Panorama da dengue na região sul do brasil de 2001 a 2017 / Panorama de la dengue en la región sur de brasil de 2001 a 2017 / An overview of dengue in the southern region of brazil from 2001 to 2017

Objetivo: inventariar casos notificados por dengue clássica e óbitos na região Sul do Brasil entre 2001 e 2017. Método: estudo descritivo-retrospectivo a partir de dados secundários do DATASUS/SINAN e das Secretarias de Saúde, analisados através de estatística descritiva. Resultados: observou-se aumento dos casos nos três estados: Paraná (PR) elevou casos autóctones para 94% nos últimos quatro anos, Santa Catarina (SC) para 95%, e Rio Grande do Sul (RS) para 83%, respectivamente, em 2015 e 2016. Observou-se crescente aumento de óbitos por dengue hemorrágica, principalmente no PR; em 2016, o primeiro óbito em SC; e aumento nos últimos dois anos no RS, mais de 90% em adultos. Conclusão: a região requer atenção dos órgãos de saúde, devido ao aumento de casos e óbitos por dengue, embora apresente a menor incidência da doença do país. Este estudo contribuiu para o conhecimento do cenário atual e da evolução da dengue na região Sul do Brasil.

ABSTRACT Objetivo: inventariar casos notificados por dengue clásica y óbitos en la región Sur de Brasil entre 2001 y 2017. Método: estudio descriptivo retrospectivo con base en datos secundarios del DATASUS/SINAN y de las Secretarías de Salud, analizados por medio de estadística descriptiva. Resultados: se observó crecimiento de los casos en los tres estados: Paraná (PR) tuvo elevación de casos autóctonos para 94% en los últimos cuatro años, Santa Catarina (SC) para 95%, y Rio Grande do Sul (RS) para 83%, respectivamente, en 2015 y 2016. Se observó todavía creciente aumento de óbitos por dengue hemorrágico, principalmente en PR; en 2016; el primero óbito en SC; y crecimiento en los últimos dos años en RS, más de 90% en adultos. Conclusión: la región necesita atención de los organismos de salud, a causa del crecimiento de casos y óbitos por dengue, a pesar de presentar la menor incidencia de la enfermedad del país. Este estudio contribuyó para el conocimiento del escenario actual y de la evolución de la dengue en la región Sur de Brasil.

Objective: To record cases reported as classical dengue fever and deaths in the southern region of Brazil between 2001 and 2017. Method: Descriptive-retrospective study using secondary data from DATASUS/ SINAN and State Departments, analyzed through descriptive statistics. Results: An increase in the percentage of cases of the disease in the three states was observed in the three Brazilian southern states: in Paraná (PR) the percentage of autochthonous cases reached 94% in the last four years; in Santa Catarina (SC), the percentage was 95%, and in Rio Grande do Sul (RS), 83%, respectively, in 2015 and 2016. There was an increase in the number of deaths by severe dengue (dengue hemorrhagic fever), mainly in PR; in 2016, the first death caused by dengue was observed in SC; and an increase of more than 90% in the cases of dengue among adults in the last two years in Rio Grande do Sul. Conclusion: Despite the fact the Southern region of Brazil has the lowest incidence of dengue, special attention should be paid by health agencies to the situation in the southern states due to the increase in the number of cases and deaths caused by dengue.

Investigation on application of hospital infectious disease reporting mana-gement information system in secondary and tertiary hospitals in Wuhan / 医疗卫生装备

Objective To investigate the construction and application of infectious disease reporting management information system in HIS in the secondary and tertiary hospitals of Wuhan to provide support for public health informatization and management by the medical administration. Methods Questionnaire was used to investigate the application of infectious disease information management system in the departments of outpatient,inpatient,clinical laboratory and public health in the hospitals,which was executed on hospital essential information as well as informatization of outpatient infectious disease reporting,registration for hospital admission and discharging,registration of clinical laboratory and imaging examinations as well as infectious disease reporting card verification in the public health department.Excel and SPSS software were used for descriptive statistics.Results In the departments of outpatient,inpatient,clinical laboratory and public health the proportions of informatized infectious disease reporting management were 55.1%,84.4%,79.3% and 51.7% respectively.The hospitals involving infectious disease reporting management information system in HIS had the rates of infectious disease reporting significantly higher than those with traditional method in timeliness,completion,accuracy and etc (P<0.05).The time consumed for outpatient log registration was statistically shorter by informatized means than by traditional paper ways(P<0.05).Conclusion The secondary and tertiary hospitals in Wuhan have disadvantages in informatized infectious disease reporting management, and should take measures to enhance infectious disease reporting.[Chinese Medical Equipment Journal,2018,39(5):75-77]

Application of Coronary Artery Disease-Reporting and Data System in risk factor analysis of patients with coronary artery disease / 吉林大学学报(医学版)

