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Toxina botulínica en el manejo de la fisura anal crónica
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Sanguineti Montalva, Antonella

; Abara Caussade, Paulina Paz

; Cortés Fuentes, Víctor

; Zambra Rojas, Mauricio Andrés

; Carrillo González, Katya

Revista de cirugía

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oct 2024, Volume 76 N. 5 Pages 428 - 434

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

Introduction: Lateral internal sphincterotomy is the technique of choice for the management of chronic anal fissure. Botulinum toxin has lower complete cure rates, but with significantly lower risk of incontinence. Aim: To evaluate the healing rate, postoperative fecal incontinence and quality of life in patients with chronic anal fissure managed with botulinum toxin. Materials and Methods: Retrospective, prospective, observational and cross-sectional cohort study with consecutive patients. Patients with chronic anal fissure managed with injection of botulinum toxin at the Clinical Hospital of the University of Chile between March 2017 and September 2022 were included. Results: 19 patients, to whom botulinum toxin was administered. Complete healing of the fissure was achieved in all patients, with transient and exclusive fecal incontinence only to gas, which subsided during follow-up. There is a significant improvement in postoperative quality of life. Discussion: Botulinum toxin is a good alternative for the management of chronic anal fissure, with lower healing rates than standard treatment, but a lower proportion of fecal incontinence, generating a relevant benefit. There are no other publications that evaluate quality of life after treatment with botulinum toxin. Conclusion: The administration of botulinum toxin in patients with chronic anal fissure showed promising results in terms of healing, fecal incontinence and postoperative quality of life. In accordance with the recommendations of the American and British guidelines, it should be considered as a therapeutic alternative, especially in patients at high risk of permanent fecal incontinence.

Resumen Introducción: La esfinterotomía lateral interna es la técnica de elección para el manejo de la fisura anal crónica. La toxina botulínica tiene tasas de curación completa inferiores, pero con riesgo significativamente menor de incontinencia. Objetivo: Evaluar en pacientes con fisura anal crónica manejados con toxina botulínica la tasa de curación, incontinencia fecal posoperatoria y calidad de vida. Materiales y Métodos: Estudio retrospectivo de cohorte prospectiva, observacional y transversal con pacientes consecutivos. Se incluyó a los pacientes con fisura anal crónica manejados con inyección de toxina botulínica en el Hospital Clínico de la Universidad de Chile entre marzo de 2017 y septiembre de 2022. Resultados: se incluyeron 19 pacientes, a quienes se les administró toxina botulínica. Se logró curación completa de la fisura en todos los pacientes, con incontinencia fecal transitoria y exclusiva sólo a gases, que cede durante el seguimiento. Existe una mejoría significativa de la calidad de vida posoperatoria. Discusión: La toxina botulínica es una buena alternativa para el manejo de la fisura anal crónica, con tasas de curación inferiores al tratamiento estándar, pero menor proporción de incontinencia fecal, generando un beneficio relevante. No hay otras publicaciones que evalúen calidad de vida posterior al tratamiento con toxina botulínica. Conclusión: La administración de toxina botulínica en pacientes con fisura anal crónica mostró resultados prometedores en cuanto a curación, incontinencia fecal y calidad de vida posoperatoria. En concordancia con las recomendaciones de las guías Americanas y Británicas, debe considerarse como alternativa terapéutica, especialmente en pacientes con alto riesgo de incontinencia fecal permanente.

https://doi.org/10.35687/s2452-454920240052248

Resultados funcionales en el tratamiento del prolapso rectal
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Cortés Fuentes, Víctor

; Azolas M., Rodrigo

; Abedrapo M., Mario

; Sanguinetti M., Antonella

; Díaz B., Mauricio

; Llanos B., Jose Luis

Revista de cirugía

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apr 2024, Volume 76 N. 2 Pages 116 - 124

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

Background: Rectal prolapse is a rare clinical entity, usually accompanied by other pelvic floor disorders, with a negative impact on quality of life. There are few models of quality of life adapted to our reality. One of them is the EQ-D5, adapted by Olivares-Tirado. Objectives: To evaluate the quality of life and functional outcomes of rectal prolapse surgery between 2015 and 2021 and correlate them with the different abdominal techniques. Material and Methods: This is a retrospective, observational, cross-sectional and cohort study. A total of 84 patients were screened, 59 were included. The EQ-D5 Survey was used for the analysis of quality of life. To complement the study, the Cleveland Clinic Incontinence Score and the Constipation Scoring System were measured. Results: There were significant changes in all surveys applied to pre- and postoperative improvement, with no differences between surgical techniques, but with a lower rate of postoperative stay in the laparoscopic group. Discussion: There is an improvement in the postoperative quality of life that is reflected in the indices obtained, independent of the surgical technique, however, this is attenuated in recidivated patients, which is related to the literature, also without finding differences between the techniques. There is less postoperative constipation in the ventral rectopexy technique. Conclusions: There is improvement in the quality of life independent of the surgical technique, without changes in relapsed patients. Perhaps the fastest and easiest technique for handling should be chosen, ideally laparoscopic.

Resumen Introducción: El prolapso rectal es una entidad clínica poco frecuente, habitualmente acompañada de otras alteraciones del piso pélvico, con un impacto negativo en la calidad de vida. Existen pocos modelos de calidad de vida adaptados a nuestra realidad. Uno de ellos es el EQ-D5, adaptada por Olivares-Tirado. Objetivos: evaluar la calidad de vida y los resultados funcionales de la cirugía de prolapso entre 2015 y 2021 y correlacionarlos con las distintas técnicas abdominales. Material y Métodos: Este es un estudio retrospectivo, observacional, transversal y de cohorte. Se pesquisaron 84 pacientes, se incluyeron 59. Para el análisis de la calidad de vida se utilizó la Encuesta EQ-D5. Para complementar el estudio se midió el Cleveland Clinic Incontinence Score y el Constipation Scoring System. Resultados: Hubo cambios significativos en todas las encuestas aplicadas a la mejoría en pre y postoperatorio, sin existir diferencias entre técnicas quirúrgicas, pero con menor índice de estadía postoperatoria en el grupo laparoscópico. Discusión: Existe una mejoría en la calidad de vida postoperatoria que se refleja en los índices obtenidos, independiente de la técnica quirúrgica, no obstante, esta se ve atenuada en pacientes recidivados, lo que se relaciona con la literatura, también sin encontrar diferencias entre las técnicas. Existe menos constipación postoperatoria en la técnica de rectopexia ventral. Conclusiones: Existe mejoría en la calidad de vida independiente de la técnica quirúrgica, sin cambios en pacientes recidivados. Ante ello, se debiera elegir la técnica más rápida y sencilla para el manejo, idealmente laparoscópica.

https://doi.org/10.35687/s2452-454920240021974

Manejo abierto del Quiste pilonidal
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Cortés Fuentes, Víctor

; Zambra R., Mauricio

; Díaz B., Mauricio

; Azolas M., Rodrigo

; Abedrapo M., Mario

; Sanguinetti M., Antonella

Revista de cirugía

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feb 2024, Volume 76 N. 1 Pages 7 - 12

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

Introduction: The pilonidal cyst is a chronic inflammatory condition of the skin and subcutaneous sacrocoxige tissue, with high incidence in young people and male sex. Surgical management includes open and closed techniques which use flaps. The objective is to describe the clinical and surgical characteristics of patients operated on for pilonidal cyst with open technique. Material and Method: Cohort, retrospective, observational and cross-sectional study. We included all patients operated on for pilonidal cyst using open techniques at the Hospital Clinic University of Chile between 2013 and 2019. Clinical and surgical characteristics was collected, such as type of open technique, operative time, healing time and definitive closure. Descriptive statistics were applied. Results: There were 250 patients diagnosed with pilonidal cyst since 2013, of which 84.8% were patients managed with open techniques; 60.8% were male. The average BMI was 26.8 with 24.5% of patients with obesity. 55.3% had been drained in the emergency room previously and 9.6% were relapses. The average size was 3.6 cm. The open techniques used were marsupialization, unroofing and McFee. The average healing time was 5.9 weeks and definitive closure occurs on average at 10.4 weeks; 4.7% relapsed. Conclusion: Surgery of the pilonidal cyst in our series corresponds mostly to open techniques (marsupialization and unroofing). The healing time, wound closure and the percentage of recurrences of patients operated on for pilonidal cyst is similar to that reported internationally.

