ABSTRACT
No período entre janeiro a dezembro de 2005, foram avaliadas crianças de zero a 14 anos de idade com leishmaniose tegumentar americana, atendidas na Fundação de Medicina Tropical do Amazonas; registraram-se 147 casos; 55,78 por cento do sexo masculino; 48,3 por cento procediam do Município de Rio Preto da Eva; 76 por cento procediam de duas estradas. Entre 90 (67,67 por cento) pacientes, entrevistaram-se os responsáveis sobre a moradia na área de transmissão e os hábitos da criança. Desses, 58,89 por cento residiam no local da provável infecção; 60 por cento das crianças penetravam na mata acompanhando os pais; em 91,11 por cento dos casos havia animais domésticos na moradia; 77,78 por cento das residências localizavam-se até 100m de distância da mata; 76,67 por cento pacientes tinham pelo menos um parente com história de leishmaniose tegumentar americana. O padrão de transmissão foi relacionado especialmente a atividades de manejo florestal ocorrendo próximas ao domicílio, habitações próximas à floresta primária, com a ocorrência de leishmaniose tegumentar americana em crianças pequenas, sugerindo transmissão no intra e no peridomicílio, em alguns casos, crianças penetrando na floresta.
Children from birth to 14 years of age with American tegumentary leishmaniasis were monitored at the Foundation for Tropical Medicine in the State of Amazonas, Brazil, from January to December 2005; 147 cases were recorded, 55.78 percent of which were male and 48.3 percent from the Rio Preto da Eva district. For 90 patients (67.67 percent), parents or guardians were interviewed about housing in the area where the infection was presumably acquired and the child's habits. Of the group, 58.89 percent of the children lived in the presumed area of infection, 60 percent customarily entered the forest with their parents, 91.11 percent lived in households with domestic animals, 77.78 percent of the residences were located within 100 meters of the forest; and 76.67 percent of the patients had at least one relative with a history of American tegumentary leishmaniasis. The transmission pattern was related to activities in the forest around the houses and the living situation near the primary forest, with cases of American tegumentary leishmaniasis found in very young children, suggesting transmission in and around the house, and in a few cases, children entering the forest.
Subject(s)
Adolescent , Adult , Animals , Child , Child, Preschool , Female , Humans , Infant , Infant, Newborn , Male , Endemic Diseases , Leishmaniasis, Cutaneous/epidemiology , Age Distribution , Animals, Domestic , Brazil/epidemiology , Chi-Square Distribution , Leishmaniasis, Cutaneous/transmission , Prospective Studies , Residence Characteristics , Surveys and Questionnaires , TreesABSTRACT
Children from birth to 14 years of age with American tegumentary leishmaniasis were monitored at the Foundation for Tropical Medicine in the State of Amazonas, Brazil, from January to December 2005; 147 cases were recorded, 55.78% of which were male and 48.3% from the Rio Preto da Eva district. For 90 patients (67.67%), parents or guardians were interviewed about housing in the area where the infection was presumably acquired and the child's habits. Of the group, 58.89% of the children lived in the presumed area of infection, 60% customarily entered the forest with their parents, 91.11% lived in households with domestic animals, 77.78% of the residences were located within 100 meters of the forest; and 76.67% of the patients had at least one relative with a history of American tegumentary leishmaniasis. The transmission pattern was related to activities in the forest around the houses and the living situation near the primary forest, with cases of American tegumentary leishmaniasis found in very young children, suggesting transmission in and around the house, and in a few cases, children entering the forest.
