazil, from 2007 to 2014. Methods: Data were collected from the Notifiable Diseases Information System database of the Health Department of Rio Grande do Norte. Results: We analyzed a total of 2,168 cases. Cases occurred in all months of the years studied, reaching higher frequencies from June to October. Most incidents happened in urban areas and involved men, with victims aged between 20 and 39 years. Victims were mainly stung on the head and hand, and they received medical care predominantly within 3 hours after the injury. Local manifestations were more frequent than systemic ones. Clinically, most cases were mild and progressed to cure. Conclusion: The high number of honeybee sting cases shows that Rio Grande do Norte may be an important risk area for such injury.
RESUMO: Introdução: No continente americano, os acidentes causados por abelhas são um problema de saúde pública devido à alta incidência e severidade dos casos. Apesar de sua importância médica, há poucos estudos epidemiológicos sobre esse tema no Brasil, especialmente referentes aos estados do Nordeste. O presente estudo tem como objetivo descrever as características epidemiológicas dos casos de envenenamento por abelhas no estado do Rio Grande do Norte, no Nordeste do Brasil, de 2007 a 2014. Metodologia: Os dados foram coletados da base de dados do Sistema de Informação de Agravos de Notificação da Secretaria Estadual de Saúde do Rio Grande do Norte. Resultados: Um total de 2.168 casos foram analisados. Os casos mostraram distribuição em todos os meses dos anos estudados, com maior frequência de junho a outubro. A maioria dos casos ocorreu em áreas urbanas e envolveu homens, com vítimas entre 20 e 39 anos de idade. As vítimas foram principalmente picadas na cabeça e na mão, e receberam assistência médica predominantemente dentro de 3 horas após serem picadas. As manifestações locais eram mais frequentes do que as sistêmicas. Clinicamente, a maioria dos casos foi leve e progrediu para cura. Conclusão: O alto número casos de picadas de abelhas mostra que o Rio Grande do Norte pode ser uma importante área de risco para tal incidente.
Subject(s)
Humans , Animals , Male , Female , Infant , Child, Preschool , Child , Adolescent , Adult , Young Adult , Bee Venoms/poisoning , Bees , Insect Bites and Stings/epidemiology , Seasons , Time Factors , Severity of Illness Index , Brazil/epidemiology , Incidence , Risk Factors , Analysis of Variance , Sex Distribution , Age Distribution , Spatial Analysis , Insect Bites and Stings/complications , Middle AgedABSTRACT
Toxoplasmosis is caused by Toxoplasma gondii, which is particularly relevant in pregnant women, due to the risk of congenital infection. The aim of this study was to study the serological profile of pregnant women and analyze some factors related to infection in this group. A descriptive and retrospective study was performed analyzing the results of 356 pregnant women in the Mixed Health Unit of Jaçanã-RN from 2009 to 2014. Results of serological tests for IgG and IgM anti-T. gondii antibodies were provided by LACEN-RN. The chi-square test (χ2) was calculated being considered statistically significant for p<0.05. The results showed that: 59% of the pregnant women tested presented serology IgG anti-T. gondii reagent (IgG+) and IgM anti-T. gondii non-reactive (IgM-), 0.6% reagent for both (IgG+ and IgM+) and 40.4% susceptible to infection (IgG- and IgM-). 71.3% of the women were tested in the first trimester of pregnancy; the 20-29 years of age range was the most prevalent (62.5%) and the 11-19 years of age range was the most susceptible (47%). The rural women had the highest incidence of positive serology (60.2%) and those from the urban area were the most susceptible (40.7%). There was no statistical association between serology and the age group (p=0.282) and origin (p=0.881) variables. There is need for investment in prenatal care and health education for the population about toxoplasmosis