Resumen Introducción: El quiste pilonidal es una condición crónica inflamatoria de la piel y el tejido subcutáneo sacrocoxígeo, con alta incidencia en jóvenes y sexo masculino. El manejo quirúrgico incluye técnicas abiertas y cerradas que utilizan colgajos. El objetivo es describir las características clínicas y quirúrgicas de pacientes operados de quiste pilonidal con técnica abiertas. Material y Método: Estudio tipo cohorte, retrospectivo, observacional y transversal. Se incluyeron todos los pacientes operados por quiste pilonidal utilizando técnicas abiertas en el Hospital Clínico de la Universidad de Chile entre 2013 y 2019. Se recolectaron características clínicas y quirúrgicas como tipo de técnica abierta, tiempo operatorio, tiempo de curaciones y cierre definitivo. Se aplicó estadística descriptiva. Resultados: Se registraron 250 pacientes diagnosticados de quiste pilonidal desde 2013, de los cuales se incluyeron 84,8% pacientes manejados con técnicas abiertas. 60,8% fueron de sexo masculino. El IMC promedio fue de 26,8 con un 24,5% de pacientes con obesidad. De ellos, 55,3% habían sido drenados en urgencias previamente y 9,6% eran recidivas. El tamaño promedio fue de 3,6 cm. Las técnicas abiertas empleadas fueron: marsupialización, destechamiento y McFee. El tiempo promedio de curaciones fue de 5,9 semanas y el cierre definitivo ocurre en promedio a las 10,4 semanas; 4,7% recidivaron. Conclusión. La cirugía del quiste pilonidal en nuestra serie corresponde en su mayoría a técnicas abiertas (marsupialización y destechamiento). El tiempo de curaciones, de cierre de la herida y del porcentaje de recidivas de los pacientes operados de quiste pilonidal es similar a lo reportado internacionalmente.

https://doi.org/10.35687/s2452-454920240011860

Análisis del manejo en tumores presacros en adultos: Experiencia de los últimos 15 años en el Hospital Clínico de la Universidad de Chile
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Fuentes, Víctor Cortés

; Díaz B., Mauricio

; Azolas M., Rodrigo

; Abedrapo M., Mario

; Sanguinetti M., Antonella

; Llanos B., Jose Luis

Revista de cirugía

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feb 2024, Volume 76 N. 1 Pages 13 - 20

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

Background: Presacral tumors are frequent entities with different etiologies, without an established surgical management or approach, having relatively little experience in management and follow-up and postoperative results. Objective: To report the result in a descriptive way of the management of this type of lesions in the Clinical Hospital of the University of Chile. Material and Method: Observational, descriptive and retrospective study of case series, analyzing the database of surgeries of the Clinical Hospital of the University of Chile in the last 15 years, excluding patients with bone tumors and operated by other units. Simple and descriptive statistics were used for the analysis. Results: 23 patients were operated on in the last 15 years, 12 transabdominally. 9 resolved by open fashion and 3 laparoscopically. The remaining 11 patients was resolved with posterior approach, being the kraske used in all patients. The average follow-up was 16 months with 4 patients showing recurrence. Conclusions: The presacral tumors represent a challenge in terms of diagnosis and surgical management, being the preoperative study with images plus physical examination, determinant in the surgical management of the same. We recommend considering transabdominal approaches in those tumors larger than 10 cm and in those that strongly suspect malignancy, which does not contraindicate the laparoscopic route. In case of subsequent management, never rule out incidental lesions of the rectum, so the intraoperatory anorectal examination should be the rule.

Resumen Antecedentes: Los tumores presacros son entidades frecuentes con diferentes etiologías, sin un abordaje quirúrgico establecido, habiendo relativamente poca experiencia en el manejo y en el seguimiento y resultados postoperatorios. Objetivo: Reportar el resultado en forma descriptiva del manejo de este tipo de lesiones en el hospital clínico de la Universidad de Chile. Material y Método: Estudio observacional, descriptivo y de carácter retrospectivo, de serie de casos, analizando la base de datos de cirugías del Hospital clínico de la Universidad de Chile en los últimos 15 años, excluyendo a pacientes con tumores óseos y operados por otros equipos. Se utilizo estadística simple y descriptiva para el análisis. Resultados: Se operaron 23 pacientes en los últimos 15 años, 12 por vía transabdominal, 9 resuelto por vía abierta y 3 por vía laparoscópica. Los restantes 11 fueron resuelto con abordaje posterior, siendo el de kraske usado en todos los pacientes. El seguimiento promedio fue de 16 meses. 4 pacientes registraron recurrencia Conclusiones: Los tumores presacros representan un desafío en términos de diagnóstico y manejo quirúrgico, siendo el estudio preoperatorio con imágenes más examen físico, determinante en el manejo quirúrgico del mismo. Es de considerar abordajes transabdominales en aquellos tumores mayores de 10 cms y en aquellos que se sospeche, fuertemente, malignidad, lo que no contraindica la vía laparoscópica. En caso de abordaje posterior, siempre descartar lesiones incidentales de recto, por lo que el examen anorrectal intraoperatorio debería estar de regla.

https://doi.org/10.35687/s2452-454920240011858

Isquemia anastomótica por bevacizumab. Casos clínicos
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Cortés Fuentes, Víctor

; Díaz B., Mauricio

; Llanos B., José Luis

Revista de cirugía

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feb 2024, Volume 76 N. 1 Pages 61 - 66

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

Objective: To present two cases of late anastotomotic breakdown by bevacizumab and compare it with the current literature. Case report: Two patients with metastatic rectal cancer, with neoadjuvant, surgical and adjuvant management including bevacizumab, presenting anastomotic ischemic complications, evidenced with endoscopy, images and directed biopsies, surgically resolved and taking biopsy of perianastomotic sites with ischemic changes. Discussion: There is evidence in the literature reporting late anastomotic ischemia and leaks with the use of bevacizumab. It seems prudent to consider and suspect this complication in a timely manner, especially in patients with risk factors. Conclusions: Ischemic events in surgical territories should be considered when using bevacizumab. Greater emphasis on patients with risk factors such as malnutrition, irradiation or male sex. Anastomotic-directed study prior to initiation of bevacizumab should be considered. To highlight bevacizumab suspension and restart times for the evaluation of possible ischemic complications.

