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Clinical and epidemiological profiles of patients with American cutaneous leishmaniasis from the states of Pernambuco and Amazonas, Brazil
Melo, Maria Gabriella Nunes de; Morais, Rayana Carla Silva de; Goes, Tayná Correia de; Silva, Rômulo Pessoa e; Morais, Rômulo Freire de; Guerra, Jorge Augusto de Oliveira; Brito, Maria Edileuza Felinto de; Brandão Filho, Sinval Pinto; Cavalcanti, Milena de Paiva.
  • Melo, Maria Gabriella Nunes de; Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Recife. BR
  • Morais, Rayana Carla Silva de; Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Recife. BR
  • Goes, Tayná Correia de; Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Recife. BR
  • Silva, Rômulo Pessoa e; Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Recife. BR
  • Morais, Rômulo Freire de; Fundação de Medicina Tropical Dr. Heitor Vieira Dourado. Manaus. BR
  • Guerra, Jorge Augusto de Oliveira; Fundação de Medicina Tropical Dr. Heitor Vieira Dourado. Manaus. BR
  • Brito, Maria Edileuza Felinto de; Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Recife. BR
  • Brandão Filho, Sinval Pinto; Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Recife. BR
  • Cavalcanti, Milena de Paiva; Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Recife. BR
Rev. Soc. Bras. Med. Trop ; 53: e20200083, 2020. tab, graf
Article in English | SES-SP, ColecionaSUS, LILACS | ID: biblio-1143876
ABSTRACT
Abstract

INTRODUCTION:

Brazil has a high number of cases of American cutaneous leishmaniasis (ACL) in the north and northeast regions. Therefore, continuous surveillance of environmental and socioeconomic factors in endemic areas is needed to develop strategic control measures. This study aimed to describe the clinical and epidemiological profiles of patients with ACL.

METHODS:

All patients were from the states of Amazonas and Pernambuco, and examinations were carried out between 2015 and 2018. All patients had a clinical and epidemiological history compatible with ACL after positive diagnostic tests. Information obtained from medical records included gender, employment activity, level of education, age, and number and sites of lesions.

RESULTS:

A total of 213 patients were included, of whom 30.98% were female and 69.02% were male. The main employment activity was agriculture (27.56%). The most common level of education was elementary (62.42%). The average age was approximately 39 years. The majority of the patients presented only with one lesion (54.87%), and legs/feet were the most commonly affected area (48.25%), followed by the arms/hands (44.75%).

CONCLUSIONS:

These data demonstrated that irrespective of the patients' places of origin, interventions need to be focused on men of economically productive age, in view of the high risk of exposure to the vector in this group. Education activities need to be directed to farmers about the importance of protection against ACL vectors during work. Such information must also be directed to employers as a way of implementing and maintaining appropriate working conditions and stepping up vector control.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Leishmaniasis, Cutaneous Limits: Adult / Female / Humans / Male Country/Region as subject: North America / South America / Brazil Language: English Journal: Rev. Soc. Bras. Med. Trop Year: 2020 Type: Article Institution/Affiliation country: Fundação Oswaldo Cruz/BR / Fundação de Medicina Tropical Dr. Heitor Vieira Dourado/BR

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Full text: Available Index: LILACS (Americas) Main subject: Leishmaniasis, Cutaneous Limits: Adult / Female / Humans / Male Country/Region as subject: North America / South America / Brazil Language: English Journal: Rev. Soc. Bras. Med. Trop Year: 2020 Type: Article Institution/Affiliation country: Fundação Oswaldo Cruz/BR / Fundação de Medicina Tropical Dr. Heitor Vieira Dourado/BR