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Migrações acarretam mudanças nos perfis epidemiológicos, impactando sistemas de saúde dos países receptores. O Brasil atrai imigrantes que se inserem precariamente nas metrópoles. Na Bolívia, a doença de Chagas é endêmica, fato relevante para o SUS brasileiro.O texto analisa a atuação e os limites dos profissionais de saúde no atendimento aos bolivianos no SUS, enfocando a doença de Chagas, por meio de entrevistas aplicadas nos serviços primário, secundário e terciário na região central da cidade de São Paulo, principal destino dos imigrantes bolivianos. As precárias condições de vida dos bolivianos caracterizam iniquidades em saúde. Idioma e cultura limitam a compreensão sobre o cuidado. Constata-se desconhecimento da clínica e epidemiologia da doença de Chagas entre os profissionais que atendem esses imigrantes. Faz-se necessária a revisão de estratégias assistenciais e de controle da doença de Chagas.

Migration provoke changes in epidemiological profiles impinging on the health care systems of reception countries. Immigrants come to Brazil from neighbor countries usually having precarious insertion in metropolitan areas. Chagas disease is endemic in Bolivia, something that has to be taken into account by the SUS. This paper analyzes both action and limits regarding health professionals who provide services to Bolivians in SUS with a focus on Chagas disease. Interviews were applied to primary, secondary and tertiary health services in the central region of São Paulo, the main destination of Bolivian immigrants. The precarious living conditions of Bolivians are the cause of health inequities. Language and culture also hamper their understanding about care. There is a lack of knowledge about clinic and epidemiology aspects of Chagas disease among the professionals who attend these immigrants. It is necessary to rethink strategies of health care and control of Chagas disease.

Las migraciones traen consigo cambios en los perfiles epidemiológicos, impactando los sistemas de salud de los países receptores. Brasil atrae a inmigrantes que se insieren de forma precaria en las metrópolis. En Bolivia, la enfermedad de Chagas es endémica, hecho relevante para el SUS. El texto analiza la actuación y los límites de los profesionales de salud en la atención a los bolivianos en el SUS, enfocando la enfermedad de Chagas, por medio de entrevistas realizadas en los servicios primario, secundario y terciario en la región central de la ciudad de São Paulo, principal destino de los inmigrantes bolivianos. Las precarias condiciones de vida de los bolivianos caracterizan iniquidades en salud. El idioma y la cultura limitan la comprensión sobre el cuidado. Se constata el desconocimiento de la clínica y de la epidemiología de la enfermedad de Chagas entre los profesionales que atienden a esos inmigrantes. Es necesaria la revisión de estrategias asistenciales y de control de la enfermedad de Chagas.

https://doi.org/10.1590/1807-57622016.0338 61 downloads

Migração boliviana e doença de Chagas: limites na atuação do Sistema Único de Saúde brasileiro (SUS)
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Carneiro Junior, Nivaldo

; Silveira, Cássio

; Silva, Lia Maria Brito da

; Yasuda, Maria Aparecida Shikanai

Interface - Comunicação, Saúde, Educação

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mar 2018, Volume 22 N. 64 Pages 87 - 96

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

https://doi.org/10.1590/1807-57622016.0338 3041 downloads

Cytomegalovirus infection in transplant recipients
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Azevedo, Luiz Sergio

; Pierrotti, Lígia Camera

; Abdala, Edson

; Costa, Silvia Figueiredo

; Strabelli, Tânia Mara Varejão

; Campos, Silvia Vidal

; Ramos, Jéssica Fernandes

; Latif, Acram Zahredine Abdul

; Litvinov, Nadia

; Maluf, Natalya Zaidan

; Filho, Helio Hehl Caiaffa

; Pannuti, Claudio Sergio

; Lopes, Marta Heloisa

; Santos, Vera Aparecida dos

; Linardi, Camila da Cruz Gouveia

; Yasuda, Maria Aparecida Shikanai

; Marques, Heloisa Helena de Sousa

Clinics

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jul 2015, Volume 70 N. 7 Pages 515 - 523

Abstract: En | Text: En | PDF: En

Cytomegalovirus infection is a frequent complication after transplantation. This infection occurs due to transmission from the transplanted organ, due to reactivation of latent infection, or after a primary infection in seronegative patients and can be defined as follows: latent infection, active infection, viral syndrome or invasive disease. This condition occurs mainly between 30 and 90 days after transplantation. In hematopoietic stem cell transplantation in particular, infection usually occurs within the first 30 days after transplantation and in the presence of graft-versus-host disease. The major risk factors are when the recipient is cytomegalovirus seronegative and the donor is seropositive as well as when lymphocyte-depleting antibodies are used. There are two methods for the diagnosis of cytomegalovirus infection: the pp65 antigenemia assay and polymerase chain reaction. Serology has no value for the diagnosis of active disease, whereas histology of the affected tissue and bronchoalveolar lavage analysis are useful in the diagnosis of invasive disease. Cytomegalovirus disease can be prevented by prophylaxis (the administration of antiviral drugs to all or to a subgroup of patients who are at higher risk of viral replication) or by preemptive therapy (the early diagnosis of viral replication before development of the disease and prescription of antiviral treatment to prevent the appearance of clinical disease). The drug used is intravenous or oral ganciclovir; oral valganciclovir; or, less frequently, valacyclovir. Prophylaxis should continue for 90 to 180 days. Treatment is always indicated in cytomegalovirus disease, and the gold-standard drug is intravenous ganciclovir. Treatment should be given for 2 to 3 weeks and should be continued for an additional 7 days after the first negative result for viremia.

