Análise espacial, clínico-epidemiológica e laboratorial de crianças internadas com leishmaniose visceral no Pará/Amazônia Brasileira

Jorge Luís  Monteiro Spinelli; Ana Maria  Revorêdo da Silva Ventura; Fernando  Tobias Silveira; Breno  Caldas Ribeiro; Sara Elly  Dias Nunes; Rebecca  Costa da Silva

doi:10.36489/saudecoletiva.2021v11i68p7629-7646

Authors

Jorge Luís Monteiro Spinelli Mestrado Epidemiologia e Vigilância em Saúde pelo Instituto Evandro Chagas (IEC/PA). Instituto Evandro Chagas, Brasil. https://orcid.org/0000-0001-8466-6819
Ana Maria Revorêdo da Silva Ventura Doutorado em Medicina Tropical pela Fundação Oswaldo Cruz (FIOCRUZ). Instituto Evandro Chagas, Brasil. https://orcid.org/0000-0002-4737-1533
Fernando Tobias Silveira Pós-doutorado pela Faculdade de Medicina da Universidade de São Paulo (FMUSP). Instituto Evandro Chagas, Brasil. https://orcid.org/0000-0002-0412-6060
Breno Caldas Ribeiro Graduação em Fisioterapia pela Universidade do Estado do Pará (UEPA). Universidade do Estado do Pará, Brasil. https://orcid.org/0000-0002-6355-8605
Sara Elly Dias Nunes Graduada em Fisioterapia pela Universidade da Amazônia (UNAMA). Universidade da Amazônia, Brasil. https://orcid.org/0000-0002-3704-7246
Rebecca Costa da Silva Graduada em Fisioterapia pela Universidade da Amazônia (UNAMA). Universidade da Amazônia, Brasil. https://orcid.org/0000-0002-4483-3202

DOI:

https://doi.org/10.36489/saudecoletiva.2021v11i68p7629-7646

Keywords:

Visceral Leishmaniasis, Children, Epidemiology, Lethality

Abstract

Visceral Leishmaniasis (VL) is a systemic infection that affects people worldwide. It is endemic in Pará. Objective: To analyze the spatial, clinical-epidemiological, laboratory, treatment and lethality characteristics of children with VL in a reference hospital in Pará. Method: Retrospective-analytical, cross-sectional study, with a quantitative approach to medical records of children with VL hospitalized between 2012 and 2016. Result: Cases predominated in rural areas (77.1%) and primary infection (86.5%). Children under 6 years old and males were the most affected. The spatial distribution of cases was heterogeneous, with a predominance of Northeast Pará (80.2%). Laboratory confirmation was the most used (86.5%). N-methyl glucamine was the therapy of choice (89.3% of cases). Conclusion: There was a cure in more than 90% of cases. Mortality was associated with bleeding, thrombocytopenia, initial treatment failure, treatment time and higher life risk assessment system (SARV) score.