Objective:To investigate the application of Coronary Artery Disease-Reporting and Data System (CAD-RADS) in the diagnosis of coronary atherosclerotic heart disease(CAD) and its risk factors,and to clarify the effective strength of different risk factors in the diagnosis of CAD by using CAD-RADS.Methods:All the data of 266 patients,who were initially suspected with CAD and underwent CT angiography,were collected and diagnosed by using CAD-RADS and were divided into CAD group(n=174) and non-CAD group(n=69).The informations of age,gender,hypertension,hyperlipemia,diabetes,smoking,serum uric acid (UA) levels,and plasma fibrinogen (FIB) levels of the patients in two groups were analyzed;single factor analysis and multivariate Logstic regression analysis were used to analyze the risk factors of CAD diagnosed by CAD-RADS.Results:Compared with non-CAD group,the ratios of male,hypertension,diabetes,smoking of the patients in CAD group were increased (P<0.05),and the age and the level of UA of the patients in CAD group were also increased (P<0.05).The Logistic regression analysis results showed that age and diabetes were the independent risk factors for CAD diagnosed by CAD-RADS.Conclusion:There are many independent risk factors for CAD diagnosed by CAD-RADS,and age and diabetes are the most correlated risk factors for CAD.

Design and application of disease reporting management system for hospital / 医疗卫生装备

Objective To develop a disease reporting management system to enhance the timeliness and accuracy of disease reporting so as to promote hospital public health management.Methods The system was designed with VS2010 and SQL Server 2008,which was gifted with the functions of filling in the report card,auditing,uploading,statistics and training.Windows service program developed with.net 4.0 selected qualified patient information periodically,and then the information was transmitted to ActiveMQ server which sent message to the doctor station to remind the doctor to fill in the report card.Results The system contributed to standardizing working flow,establishing study platform,enhancing working efficiency,avoiding missed report of infectious diseases and enhancing the rate of reporting other diseases.Conclusion The system has easy operation,maintenance and extension,and is worthy promoting for reporting management of infectious diseases.

Design and application of disease reporting management system for hospital / 医疗卫生装备

Objective To develop a disease reporting management system to enhance the timeliness and accuracy of disease reporting so as to promote hospital public health management.Methods The system was designed with VS2010 and SQL Server 2008,which was gifted with the functions of filling in the report card,auditing,uploading,statistics and training.Windows service program developed with.net 4.0 selected qualified patient information periodically,and then the information was transmitted to ActiveMQ server which sent message to the doctor station to remind the doctor to fill in the report card.Results The system contributed to standardizing working flow,establishing study platform,enhancing working efficiency,avoiding missed report of infectious diseases and enhancing the rate of reporting other diseases.Conclusion The system has easy operation,maintenance and extension,and is worthy promoting for reporting management of infectious diseases.

Características clínico-laboratoriais no retratamento por recidiva em hanseníase / Clinical and laboratory characteristics in the retreatment of leprosy relapse

OBJETIVO: Comparar as características clínico-laboratoriais dos doentes de hanseníase durante o tratamento inicial e no retratamento por recidiva diagnosticada em unidades de saúde de referência no Estado de Mato Grosso MÉTODO: Estudo transversal de casos diagnosticados de recidiva em hanseníase em unidades de referência de 2005 a 2007 em cinco municípios do Estado. O tratamento inicial foi considerado t1 e a recidiva t2. Fontes de dados: Sistema de Informação de Agravos de Notificação, prontuários, exames laboratoriais, ficha de notificação individual e de avaliação de incapacidade física. Utilizou-se para a comparação e cálculo de proporções o teste do Qui-quadrado (c²) ao nível de significância de 5%. RESULTADOS: Verificou-se predomínio da forma clínica dimorfa em t2 quando comparada a t1 (39,6% versus 11,3%; p = 0,003); 20,8%, dos casos em recidivas apresentaram índice baciloscópico ≥ 4+ se comparados aqueles em t1 (p = 0,034); aumento (17%) dos casos de recidiva com grau zero de incapacidade quando comparados aos pacientes avaliados no momento do diagnóstico (58,5% versus 41,5%); aumento (7,5%) de recidivas com incapacidades grau 2 quando comparadas a t1 (9,4% versus 1, 9%); predomínio de casos não avaliados quanto a incapacidade física entre t1 (45,3%) e t2 (22,6%); (p = 0,040). CONCLUSÃO: Os casos de recidiva caracterizam o agravamento da doença indicadas pelo aumento do índice baciloscópico e do grau de incapacidade física. Recomenda-se maior atenção à confirmação diagnóstica de recidiva por meio de exames baciloscópicos, em especial nos multibacilares, e da avaliação neurológica sistemática de todos os pacientes de hanseníase.

