Bacilloscopy for leprosy in Brazil's public health system between 2013 and 2022
Objective: To evaluate the annual number of skin smear microscopies for leprosy performed in the Unified Health System (SUS) in the last decade. Methods: An ecological, longitudinal, retrospective, and quantitative study was conducted using data from the Ambulatory Information System (SIA/SUS). The...
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| Format: | Article |
| Language: | English |
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Hospital de Clínicas de Itajubá
2023-12-01
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| Series: | Revista Ciências em Saúde |
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| Online Access: | https://portalrcs.hcitajuba.org.br/index.php/rcsfmit_zero/article/view/1458 |
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| author | Ricardo Barbosa-Lima Geissiane Felizardo Vivian Lincoln Max Rocha Alba Kaisa Silva Nascimento de Gois Vivian Aparecida Tomaz Murilo Correzola Pinto Flávia Freire Ramos-Silva Glebson Moura Silva |
| author_facet | Ricardo Barbosa-Lima Geissiane Felizardo Vivian Lincoln Max Rocha Alba Kaisa Silva Nascimento de Gois Vivian Aparecida Tomaz Murilo Correzola Pinto Flávia Freire Ramos-Silva Glebson Moura Silva |
| author_sort | Ricardo Barbosa-Lima |
| collection | DOAJ |
| description |
Objective: To evaluate the annual number of skin smear microscopies for leprosy performed in the Unified Health System (SUS) in the last decade. Methods: An ecological, longitudinal, retrospective, and quantitative study was conducted using data from the Ambulatory Information System (SIA/SUS). The number of skin smear microscopies for leprosy per 100,000 residents was estimated for Brazil and its five macroregions, between 2013 and 2022, with a significance level (a) of 5%. Results: More than 1.3 million skin smear microscopies were reported in the last decade in the SUS. The median annual incidence was 67 skin smear microscopies for leprosy per 100,000 residents, with the maximum observed in 2013 (82) and the minimum in 2022 (46). Annual incidences in the North, Central-West, and Northeast macro-regions were significantly higher than the national estimate, whereas in the South and Southeast, they were lower (p <0.05). The temporal trend was considered decreasing for the national estimate (p = 0.002), with an annual percentage variation of -5.6% (95%CI = -3.8%; -8.2%). However, after disregarding the years of the COVID-19 pandemic (2020-2022), the trend became stationary (p = 0.181). Furthermore, the incidence during the pre-pandemic period was significantly higher compared with the third year after the advent of the pandemic in all macro-regions of Brazil (p <0.05). Conclusion: It was possible to conclude that the SUS performed a significant number of skin smear microscopies for leprosy in the last ten years, but there are macro-regional disparities in Brazil and a significant impact of the COVID-19 pandemic.
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| first_indexed | 2024-03-08T18:32:17Z |
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| id | doaj.art-f8b199e423d140a38d8181bfdd7a0353 |
| institution | Directory Open Access Journal |
| issn | 2236-3785 |
| language | English |
| last_indexed | 2024-03-08T18:32:17Z |
| publishDate | 2023-12-01 |
| publisher | Hospital de Clínicas de Itajubá |
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| series | Revista Ciências em Saúde |
| spelling | doaj.art-f8b199e423d140a38d8181bfdd7a03532023-12-30T01:23:11ZengHospital de Clínicas de ItajubáRevista Ciências em Saúde2236-37852023-12-0113410.21876/rcshci.v13i4.1458Bacilloscopy for leprosy in Brazil's public health system between 2013 and 2022Ricardo Barbosa-Lima0Geissiane Felizardo Vivian1Lincoln Max Rocha Alba2Kaisa Silva Nascimento de Gois3Vivian Aparecida TomazMurilo Correzola Pinto4Flávia Freire Ramos-Silva5Glebson Moura Silva6Metropolitan Faculty of the State of São Paulo (FAMEESP)Federal University of Sergipe (UFS)Federal University of Sergipe (UFS)Federal University of Sergipe (UFS)Federal University of Sergipe (UFS)State Department of Health of Pernambuco, Petrolina, PE.Federal University of Sergipe (UFS) Objective: To evaluate the annual number of skin smear microscopies for leprosy performed in the Unified Health System (SUS) in the last decade. Methods: An ecological, longitudinal, retrospective, and quantitative study was conducted using data from the Ambulatory Information System (SIA/SUS). The number of skin smear microscopies for leprosy per 100,000 residents was estimated for Brazil and its five macroregions, between 2013 and 2022, with a significance level (a) of 5%. Results: More than 1.3 million skin smear microscopies were reported in the last decade in the SUS. The median annual incidence was 67 skin smear microscopies for leprosy per 100,000 residents, with the maximum observed in 2013 (82) and the minimum in 2022 (46). Annual incidences in the North, Central-West, and Northeast macro-regions were significantly higher than the national estimate, whereas in the South and Southeast, they were lower (p <0.05). The temporal trend was considered decreasing for the national estimate (p = 0.002), with an annual percentage variation of -5.6% (95%CI = -3.8%; -8.2%). However, after disregarding the years of the COVID-19 pandemic (2020-2022), the trend became stationary (p = 0.181). Furthermore, the incidence during the pre-pandemic period was significantly higher compared with the third year after the advent of the pandemic in all macro-regions of Brazil (p <0.05). Conclusion: It was possible to conclude that the SUS performed a significant number of skin smear microscopies for leprosy in the last ten years, but there are macro-regional disparities in Brazil and a significant impact of the COVID-19 pandemic. https://portalrcs.hcitajuba.org.br/index.php/rcsfmit_zero/article/view/1458LeprosyMycobacterium lepraeUnified Health SystemDiagnostic Techniques and ProceduresEpidemiology |
| spellingShingle | Ricardo Barbosa-Lima Geissiane Felizardo Vivian Lincoln Max Rocha Alba Kaisa Silva Nascimento de Gois Vivian Aparecida Tomaz Murilo Correzola Pinto Flávia Freire Ramos-Silva Glebson Moura Silva Bacilloscopy for leprosy in Brazil's public health system between 2013 and 2022 Revista Ciências em Saúde Leprosy Mycobacterium leprae Unified Health System Diagnostic Techniques and Procedures Epidemiology |
| title | Bacilloscopy for leprosy in Brazil's public health system between 2013 and 2022 |
| title_full | Bacilloscopy for leprosy in Brazil's public health system between 2013 and 2022 |
| title_fullStr | Bacilloscopy for leprosy in Brazil's public health system between 2013 and 2022 |
| title_full_unstemmed | Bacilloscopy for leprosy in Brazil's public health system between 2013 and 2022 |
| title_short | Bacilloscopy for leprosy in Brazil's public health system between 2013 and 2022 |
| title_sort | bacilloscopy for leprosy in brazil s public health system between 2013 and 2022 |
| topic | Leprosy Mycobacterium leprae Unified Health System Diagnostic Techniques and Procedures Epidemiology |
| url | https://portalrcs.hcitajuba.org.br/index.php/rcsfmit_zero/article/view/1458 |
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