Caracterização epidemiológica e demográfica da leishmaniose visceral americana humana de um município de médio porte do estado de São Paulo

• Ano de defesa: 2018
• Autor(a) principal: Pranuvi, Meire Belchior
• Orientador(a): Calabria , Marcela Pagani
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade do Sagrado Coração
• Programa de Pós-Graduação: Saúde Coletiva
• Departamento: Ciências da Saúde e Biológicas
• País: Brasil
• Palavras-chave em Português: Epidemiologia; Leishmaniose Visceral; Mapeamento geográfico; Análise espacial
• Palavras-chave em Inglês: Epidemiology; Visceral Leishmaniasis; Geographical mapping; Spatial analysis
• Área do conhecimento CNPq: CIENCIAS DA SAUDE::ODONTOLOGIA
• Link de acesso: https://tede2.usc.br:8443/handle/tede/479

The municipality of Bauru figure as having one of the highest incidences of Human Visceral leishmaniasis in the State of São Paulo. However, it is of extreme im-portance that epidemiological and demographic of the LV are always current, for recognition of the problem in the municipality. This study aimed to characterize epi-demiological and demographic to LV in the city of Bauru/SP in the period from 2007 to 2017. As a source of data was used from the 400 indigenous cases notification notified in SINAN. The demographic characterization was performed by insertion of the places of residence of cases on the geographical map of Bauru. It was observed that the disease is fully urbanized and the greatest concentration of cases is in the peripheral regions of the municipality. The South, Southwest and West regions were those that had the highest incidence of cases, 14,86 per 10.000 inhabitants and the northern and central regions had the highest lethality of 7,84%. In the period 26 LV deaths occurred, which leads the municipality to a fatality rate of 6,5%. The highest occurrence of cases was in males, 64,25%. The predominant age group was in chil-dren of 1 to 14 years. Most adults, 37,5% had incomplete elementary education. As for the HIV co-infection, 23,50% were HIV positive. Of the new cases, 16,62% were HIV-positive and in repeated was 87,18%. The fever was the most obvious symptom, present in 89,5% of cases, followed by pallor, 79,5% of the enlarged spleen, 77,75%, weakness, 75% and the increase in the liver in 71,5% of the cases. As for the evolu-tion, 90,5% were cured of 6,5%, were the death for LV and 0,5% abandoned treat-ment. The average time between the onset of symptoms and the start of treatment was 47,34 days. The falls in the fatality rate and the occurrences of cases if notice improvements in actions against vector and the diagnosis and treatment of the pa-tient. The data showed that the LV in patients infected by HIV presents more risk of relapses and deaths, which is why the testing of all patients with LV for HIV should be encouraged. The geographic distribution of cases on a map of the municipality identified the priorities for the actions of control of the disease.