OBJECTIVE: To compare clinical and laboratory data of leprosy patients diagnosed in specialized services in the State of Mato Grosso, Brazil, during the initial treatment and the retreatment of relapse. METHODS: A cross-sectional study of patients with diagnosis of leprosy relapse was conducted in specialized health services of five cities, between 2005 and 2007. Initial treatment was described as t1 and relapse treatment as t2. DATA SOURCE: Sistema de Informação de Agravos de Notificação (Sinan - Reportable Diseases Information System), medical records, laboratory tests, and files of individual reports and of physical disability assessments. The chi-square test (c2) was applied at a significance level of 5%. RESULTS: The clinical dimorphic form prevailed in t2 when compared with t1 (39.6% versus 11.3%; p = 0.003); 20.8% of relapse cases showed a bacilloscopy index ≥ 4+ in relation to those in t1 (p = 0.034)]; an increase in the number of (17%) cases of relapse with physical disability at level 0 was found, compared to patients evaluated during the diagnosis (58.5% versus 41.5%); an increase (7.5%) in the recurrence of disabilities at level 2 was observed, when compared to t1 (9.4% versus a 9%); and there was a higher prevalence of cases not evaluated for disability between t1 (45.3%) and t2 (22.6%) (p = 0.040). CONCLUSION: Cases of relapse characterized the aggravation of the disease, indicated by the increase in the bacilloscopy index and level of physical disability. Attention should be paid to the diagnostic confirmation of relapse using bacilloscopy tests, especially in multibacillary cases, and systematic neurological assessment of all leprosy patients.

Estimativa de subnotificação de casos de AIDS em uma capital do Nordeste / Estimation of underreporting of AIDS cases in a Brazilian Northeast metropolis

A subnotificação de casos de Aids representa um dos principais problemas da vigilância epidemiológica da Aids. Este trabalho teve como objetivo conhecer a subnotificação dos casos de Aids em adultos, no município de Fortaleza, nos anos de 2002 e 2003. Estimou-se ainda a subnotificação em dois hospitais de referência, Hospital São José - HSJ e Hospital Geral de Fortaleza - HGF. Utilizou-se o método de captura e recaptura com base nos dados secundários do Sistema de Informação de Agravos de Notificação - Sinan, Sistema de Controle de Exames Laboratoriais - Siscel e Sistema de Informações sobre Mortalidade-SIM. Os três sistemas foram comparados dois a dois e considerados como notificados os casos confirmados no Sinan. Os casos foram emparelhados no Programa RecLink II. Após este processo, foram selecionados os casos elegíveis para aplicação do método de captura e recaptura, com a utilização dos estimadores de Lincoln-Petersen e o de Chapman. A subnotificação estimada para Fortaleza foi de 33,1 por cento e 14,1 por cento, ao se comparar o Sinan com Siscel e SIM, respectivamente. No HSJ e HGF, a subnotificação foi de 5,4 por cento e 90,5 por cento na mesma ordem, comparando o Sinan com o Siscel. Este trabalho demonstrou elevada subnotificação de casos de Aids em Fortaleza. A subnotificação, quando avaliada por fonte, isto é, comparando-se o Siscel com o Sinan, é mais de duas vezes superior àquela estimada quando se compara as fontes SIM com Sinan, o que demonstra ser o Siscel uma importante fonte de notificação de casos de Aids. Portanto, recomenda-se que o Sinan-Aids seja comparado, periodicamente, com todas as fontes de informações disponíveis que possam contribuir para a redução da subnotificação de Aids.

Evaluation of the Completeness of Case Reporting during the 1998 Cheju-do Mumps Epidemic, Using Capture-recapture Methods / 예방의학회지

OBJECTIVES: To estimate mumps incidence during the study period and to evaluate the completeness of case reporting. METHODS: Capture-recapture methods, originally developed for counting wildlife animals, were used. The data sources were 1) the National Notifiable Communicable Disease Reporting System (NNCDRS; 848 cases), 2) the School Health Reporting System, temporarily administered by the Division of Education (SHRS; 1,026 cases), and 3) a survey of students (785 cases). We estimated the number of unobserved mumps cases by matching the three data sources and fitting loglinear models to the data. We then determined the estimated total number of mumps cases by adding this to the number of observed cases. Completeness was defined as the proportion of observed cases from each source to the total of estimated cases. RESULTS: The total number of observed cases was 1,844 and the total number of estimated cases was 1,935 (95% CI: 1,878-2,070). The overall completeness was 43.8% of the NNCDRS, 53.0% of the SHRS, and 40.6% of the survey. However, completeness varied by area and age. CONCLUSION: Although the completeness of NNCDRS data appeared higher than in the past, it is difficult to generalize this result. In Korea, it is possible to estimate the size of health hazards relatively cheaply and quickly, by applying capture-recapture methods to various data using a multiple data collection system.