Resumen Objetivo: Presentar dos casos de isquemia anastomótica tardía por bevacizumab y compararlo con la literatura actual. Casos clínicos: Se exponen dos pacientes con cáncer de recto metastásico, con manejo neoadyuvante, quirúrgico y adyuvancia que incluye bevacizumab, que presentan complicaciones isquémicas anastomóticas, evidenciadas con endoscopia, imágenes más biopsias dirigidas, resolviéndose en forma quirúrgica y biopsiando sitios perianastomóticos con cambios isquémicos. Discusión: Existe evidencia en la literatura que reporta isquemias y filtraciones anastomóticas tardías con el uso de bevacizumab. Parece prudente considerar y sospechar en forma oportuna esta complicación, especialmente, en pacientes con factores de riesgo. Conclusiones: Se debe considerar eventos isquémicos en territorios quirúrgicos, al uso de Bevacizumab. Mayor hincapié en pacientes con factores de riesgo como malnutrición, irradiación o sexo masculino. Considerar estudio dirigido anastomótico previo al inicio de bevacizumab. Dar relevancia a los tiempos de suspensión y reinicio de bevacizumab para evaluación de posibles complicaciones isquémicas.

https://doi.org/10.35687/s2452-454920240011851

Measles, mumps and rubella vaccination coverage in capitals and interior region municipalities of Northeast Brazil: a household survey in a cohort of children born in 2017 and 2018
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Maciel, Adjoane Mauricio Silva

; Ramos Jr, Alberto Novaes

; Ferreira, Anderson Fuentes

; Silva, Taynara Lais

; Domingues, Carla Magda Allan Santos

; Saavedra, Ramon da Costa

; Barbosa, Jaqueline Caracas

; França, Ana Paula

; Kerr, Ligia Regina Franco Sansigolo

; Teixeira, Maria da Gloria

; Moraes, José Cássio de

; Silva, Adriana Ilha da

; Ramos Jr., Alberto Novaes

; França, Ana Paula

; Oliveira, Andrea de Nazaré Marvão

; Boing, Antonio Fernando

; Domingues, Carla Magda Allan Santos

; Oliveira, Consuelo Silva de

; Maciel, Ethel Leonor Noia

; Guibu, Ione Aquemi

; Mirabal, Isabelle Ribeiro Barbosa

; Barbosa, Jaqueline Caracas

; Lima, Jaqueline Costa

; Moraes, José Cássio de

; Luhm, Karin Regina

; Caetano, Karlla Antonieta Amorim

; Lima, Luisa Helena de Oliveira

; Antunes, Maria Bernadete de Cerqueira

; Teixeira, Maria da Gloria

; Teixeira, Maria Denise de Castro

; Borges, Maria Fernanda de Sousa Oliveira

; Queiroz, Rejane Christine de Sousa

; Gurgel, Ricardo Queiroz

; Barata, Rita Barradas

; Azevedo, Roberta Nogueira Calandrini de

; Oliveira, Sandra Maria do Valle Leone de

; Teles, Sheila Araújo

; Gama, Silvana Granado Nogueira da

; Mengue, Sotero Serrate

; Simões, Taynãna César

; Nascimento, Valdir

; Araújo, Wildo Navegantes de

Epidemiologia e Serviços de Saúde

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2024, Volume 33 N. spe2 elocation e20231296

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

resumen está disponible en el texto completo

https://doi.org/10.1590/s2237-96222024v33e20231296.especial2.en

Trachoma-associated morbidity and mortality in Brazil: an ecological study focusing on hospitalization and mortality data, 2000−2022 Trachomaassociated Trachoma associated Brazil data 20002022 2000 2022 2000−202 2000202 200 202 2000−20 200020 20 2000−2 20002 2 2000−
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Maciel, Adjoane Maurício Silva

; Ferreira, Anderson Fuentes

; Almeida, Nádia Maria Girão Saraiva de

; Maciel, Manuella Maurício Silva

; Silva, Taynara Lais

; Araújo, Mirele Coelho

; Pires Neto, Roberto da Justa

; Ramos Jr, Alberto Novaes

Revista da Sociedade Brasileira de Medicina Tropical

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2024, Volume 57 elocation e00414-2024

Abstract: En | Text: En | PDF: En

ABSTRACT Background: Trachoma is the leading infectious cause of blindness worldwide. It is a neglected tropical disease caused by Chlamydia trachomatis. The objective of this study was to analyze the trachoma-associated morbidity and mortality in Brazil from 2000 to 2022. This ecological time-series study was based on secondary data on trachoma obtained from hospital admissions (trachoma as the primary or secondary cause) and death certificates (trachoma as the underlying or associated cause). Methods: We calculated the sex- and age-standardized rates of hospital admissions and trachoma-specific mortality according to sociodemographic variables and analyzed the spatial distribution. Results: We identified 141/263,292,807 hospital admissions (primary cause: 83.0%) and 126/27,596,830 death certificates (associated cause: 91.3%) related to trachoma. Trachoma-related sequelae were reported in 8.5% of hospital admissions and 6.3% of death certificates. Trachoma was more common in males (hospital admissions and death certificates), people aged ≥70 years (hospital admissions and death certificates), those with brown skin (hospital admissions and death certificates), and those living in the North (hospital admissions) and Northeast (death certificates) regions of Brazil. Conclusions: Despite the relatively low rates of trachoma morbidity in Brazil, the associated mortality rates are of concern. The heterogeneous patterns of occurrence in the country in terms of population and territory reinforce the need to evaluate and monitor the available data, despite the low prevalence, in order to achieve and maintain the elimination targets in Brazil in the future. Background worldwide trachomatis trachomaassociated 200 2022 timeseries time series cause. . Methods sex agestandardized age standardized trachomaspecific specific distribution Results 141263292807 141 263 292 807 141/263,292,80 83.0% 830 83 0 12627596830 126 27 596 126/27,596,83 91.3% 913 91 3 Trachomarelated 85 8 5 8.5 63 6 6.3 certificates, , 70 ≥7 Conclusions concern prevalence future 20 202 14126329280 14 26 29 80 141/263,292,8 83.0 1262759683 12 2 59 126/27,596,8 91.3 9 8. 6. 7 ≥ 1412632928 1 141/263,292, 83. 126275968 126/27,596, 91. 141263292 141/263,292 12627596 126/27,596 14126329 141/263,29 1262759 126/27,59 1412632 141/263,2 126275 126/27,5 141263 141/263, 12627 126/27, 14126 141/263 1262 126/27 1412 141/26 126/2 141/2 126/ 141/

https://doi.org/10.1590/0037-8682-0158-2024

Vaccination coverage, hesitancy and associated factors: a household survey of a cohort of children born in 2017 and 2018 in urban areas of state capital cities in the Brazilian Northeast coverage factors 201 20 2
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Saavedra, Ramon da Costa

; Santiago, Martha Suely Itaparica de Carvalho

; Teixeira, Maria da Glória Lima Cruz

; Antunes, Maria Bernadete de Cerqueira

; Queiroz, Rejane Christine de Sousa

; Lima, Luisa Helena de Oliveira

; Ramos Jr, Alberto Novaes

; Ferreira, Anderson Fuentes

; Maciel, Adjoane Mauricio Silva

; Barbosa, Jaqueline Caracas

; França, Ana Paula

; Domingues, Carla Magda Allan Santos

; Moraes, José Cássio de

; Silva, Adriana Ilha da

; Ramos Jr., Alberto Novaes

; França, Ana Paula

; Oliveira, Andrea de Nazaré Marvão

; Boing, Antonio Fernando

; Domingues, Carla Magda Allan Santos

; Oliveira, Consuelo Silva de

; Maciel, Ethel Leonor Noia

; Guibu, Ione Aquemi

; Mirabal, Isabelle Ribeiro Barbosa

; Barbosa, Jaqueline Caracas

; Lima, Jaqueline Costa

; Moraes, José Cássio de

; Luhm, Karin Regina

; Caetano, Karlla Antonieta Amorim

; Lima, Luisa Helena de Oliveira

; Antunes, Maria Bernadete de Cerqueira

; Teixeira, Maria da Glória Lima Cruz

; Teixeira, Maria Denise de Castro

; Borges, Maria Fernanda de Sousa Oliveira

; Queiroz, Rejane Christine de Sousa

; Gurgel, Ricardo Queiroz

; Barata, Rita Barradas

; Azevedo, Roberta Nogueira Calandrini de

; Oliveira, Sandra Maria do Valle Leone de

; Teles, Sheila Araújo

; Gama, Silvana Granado Nogueira da

; Mengue, Sotero Serrate

; Simões, Taynãna César

; Nascimento, Valdir

; Araújo, Wildo Navegantes de

Epidemiologia e Serviços de Saúde

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2024, Volume 33 N. spe2 elocation e20231298