https://doi.org/10.6061/clinics/2015(07)09 3565 downloads

The present situation, challenges, and perspectives regarding the production and utilization of effective drugs against human Chagas disease
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Dias, João Carlos Pinto

; Coura, Jose Rodrigues

; Yasuda, Maria Aparecida Shikanai

Revista da Sociedade Brasileira de Medicina Tropical

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jan 2014, Volume 47 N. 1 Pages 123 - 125

Abstract: En | Text: En | PDF: En

https://doi.org/10.1590/0037-8682-0248-2013 3276 downloads

Brazilian guidelines for the management of candidiasis - a joint meeting report of three medical societies: Sociedade Brasileira de Infectologia, Sociedade Paulista de Infectologia and Sociedade Brasileira de Medicina Tropical
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Colombo, Arnaldo Lopes

; Guimarães, Thaís

; Camargo, Luis Fernando Aranha

; Richtmann, Rosana

; Queiroz-Telles, Flavio de

; Salles, Mauro José Costa

; Cunha, Clóvis Arns da

; Yasuda, Maria Aparecida Shikanai

; Moretti, Maria Luiza

; Nucci, Marcio

Brazilian Journal of Infectious Diseases

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jun 2013, Volume 17 N. 3 Pages 283 - 312

Abstract: En | Text: En | PDF: En

Candida infections account for 80% of all fungal infections in the hospital environment, including bloodstream, urinary tract and surgical site infections. Bloodstream infections are now a major challenge for tertiary hospitals worldwide due to their high prevalence and mortality rates. The incidence of candidemia in tertiary public hospitals in Brazil is approximately 2.5 cases per 1000 hospital admissions. Due to the importance of this infection, the authors provide a review of the diversity of the genus Candida and its clinical relevance, the therapeutic options and discuss the treatment of major infections caused by Candida. Each topography is discussed with regard to epidemiological, clinical and laboratory diagnostic and therapeutic recommendations based on levels of evidence.

https://doi.org/10.1016/j.bjid.2013.02.001 11729 downloads Cited 11 times in SciELO

Relatório Final da XV Reunião Anual de Pesquisa Aplicada em Doença de Chagas e da III Reunião Anual de Pesquisa Aplicada em Leishmanioses
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Yasuda, Maria Aparecida Shikanai

Revista da Sociedade Brasileira de Medicina Tropical

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feb 2000, Volume 33 N. 1 Pages 111 - 124

Abstract: Pt | Text: Pt | PDF: Pt

3662 downloads

Níveis de aglutininas anti-tifoídicas em esquistossomóticos hepato-esplênicos
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Yasuda, Maria Aparecida Shikanai

; Ferri, Rubens Guimarães

; Yasuda, Paulo Hideki

; Netto, Celeste Fava

; Silva, Guilherme Rodrigues da

; Ferreira, José Maria

Revista de Saúde Pública

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apr 1982, Volume 16 N. 2 Pages 107 - 113

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Dois grupos, constituídos de 43 esquistossomóticos hepato-esplênicos e 83 indivíduos controle, foram analisados quanto à prevalência de aglutininas anti-tifoídicas. Os esquistossomóticos apresentaram freqüência maior de aglutininas anti-tifoídicas (H e/ou O e/ou Vi) e de aglutininas anti-O do que os indivíduos "normais". Apesar de que estes dados se devam, pelo menos parcialmente, à maior exposição natural dos esquistossomóticos aos antígenos estudados, sugere-se não estar ocorrendo deficiência na síntese de anticorpos, hipótese esta freqüentemente associada às baixas taxas de positividade de anticorpos anti-O encontrados nestes pacientes com bacteremia prolongada pela Salmonella.

Antityphoid agglutinins in hepatosplenic Schistosomiasis patients (N = 43) and controls (N = 83) sera were measured. Higher antityphoid agglutinins (H and/or O and/or Vi) and higher anti-O agglutinin rate were observed in patients affected by Schistosomiais. Although a larger exposure to these antigens could have been responsible for the higher antibody rates observed in these patients, the agglutinin levels suggest there is in fact no deficiency in antibody synthesis, as has often been suggested to explain the low anti-O antibody rates found in chronic Salmonella bacteremia in patients with Schistosomiasis.

898 downloads

10.

Níveis de aglutininas anti-tifoídicas em esquistossomóticos hepato-esplênicos
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Yasuda, Maria Aparecida Shikanai

; Ferri, Rubens Guimarães

; Yasuda, Paulo Hideki

; Netto, Celeste Fava

; Silva, Guilherme Rodrigues da

; Ferreira, José Maria

Revista de Saúde Pública

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apr 1982, Volume 16 N. 2 Pages 107 - 113

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

5991 downloads

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