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Alcântara LR, Demarchi IG, Aristides SM. EVOLUTION OF AMERICAN TEGUMENTARY LEISHMANIASIS CASES REPORTED IN PARANÁ STATE, BRAZIL. Rev Inst Med Trop Sao Paulo. 2016;58:67doi: 10.1590/S1678-9946201658067.
Alcântara, L. R., Demarchi, I. G., & Aristides, S. M. (2016). EVOLUTION OF AMERICAN TEGUMENTARY LEISHMANIASIS CASES REPORTED IN PARANÁ STATE, BRAZIL. Revista do Instituto de Medicina Tropical de Sao Paulo, 5867. https://doi.org/10.1590/S1678-9946201658067
Alcântara, Léia Regina de Souza, et al. "EVOLUTION OF AMERICAN TEGUMENTARY LEISHMANIASIS CASES REPORTED IN PARANÁ STATE, BRAZIL." Revista do Instituto de Medicina Tropical de Sao Paulo vol. 58 (2016): 67. doi: https://doi.org/10.1590/S1678-9946201658067
Alcântara LR, Demarchi IG, Aristides SM. EVOLUTION OF AMERICAN TEGUMENTARY LEISHMANIASIS CASES REPORTED IN PARANÁ STATE, BRAZIL. Rev Inst Med Trop Sao Paulo. 2016 Sep 22;58:67. doi: 10.1590/S1678-9946201658067. PMID: 27680172; PMCID: PMC5048638.
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Rev Inst Med Trop Sao Paulo. 2016 Sep 22;58:67. doi: 10.1590/S1678-9946201658067.

EVOLUTION OF AMERICAN TEGUMENTARY LEISHMANIASIS CASES REPORTED IN PARANÁ STATE, BRAZIL.

Revista do Instituto de Medicina Tropical de Sao Paulo

Léia Regina de Souza Alcântara, Izabel Galhardo Demarchi, Sandra Mara Alessi Aristides

Affiliations

  1. Universidade Estadual de Maringá, Programa de Pós-graduação em Ciências da Saúde. Maringá, Paraná, Brazil.

PMID: 27680172 PMCID: PMC5048638 DOI: 10.1590/S1678-9946201658067

Abstract

Leishmaniases are infectious diseases caused by protozoa of the genus Leishmania. They are widely distributed worldwide and endemic in 88 countries in four continents. The present study analyzed the reported cases of American Tegumentary Leishmaniasis (ATL) in Paraná State (Brazil) from January 2007 to December 2013. The data were grouped according to Regional Health (RH) districts and macroregions, which allowed visualization of the reality in each region in the state. A total of 2,879 ATL cases were reported and distributed among the 22 RH districts, with an average detection rate of 3.9 cases per 100,000 inhabitants. The northwestern region accounted for 50.1% of the total cases, and the northern region accounted for 26.0-76.1% of the reported cases. The 6th RH district did not report any cases. The 7th, 9th, and 18th RH districts had a higher cure rate (> 80%), and lower cure rates were found in the 1st, 4th, and 12th RH districts. Reported unfavorable outcomes included treatment abandonment and death. Overall cure rates are based on the entire country, and unfavorable outcomes require greater attention of managers and health professionals to meet the goals of the Brazilian Ministry of Health.

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