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

ABSTRACT Objective To estimate vaccination coverage and analyze sociodemographic factors associated with non-vaccination in children born in 2017 and 2018 in the state capitals of Northeast Brazil. Methods A household survey using cluster sampling was conducted from 2020-2022 to estimate vaccination coverage and hesitancy. Factors associated with non-vaccination were analyzed using logistic regression to calculate Odds Ratios (OR) and their Confidence Intervals (95%CI). Results Natal was the capital with the lowest vaccination coverage, below 75.0% for most immunizers. Teresina had rates equal to or greater than 90.0% for all vaccines. Among those interviewed, 99.1% (95%CI 98.9;99.3) believe that vaccines are important for health; 95.4% (95%CI 95.0;95.8) trust immunobiologicals and 79.6% (95%CI% 78.8;80.3) are not afraid of reactions. Belonging to the highest socioeconomic stratum (adjusted OR: 1.34 – 95%CI 1.20;1.50) was as a factor associated with non-vaccination. Conclusion Low coverage highlights the need for a better understanding of regional specificities and social inequalities. nonvaccination non 201 Brazil 20202022 2020 2022 2020-202 hesitancy OR (OR 95%CI. 95CI CI . 95 (95%CI) 750 75 0 75.0 immunizers 900 90 90.0 interviewed 991 99 1 99.1 98.999.3 989993 98.9 99.3 98 9 3 98.9;99.3 health 954 4 95.4 95.095.8 950958 95.0 95.8 8 95.0;95.8 796 79 6 79.6 95%CI% 78.880.3 788803 78.8 80.3 78 80 78.8;80.3 reactions adjusted 134 34 1.3 1.201.50 120150 1.20 1.50 20 50 1.20;1.50 nonvaccination. vaccination. inequalities 2020202 202 2020-20 7 75. 90. 99. 999 98.999. 98999 989 98. 993 98.9;99. 95. 095 95.095. 95095 950 958 95.0;95. 79. 880 78.880. 78880 788 78. 803 80. 78.8;80. 13 1. 1.201.5 12015 120 1.2 150 1.5 2 5 1.20;1.5 202020 2020-2 98.999 9899 98.9;99 09 95.095 9509 95.0;95 88 78.880 7888 78.8;80 1.201. 1201 12 15 1.20;1. 20202 2020- 98.99 98.9;9 95.09 95.0;9 78.88 78.8;8 1.201 1.20;1 98.9; 95.0; 78.8; 1.20;

RESUMO Objetivo Estimar a cobertura vacinal e analisar fatores sociodemográficos associados à não vacinação em crianças nascidas vivas em 2017 e 2018 nas capitais do Nordeste brasileiro. Métodos Realizou-se inquérito domiciliar com amostragem por conglomerados, entre 2020 e 2022, para estimar cobertura e hesitação vacinal. Fatores associados à não vacinação foram analisados usando-se regressão logística para calcular odds ratio (OR) e seus intervalos de confiança (IC95%). Resultados A capital com menores coberturas vacinais foi Natal, com < 75,0% para a maioria dos imunizantes; Teresina apresentou coberturas ≥ 90,0% em todos os imunizantes. Dos entrevistados, 99,1% (IC95% 98,9;99,3) acreditavam que vacinas são importantes para a saúde; 95,4% (IC95% 95,0;95,8) confiavam nos imunobiológicos distribuídos pelo governo; e 79,6% (IC95% 78,8;80,3) não tinham medo de reações adversas. Residir em estrato socioeconômico mais alto (OR ajustado: 1,34 – IC95% 1,20;1,50) foi fator associado à não vacinação. Conclusão As baixas coberturas destacam a necessidade de entender melhor as especificidades regionais e as desigualdades sociais. 201 brasileiro Realizouse Realizou se conglomerados 202 2022 usandose usando OR IC95%. IC95 IC . (IC95%) Natal 750 75 0 75,0 imunizantes 900 90 90,0 entrevistados 991 99 1 99,1 (IC95 98,999,3 989993 98,9 99,3 98 9 3 98,9;99,3 saúde 954 95 4 95,4 95,095,8 950958 95,0 95,8 8 95,0;95,8 governo 796 79 6 79,6 78,880,3 788803 78,8 80,3 78 80 78,8;80,3 adversas ajustado 134 34 1,3 1,201,50 120150 1,20 1,50 20 50 1,20;1,50 sociais IC9 7 75, 90, 99, (IC9 999 98,999, 98999 989 98, 993 98,9;99, 95, 095 95,095, 95095 950 958 95,0;95, 79, 880 78,880, 78880 788 78, 803 80, 78,8;80, 13 1, 1,201,5 12015 120 1,2 150 1,5 2 5 1,20;1,5 (IC 98,999 9899 98,9;99 09 95,095 9509 95,0;95 88 78,880 7888 78,8;80 1,201, 1201 12 15 1,20;1, 98,99 98,9;9 95,09 95,0;9 78,88 78,8;8 1,201 1,20;1 98,9; 95,0; 78,8; 1,20;

resumen está disponible en el texto completo

https://doi.org/10.1590/s2237-96222024v33e20231298.especial2.en

Sobreposição da hanseníase em redes de convívio domiciliar: gerações envolvidas, densidade de casos e perfis sociodemográfico e econômico em municípios do Norte e Nordeste do Brasil domiciliar envolvidas
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Boigny, Reagan Nzundu

; Souza, Eliana Amorim de

; Reis, Adriana da Silva dos

; Viana, Teresinha Cícera Teodora

; Araújo, Olivia Dias de

; Soares, Daniela Arruda

; Oliveira, Hellen Xavier

; Veloso, Rosa Maria Duarte

; Ferreira, Anderson Fuentes

; Andrade, Thainá Isabel Bessa de

; Oliveira, Maria Leide Wand-Del-Rey de

; Nobre, Mauricio Lisboa

; Ramos Jr., Alberto Novaes

Cadernos Saúde Coletiva

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2024, Volume 32 N. 1 elocation e32010541

