Surveillance of intradomiciliary contacts of leprosy cases: perspective of the client in a hyperendemic municipality
Rev Bras Enferm. 2018 Jan-Feb;71(1):163-169.
doi: 10.1590/0034-7167-2016-0607.
[Article in
English,
Portuguese]
Affiliations
- 1 Instituto de Assistência Médica ao Servidor Público Estadual de São Paulo / Universidade Cidade de São Paulo, Postgraduate Program in Health Sciences. São Paulo, Brazil.
- 2 Universidade Federal do Ceará, Medical school, Postgraduate Program in Public Health. Fortaleza, Ceará, Brazil.
- 3 Universidade Federal da Bahia, Interdisciplinary Institute of Health Anísio Teixeira, Medicine Course. Vitória da Conquista, Bahia, Brazil.
- 4 Governo do Estado de Rondônia, Regional Hospital of Cacoal. Cacoal, Rondônia, Brazil.
- 5 Faculdade de Ciências Biomédicas de Cacoal, Bachelor's Degree in Medicine. Cacoal, Rondônia, Brazil.
- 6 Universidade São Paulo, Medical school. São Paulo, Brazil.
Abstract
Objective:
To characterize approach methods for intradomiciliary contacts (IdC) of leprosy cases resident in Northern Brazil, during 2001-2012.
Method:
A cross-sectional and descriptive study in the state of Rondônia. Included IdC of leprosy cases diagnosed/reported in SINAN-Ministry of Health (MS), 2001-2012. A semi-structured instrument was applied to the IdCs, with six interventions: complete dermatological examination; complete neurological examination; BCG vaccination; instructions for return to the health unit; BCG guidance; and guidance to mobilize other contacts.Results: From a total of 459 IdCs included, failure to perform the dermatological examination was reported by 191 people (41.6%) and the neurological examination, by 252 (54.9%); 138 (30.1%) did not have BCG indicated and 122 (26.6%) did not receive guidelines; 257 (56.0%) were not advised to return for a new evaluation/follow-up and 186 (40.5%) were not asked to mobilize other contacts.
Conclusion:
Despite the favorable indicators of IdC examination coverage in the state, the evaluation process presents patterns that indicate operational quality failures.
MeSH terms
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Adolescent
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Adult
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Brazil / epidemiology
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Child
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Contact Tracing / methods
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Cross-Sectional Studies
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Female
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Humans
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Leprosy / epidemiology*
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Leprosy / psychology
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Male
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Middle Aged
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Patients / psychology*
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Perception*
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Population Surveillance / methods*