Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/16766
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dc.contributor.authorHacker, Mariana de Andrea
dc.contributor.authorDuppre, Nadia Cristina
dc.contributor.authorNery, José Augusto Costa
dc.contributor.authorSales, Anna Maria
dc.contributor.authorSarno, Euzenir Nunes
dc.date.accessioned2017-01-10T10:21:25Z
dc.date.available2017-01-10T10:21:25Z
dc.date.issued2012
dc.identifier.citationHACKER, Mariana de Andrea; et al. Characteristics of leprosy diagnosed through the surveillance of contacts: a comparison with index cases in Rio de Janeiro, 1987-2010. Mem Inst Oswaldo Cruz, v.107, Suppl. I, p. 49-54, 2012.
dc.identifier.issn0074-0276
dc.identifier.urihttps://www.arca.fiocruz.br/handle/icict/16766
dc.language.isoeng
dc.publisherFundação Oswaldo Cruz. Instituto Oswaldo Cruz
dc.rightsopen access
dc.subject.otherHanseníase
dc.subject.otherVigilância
dc.subject.otherContato
dc.subject.otherRio de Janeiro
dc.titleCharacteristics of leprosy diagnosed through the surveillance of contacts: a comparison with index cases in Rio de Janeiro, 1987-2010
dc.typeAnimation
dc.description.abstractenContact surveillance is an important strategy to ensure effective early diagnosis and control of leprosy; passive detection may not be as efficient because it is directly tied to the ready availability of heath care services and health education campaigns. The aim of this study was to reinforce that contact surveillance is the most effective strategy for the control of leprosy. The analysed data were obtained from a cohort of contacts and cases diagnosed through a national referral service for leprosy. We analysed data from patients diagnosed between 1987-2010 at the Souza Araújo Ambulatory in Rio de Janeiro. Epidemiological characteristics of leprosy cases diagnosed through contact surveillance and characteristics of passively detected index cases were compared using a conditional logistic regression model. Cases diagnosed by contact surveillance were found earlier in the progression of the disease, resulting in less severe clinical presentations, lower levels of initial and final disability grades, lower initial and final bacterial indices and a lower prevalence of disease reaction. In this respect, contact surveillance proved to be an effective tertiary prevention strategy, indicating that active surveillance is especially important in areas of high endemicity, such as Brazil.
dc.creator.affilliationFundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Hanseníase. Rio de Janeiro, RJ. Brasil.
dc.creator.affilliationFundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Hanseníase. Rio de Janeiro, RJ. Brasil.
dc.creator.affilliationFundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Hanseníase. Rio de Janeiro, RJ. Brasil.
dc.creator.affilliationFundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Hanseníase. Rio de Janeiro, RJ. Brasil.
dc.creator.affilliationFundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Hanseníase. Rio de Janeiro, RJ. Brasil.
dc.subject.ensurveillance
dc.subject.encontact
dc.subject.enleprosy
dc.subject.enRio de Janeiro
dc.identifier.eissn1678-8060
Appears in Collections:IOC - Artigos de Periódicos

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