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

Abstract Background: The persistent high endemicity of leprosy in certain areas of Brazil remains a challenge. Identifying household contact networks (HCN) of leprosy cases, based on an understanding of expanded risks and vulnerabilities, is strategic for control. Objective: To analyze the occurrence of leprosy in different generations, the density of cases, and the sociodemographic and economic profiles linked to household contact networks (HCN) with overlapping disease in municipalities in the North and Northeast of Brazil. Method: Cross-sectional study with primary data from leprosy cases that are part of an HCN with at least two cases of the disease. Logistic regression was used to estimate odds ratios (OR) with 95% confidence intervals (95%CI). Results: Two hundred and thirty-three (233) leprosy cases were addressed, linked to 137 HCN. In 53.2% (n=171) of the cases, the disease affected two generations, and in 20.2% (n=47), three generations. There was a higher chance of affecting two or more generations with diagnosis only among consanguineous individuals in the HCN (adjusted OR=4.35, CI95% 2.15–8.81) and diagnosis of other cases before and after (adjusted OR=8.51, CI95% 3.52–20.60). The majority belonged to HCN with more than three cases, with an average of 4.1 cases per HCN (standard deviation=3.3). Conclusions: The recognition of the overlap of leprosy cases in an HCN, the number of affected generations, and the case density can be used as sentinel indicators of the epidemiological situation and the operational capacity for leprosy surveillance. Background challenge (HCN vulnerabilities control Objective Method Crosssectional Cross sectional OR (OR 95 95%CI. 95CI CI 95%CI . (95%CI) Results thirtythree thirty 233 (233 addressed 13 532 53 2 53.2 n=171 n171 n 171 (n=171 202 20 20.2 n=47, n47 n=47 , 47 (n=47) adjusted OR435 4 35 OR=4.35 CI95 2.15–8.81 215881 15 8 81 OR851 51 OR=8.51 3.52–20.60. 3522060 3.52–20.60 3 52 60 3.52–20.60) 41 1 4. standard deviation=3.3. deviation33 deviation deviation=3.3 deviation=3.3) Conclusions surveillance 9 (95%CI 23 (23 5 53. n=17 n17 17 (n=17 20. n4 n=4 (n=47 OR43 OR=4.3 CI9 2.15–8.8 21588 OR85 OR=8.5 352206 3.52–20.6 6 deviation3 deviation=3. (2 n=1 n1 (n=1 n= (n=4 OR4 OR=4. 2.15–8. 2158 OR8 OR=8. 35220 3.52–20. deviation=3 ( (n= OR=4 2.15–8 215 OR=8 3522 3.52–20 deviation= (n OR= 2.15– 21 352 3.52–2 2.15 3.52– 2.1 3.52 2. 3.5 3.

Resumo Introdução: O caráter persistente de elevada endemicidade da hanseníase em áreas específicas no Brasil segue um desafio. O reconhecimento de redes de convívio domiciliar (RCD) de casos de hanseníase, com base no entendimento sobre riscos e vulnerabilidades ampliadas, é estratégico para controle. Objetivo: Analisar a ocorrência da hanseníase em diferentes gerações, a densidade de casos e os perfis sociodemográfico e econômico vinculados a redes de convívio domiciliar (RCD) com sobreposição da doença em municípios do Norte e Nordeste do Brasil. Método: Estudo transversal, com dados primários de casos de hanseníase que fazem parte de uma RCD com no mínimo dois casos da doença. Empregou-se regressão logística para estimar razão de chances (OR) com intervalos de 95% de confiança (IC95%). Resultados: Duzentos e trinta e três (233) casos de hanseníase foram abordados, vinculados a 137 RCD. Em 53,2% (n=171) dos casos a doença atingiu duas gerações e em 20,2% (n=47), três gerações. Verificou-se maior chance de acometimento de duas ou mais gerações com diagnóstico apenas entre consanguíneos na RCD (OR-Ajustado= 4,35, IC95% 2,15–8,81) e diagnóstico de outros casos antes e depois (OR-Ajustado =8,51, IC95% 3,52–20,60). A maioria pertence a RCD com mais de três casos, com média de 4,1 casos por RCD (desvio padrão=3,3). Conclusões: O reconhecimento da sobreposição de casos de hanseníase em uma RCD, o número de gerações acometidas e a densidade de casos podem ser utilizados como indicadores-sentinela da situação epidemiológica e da capacidade operacional para a vigilância da hanseníase. Introdução desafio (RCD ampliadas controle Objetivo Método transversal Empregouse Empregou se OR (OR 95 IC95%. IC95 IC . (IC95%) Resultados 233 (233 abordados 13 532 53 2 53,2 n=171 n171 n 171 (n=171 202 20 20,2 n=47, n47 n=47 , 47 (n=47) Verificouse Verificou ORAjustado= ORAjustado Ajustado= Ajustado 435 4 35 4,35 2,15–8,81 215881 15 8 81 851 51 =8,51 3,52–20,60. 3522060 3,52–20,60 3 52 60 3,52–20,60) 41 1 4, desvio padrão=3,3. padrão33 padrão padrão=3,3 padrão=3,3) Conclusões indicadoressentinela indicadores sentinela 9 IC9 (IC95% 23 (23 5 53, n=17 n17 17 (n=17 20, n4 n=4 (n=47 43 4,3 2,15–8,8 21588 85 =8,5 352206 3,52–20,6 6 padrão3 padrão=3, (IC95 (2 n=1 n1 (n=1 n= (n=4 2,15–8, 2158 =8, 35220 3,52–20, padrão=3 (IC9 ( (n= 2,15–8 215 =8 3522 3,52–20 padrão= (IC (n 2,15– 21 = 352 3,52–2 2,15 3,52– 2,1 3,52 2, 3,5 3,

https://doi.org/10.1590/1414-462x202432010541

10.

Vaccination coverage and factors associated with incomplete polio vaccine schedule in children born in 2017-2018, in state capitals and interior region municipalities of Northeast Brazil 20172018, 20172018 2017 2018, 2018 2017-2018 2017201 201 2017-201 201720 20 2017-20 20172 2 2017-2 2017-
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Ramos Jr., Alberto Novaes

; Saavedra, Ramon da Costa

; Maciel, Adjoane Mauricio Silva

; Ferreira, Anderson Fuentes

; Silva, Taynara Lais

; Lima, Luisa Helena de Oliveira

; Domingues, Carla Magda Allan Santos

; Barbosa, Jaqueline Caracas

; Kerr, Ligia Regina Franco Sansigolo

; França, Ana Paula

; Silva, Pallysson Paulo da

; Teixeira, Maria da Gloria

; Moraes, José Cássio de

; Silva, Adriana Ilha da

; Ramos Jr., Alberto Novaes

; França, Ana Paula

; Oliveira, Andrea de Nazaré Marvão

; Boing, Antonio Fernando

; Domingues, Carla Magda Allan Santos

; Oliveira, Consuelo Silva de

; Maciel, Ethel Leonor Noia

; Guibu, Ione Aquemi

; Mirabal, Isabelle Ribeiro Barbosa

; Barbosa, Jaqueline Caracas

; Lima, Jaqueline Costa

; Moraes, José Cássio de

; Luhm, Karin Regina

; Caetano, Karlla Antonieta Amorim

; Lima, Luisa Helena de Oliveira

; Antunes, Maria Bernadete de Cerqueira

; Teixeira, Maria da Gloria

; Teixeira, Maria Denise de Castro

; Borges, Maria Fernanda de Sousa Oliveira

; Queiroz, Rejane Christine de Sousa

; Gurgel, Ricardo Queiroz

; Barata, Rita Barradas

; Azevedo, Roberta Nogueira Calandrini de

; Oliveira, Sandra Maria do Valle Leone de

; Teles, Sheila Araújo

; Gama, Silvana Granado Nogueira da

; Mengue, Sotero Serrate

; Simões, Taynãna César

; Nascimento, Valdir

; Araújo, Wildo Navegantes de

Epidemiologia e Serviços de Saúde

Journal Metrics
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2024, Volume 33 N. spe2 elocation e20231219

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

ABSTRACT Objective To analyse vaccination coverage and factors associated with incomplete polio vaccination in a cohort of children born in 2017-2018, in state capitals and interior region municipalities of Northeast Brazil. Methods Household survey of children aged ≤24 months conducted between 2020 and 2022. Vaccination coverage and dropout rates were estimated, as well as factors associated with incomplete vaccination, analyzed by calculating odds ratios (OR) and 95% confidence intervals (95%CI). Results : Among 12,137 children, vaccination coverage (4 doses) was 80.9% (95%CI 78.4;83.1); 8.4% were not vaccinated. Not having a vaccination card (OR=18.06; 95%CI 10.01;32.61) and use of private services (OR=1.46; 95%CI 1.23;1.74) were associated with incomplete vaccination. Higher dropout rates were found for the booster dose, especially in the highest stratum. Conclusion Low vaccination coverage, poor dose follow-up and high dropout rates were found for polio vaccines in the areas studied. 20172018, 20172018 2017 2018, 2018 2017-2018 Brazil 24 ≤2 202 2022 estimated OR (OR 95 95%CI. 95CI CI . (95%CI) 12137 12 137 12,13 4 ( doses 809 80 9 80.9 78.483.1 784831 78.4 83.1 78 83 1 78.4;83.1) 84 8 8.4 vaccinated OR=18.06 OR1806 18 06 (OR=18.06 10.0132.61 10013261 10.01 32.61 10 01 32 61 10.01;32.61 OR=1.46 OR146 46 (OR=1.46 1.231.74 123174 1.23 1.74 23 74 1.23;1.74 stratum followup follow up studied 2017201 201 2017-201 2 ≤ 20 1213 13 12,1 80. 483 78.483. 78483 784 78. 831 83. 7 78.4;83.1 8. OR=18.0 OR180 0 (OR=18.0 0132 10.0132.6 1001326 1001 10.0 3261 32.6 3 6 10.01;32.6 OR=1.4 OR14 (OR=1.4 231 1.231.7 12317 123 1.2 174 1.7 1.23;1.7 201720 2017-20 121 12, 48 78.483 7848 78.4;83. OR=18. OR18 (OR=18. 013 10.0132. 100132 100 10. 326 32. 10.01;32. OR=1. OR1 (OR=1. 1.231. 1231 1. 17 1.23;1. 20172 2017-2 78.48 78.4;83 OR=18 (OR=18 10.0132 10013 10.01;32 OR=1 (OR=1 1.231 1.23;1 2017- 78.4;8 10.013 10.01;3 OR= (OR= 1.23; 78.4; 10.01;

RESUMO Objetivo Analisar a cobertura vacinal e os fatores associados ao esquema incompleto das vacinas contra a poliomielite em coorte de nascidos vivos de 2017-2018, em capitais e municípios do interior do Nordeste brasileiro. Métodos Inquérito domiciliar em crianças com idade ≤ 24 meses, entre 2020 e 2022. Estimaram-se a cobertura vacinal, a taxa de abandono e fatores associados ao esquema de vacinação incompleto, analisados pela razão de chances (odds ratio, OR) e intervalos de confiança de 95% (IC95%). Resultados Em 12.137 crianças, a cobertura vacinal (quatro doses) foi de 80,9% (IC95% 78,4;83,1); 8,4% não eram vacinadas. Não possuir caderneta de vacinação (OR = 14,05; IC95% 8,54;23,12) e uso de serviço privado (OR = 1,46; IC95% 1,23;1,74) estiveram associados à vacinação incompleta. Taxas de abandono mais altas foram observadas na dose de reforço, principalmente no estrato alto. Conclusão Observaram-se baixas coberturas, redução no seguimento das doses e elevadas taxas de abandono para vacinas contra a poliomielite nas áreas estudadas. 20172018, 20172018 2017 2018, 2018 2017-2018 brasileiro 2 meses 202 2022 Estimaramse Estimaram se odds ratio OR 95 IC95%. IC95 IC . (IC95%) 12137 12 137 12.13 quatro 809 80 9 80,9 (IC95 78,483,1 784831 78,4 83,1 78 4 83 1 78,4;83,1) 84 8 8,4 vacinadas 14,05 1405 14 05 8,5423,12 8542312 8,54 23,12 54 23 8,54;23,12 1,46 146 46 1,231,74 123174 1,23 1,74 74 1,23;1,74 incompleta reforço alto Observaramse Observaram coberturas estudadas 2017201 201 2017-201 20 IC9 1213 13 12.1 80, (IC9 483 78,483, 78483 784 78, 831 83, 7 78,4;83,1 8, 14,0 140 0 5423 8,5423,1 854231 854 8,5 2312 23,1 5 8,54;23,1 1,4 231 1,231,7 12317 123 1,2 174 1,7 1,23;1,7 201720 2017-20 121 12. (IC 48 78,483 7848 78,4;83, 14, 542 8,5423, 85423 85 23, 8,54;23, 1, 1,231, 1231 17 1,23;1, 20172 2017-2 78,48 78,4;83 8,5423 8542 8,54;23 1,231 1,23;1 2017- 78,4;8 8,542 8,54;2 1,23; 78,4; 8,54;

resumen está disponible en el texto completo

https://doi.org/10.1590/s2237-96222024v33e20231219.especial2.en

11.

Vaccination coverage, vaccine hesitancy and factors associated with incomplete vaccination: a household survey conducted with children born between 2017 and 2018 in the inland municipalities of Northeastern Brazil coverage vaccination 201 20 2
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Ferreira, Anderson Fuentes

; Ramos Jr, Alberto Novaes

; Maciel, Adjoane Mauricio Silva

; Barbosa, Jaqueline Caracas

; Saavedra, Ramon da Costa

; Antunes, Maria Bernadete de Cerqueira

; Lima, Luisa Helena de Oliveira

; Queiroz, Rejane Christine de Sousa

; Silva, Taynara Lais

; Santiago, Martha Suely Itaparica de Carvalho

; França, Ana Paula

; Domingues, Carla Magda Allan Santos

; Moraes, José Cássio de

; Teixeira, Maria da Gloria

; Silva, Adriana Ilha da

; Ramos Jr., Alberto Novaes

; França, Ana Paula

; Oliveira, Andrea de Nazaré Marvão

; Boing, Antonio Fernando

; Domingues, Carla Magda Allan Santos

; Oliveira, Consuelo Silva de

; Maciel, Ethel Leonor Noia

; Guibu, Ione Aquemi

; Mirabal, Isabelle Ribeiro Barbosa

; Barbosa, Jaqueline Caracas

; Lima, Jaqueline Costa

; Moraes, José Cássio de

; Luhm, Karin Regina

; Caetano, Karlla Antonieta Amorim

; Lima, Luisa Helena de Oliveira

; Antunes, Maria Bernadete de Cerqueira

; Teixeira, Maria da Gloria

; Teixeira, Maria Denise de Castro

; Borges, Maria Fernanda de Sousa Oliveira

; Queiroz, Rejane Christine de Sousa

; Gurgel, Ricardo Queiroz

; Barata, Rita Barradas

; Azevedo, Roberta Nogueira Calandrini de

; Oliveira, Sandra Maria do Valle Leone de

; Teles, Sheila Araújo

; Gama, Silvana Granado Nogueira da

; Mengue, Sotero Serrate

; Simões, Taynãna César

; Nascimento, Valdir

; Araújo, Wildo Navegantes de

Epidemiologia e Serviços de Saúde

Journal Metrics
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2024, Volume 33 N. spe2 elocation e20231224

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

ABSTRACT Objective To analyze vaccination coverage and factors associated with incomplete vaccination in inland municipalities of Northeastern Brazil. Methods This was a household survey using cluster sampling conducted in Vitória da Conquista, Bahia state, Caruaru, Pernambuco state, Sobral, Ceará state and Imperatriz, Maranhão state between 2020 and 2022. Vaccination coverage by valid doses and vaccine hesitancy were analyzed, with the odds ratio (OR) estimated and adjusted using logistic regression. Results Among 1,847 children, complete vaccination coverage was 49.2% (95%CI 43.9;54.5). Factors associated with incomplete vaccination included: higher income (OR 1.53; 95%CI 1.02;2.31), residence in Sobral (OR 4.35; 95%CI 3.04; 6.21) and >1 child (OR 1.20; 95%CI 1.11;1.32). Parental decision not to vaccinate and difficulties in traveling to vaccination centers contributed to vaccine hesitancy. Conclusion Low vaccination coverage and incomplete vaccination were associated with social issues in the socioeconomic strata analyzed. Brazil Conquista Caruaru Imperatriz 202 2022 analyzed OR regression 1847 1 847 1,84 children 492 49 2 49.2 95CI CI 95 43.954.5. 439545 43.9 54.5 . 43 9 54 5 43.9;54.5) included 1.53 153 53 1.022.31, 102231 1.02 2.31 , 02 31 1.02;2.31) 4.35 435 4 35 3.04 304 3 04 6.21 621 6 21 > 1.20 120 20 1.111.32. 111132 1.11 1.32 11 32 1.11;1.32) 184 84 1,8 49. 954 43.954.5 43954 439 43. 545 54. 43.9;54.5 1.5 15 022 1.022.31 10223 102 1.0 231 2.3 0 1.02;2.31 4.3 3.0 30 6.2 62 1.2 12 111 1.111.32 11113 1.1 132 1.3 1.11;1.32 18 8 1, 43.954. 4395 43.9;54. 1. 1.022.3 1022 10 23 2. 1.02;2.3 4. 3. 6. 1.111.3 1111 13 1.11;1.3 43.954 43.9;54 1.022. 1.02;2. 1.111. 1.11;1. 43.95 43.9;5 1.022 1.02;2 1.111 1.11;1 43.9; 1.02; 1.11;

RESUMO Objetivo Analisar a cobertura vacinal e os fatores associados à vacinação incompleta em municípios do interior do Nordeste brasileiro. Métodos Trata-se de inquérito domiciliar com amostragem por conglomerados realizado em Vitória da Conquista – Bahia, Caruaru – Pernambuco, Sobral – Ceará e Imperatriz – Maranhão, entre 2020 e 2022. Analisou-se a cobertura vacinal por doses válidas e a hesitação vacinal, com estimativa da razão de chances (odds ratio, OR) ajustada por regressão logística. Resultados Em 1.847 crianças, a cobertura vacinal completa foi 49,2% (IC95% 43,9;54,5). Entre fatores associados à vacinação incompleta destacam-se: maior renda (OR 1,53; IC95% 1,02;2,31), residência em Sobral (OR 4,35; IC95% 3,04;6,21) e >1 filho (OR 1,20; IC95% 1,11;1,32). Decisão de não vacinação pelos pais e dificuldades no deslocamento às unidades de vacinação demarcaram a hesitação vacinal. Conclusão Verificou-se baixas coberturas vacinais e vacinação incompleta associada a questões sociais nos estratos socioeconômicos analisados. brasileiro Tratase Trata se Bahia Pernambuco Maranhão 202 2022 Analisouse Analisou odds ratio OR logística 1847 1 847 1.84 crianças 492 49 2 49,2 IC95 IC (IC95 43,954,5. 439545 43,9 54,5 . 43 9 54 5 43,9;54,5) destacamse destacam destacam-se 1,53 153 53 1,022,31, 102231 1,02 2,31 , 02 31 1,02;2,31) 4,35 435 4 35 3,046,21 304621 3,04 6,21 3 04 6 21 3,04;6,21 > 1,20 120 20 1,111,32. 111132 1,11 1,32 11 32 1,11;1,32) Verificouse Verificou analisados 184 84 1.8 49, IC9 (IC9 954 43,954,5 43954 439 43, 545 54, 43,9;54,5 1,5 15 022 1,022,31 10223 102 1,0 231 2,3 0 1,02;2,31 4,3 046 3,046,2 30462 304 3,0 621 6,2 3,04;6,2 1,2 12 111 1,111,32 11113 1,1 132 1,3 1,11;1,32 18 8 1. (IC 95 43,954, 4395 43,9;54, 1, 1,022,3 1022 10 23 2, 1,02;2,3 4, 3,046, 3046 30 3, 62 6, 3,04;6, 1,111,3 1111 13 1,11;1,3 43,954 43,9;54 1,022, 1,02;2, 3,046 3,04;6 1,111, 1,11;1, 43,95 43,9;5 1,022 1,02;2 3,04; 1,111 1,11;1 43,9; 1,02; 1,11;

resumen está disponible en el texto completo

https://doi.org/10.1590/s2237-96222024v33e20231224.especial2.en

12.

Measles, mumps and rubella vaccination coverage in capitals and interior region municipalities of Northeast Brazil: a household survey in a cohort of children born in 2017 and 2018 Measles Brazil 201 20 2
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Maciel, Adjoane Mauricio Silva

; Ramos Jr, Alberto Novaes

; Ferreira, Anderson Fuentes

; Silva, Taynara Lais

; Domingues, Carla Magda Allan Santos

; Saavedra, Ramon da Costa

; Barbosa, Jaqueline Caracas

; França, Ana Paula

; Kerr, Ligia Regina Franco Sansigolo

; Teixeira, Maria da Gloria

; Moraes, José Cássio de

; Silva, Adriana Ilha da

; Ramos Jr., Alberto Novaes

; França, Ana Paula

; Oliveira, Andrea de Nazaré Marvão

; Boing, Antonio Fernando

; Domingues, Carla Magda Allan Santos

; Oliveira, Consuelo Silva de

; Maciel, Ethel Leonor Noia

; Guibu, Ione Aquemi

; Mirabal, Isabelle Ribeiro Barbosa

; Barbosa, Jaqueline Caracas

; Lima, Jaqueline Costa

; Moraes, José Cássio de

; Luhm, Karin Regina

; Caetano, Karlla Antonieta Amorim

; Lima, Luisa Helena de Oliveira

; Antunes, Maria Bernadete de Cerqueira

; Teixeira, Maria da Gloria

; Teixeira, Maria Denise de Castro

; Borges, Maria Fernanda de Sousa Oliveira

; Queiroz, Rejane Christine de Sousa

; Gurgel, Ricardo Queiroz

; Barata, Rita Barradas

; Azevedo, Roberta Nogueira Calandrini de

; Oliveira, Sandra Maria do Valle Leone de

; Teles, Sheila Araújo

; Gama, Silvana Granado Nogueira da

; Mengue, Sotero Serrate

; Simões, Taynãna César

; Nascimento, Valdir

; Araújo, Wildo Navegantes de

Epidemiologia e Serviços de Saúde

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2024, Volume 33 N. spe2 elocation e20231296

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

ABSTRACT Objective To analyze measles, mumps, and rubella vaccination coverage among children up to 24 months old and factors associated with non-vaccination in a 2017−2018 live birth cohort, in state capitals and large interior region cities in Northeast Brazil. Methods Population-based survey analyzing vaccination coverage and sociodemographic factors through logistic regression. Results For 12,137 children, vaccination coverage was 79.3% (95%CI 76.5;81.8), and the dropout rate was 10.6%. Association with non-vaccination: socioeconomic stratum A (OR-a 1.29; 95%CI 1.10;1.50), living in the interior region (OR-a 1.22; 95%CI 1.07;1.39), no access to the Bolsa Família Program (OR-a 1.19, 95%CI 1.05;1.34), family income ≤BRL 1,000 (OR-a 1.17, 95%CI 1.03;1.31), mother not working (OR-a 1.28, 95%CI 1.15;1.42), >1 child per mother (OR-a 1.12, 95%CI 1.08;1.17), and no vaccination card (OR-a 10.69, 95%CI 6.27;18.20). Conclusion Low vaccination coverage and a high dropout rate in state capitals and municipalities in the interior region of Northeast Brazil. measles mumps 2 nonvaccination non 20172018 2017 2018 2017−201 cohort Brazil Populationbased Population based regression 12137 12 137 12,13 793 79 3 79.3 95CI CI 95 76.581.8, 765818 76.5 81.8 , 76 5 81 8 76.5;81.8) 106 10 6 10.6% ORa OR 1.29 129 1 29 1.101.50, 110150 1.10 1.50 50 1.10;1.50) 1.22 122 22 1.071.39, 107139 1.07 1.39 07 39 1.07;1.39) 119 19 1.19 1.051.34, 105134 1.05 1.34 05 34 1.05;1.34) BRL 1000 000 1,00 117 17 1.17 1.031.31, 103131 1.03 1.31 03 31 1.03;1.31) 128 28 1.28 1.151.42, 115142 1.15 1.42 15 42 1.15;1.42) > 112 1.12 1.081.17, 108117 1.08 08 1.08;1.17) 1069 69 10.69 6.2718.20. 6271820 6.27 18.20 . 27 18 20 6.27;18.20) 2017201 201 2017−20 1213 13 12,1 7 79. 9 581 76.581.8 76581 765 76. 818 81. 76.5;81.8 10.6 1.2 101 1.101.50 11015 110 1.1 150 1.5 1.10;1.50 071 1.071.39 10713 107 1.0 139 1.3 0 1.07;1.39 11 051 1.051.34 10513 105 134 1.05;1.34 100 00 1,0 031 1.031.31 10313 103 131 1.03;1.31 151 1.151.42 11514 115 142 1.4 4 1.15;1.42 081 1.081.17 10811 108 1.08;1.17 2718 6.2718.20 627182 627 6.2 1820 18.2 6.27;18.20 201720 2017−2 121 12, 58 76.581. 7658 76.5;81. 10. 1. 1.101.5 1101 1.10;1.5 1.071.3 1071 1.07;1.3 1.051.3 1051 1.05;1.3 1, 1.031.3 1031 1.03;1.3 1.151.4 1151 14 1.15;1.4 1.081.1 1081 1.08;1.1 271 6.2718.2 62718 62 6. 182 18. 6.27;18.2 20172 2017− 76.581 76.5;81 1.101. 1.10;1. 1.071. 1.07;1. 1.051. 1.05;1. 1.031. 1.03;1. 1.151. 1.15;1. 1.081. 1.08;1. 6.2718. 6271 6.27;18. 76.58 76.5;8 1.101 1.10;1 1.071 1.07;1 1.051 1.05;1 1.031 1.03;1 1.151 1.15;1 1.081 1.08;1 6.2718 6.27;18 76.5; 1.10; 1.07; 1.05; 1.03; 1.15; 1.08; 6.271 6.27;1 6.27;

RESUMO Objetivo Analisar a cobertura vacinal contra sarampo, caxumba e rubéola em crianças até 24 meses de idade e os fatores associados à não vacinação em coorte de nascidos-vivos em 2017-2018, em capitais e municípios de grande porte populacional do interior do Nordeste brasileiro. Métodos Inquérito domiciliar populacional com análise de cobertura vacinal e fatores sociodemográficos por regressão logística. Resultados Em 12.137 crianças, cobertura vacinal de 79,3% (IC95% 76,5;81,8) e taxa de abandono de 10,6%. Associação à não vacinação: estrato socioeconômico A (OR-a 1,29; IC95% 1,10;1,50), residir no interior (OR-a 1,22; IC95% 1,07;1,39), não acesso ao Programa Bolsa Família (OR-a 1,19; IC95% 1,05;1,34), renda familiar ≤ R$ 1.000,00 (OR-a 1,17; IC95% 1,03;1,31), mãe sem trabalho remunerado (OR-a 1,28; IC95% 1,15;1,42), > 1 filho por mãe (OR-a 1,12; IC95% 1,08;1,17), sem caderneta de vacinação (OR-a 10,69; IC95% 6,27;18,20). Conclusão Baixa cobertura e alta taxa de abandono vacinal em capitais e municípios do interior do Nordeste. sarampo 2 nascidosvivos nascidos vivos 20172018, 20172018 2017 2018, 2018 2017-2018 brasileiro logística 12137 12 137 12.13 793 79 3 79,3 IC95 IC (IC95 76,581,8 765818 76,5 81,8 76 5 81 8 76,5;81,8 106 10 6 10,6% ORa OR 1,29 129 29 1,101,50, 110150 1,10 1,50 , 50 1,10;1,50) 1,22 122 22 1,071,39, 107139 1,07 1,39 07 39 1,07;1,39) 1,19 119 19 1,051,34, 105134 1,05 1,34 05 34 1,05;1,34) R 100000 000 00 1.000,0 1,17 117 17 1,031,31, 103131 1,03 1,31 03 31 1,03;1,31) 1,28 128 28 1,151,42, 115142 1,15 1,42 15 42 1,15;1,42) 1,12 112 1,081,17, 108117 1,08 08 1,08;1,17) 10,69 1069 69 6,2718,20. 6271820 6,27 18,20 . 27 18 20 6,27;18,20) 2017201 201 2017-201 1213 13 12.1 7 79, IC9 (IC9 581 76,581, 76581 765 76, 818 81, 76,5;81, 10,6 1,2 101 1,101,50 11015 110 1,1 150 1,5 1,10;1,50 071 1,071,39 10713 107 1,0 139 1,3 0 1,07;1,39 11 051 1,051,34 10513 105 134 1,05;1,34 10000 1.000, 031 1,031,31 10313 103 131 1,03;1,31 151 1,151,42 11514 115 142 1,4 4 1,15;1,42 081 1,081,17 10811 108 1,08;1,17 2718 6,2718,20 627182 627 6,2 1820 18,2 6,27;18,20 201720 2017-20 121 12. (IC 58 76,581 7658 76,5;81 10, 1, 1,101,5 1101 1,10;1,5 1,071,3 1071 1,07;1,3 1,051,3 1051 1,05;1,3 1000 1.000 1,031,3 1031 1,03;1,3 1,151,4 1151 14 1,15;1,4 1,081,1 1081 1,08;1,1 271 6,2718,2 62718 62 6, 182 18, 6,27;18,2 20172 2017-2 76,58 76,5;8 1,101, 1,10;1, 1,071, 1,07;1, 1,051, 1,05;1, 100 1.00 1,031, 1,03;1, 1,151, 1,15;1, 1,081, 1,08;1, 6,2718, 6271 6,27;18, 2017- 76,5; 1,101 1,10;1 1,071 1,07;1 1,051 1,05;1 1.0 1,031 1,03;1 1,151 1,15;1 1,081 1,08;1 6,2718 6,27;18 1,10; 1,07; 1,05; 1. 1,03; 1,15; 1,08; 6,271 6,27;1 6,27;

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https://doi.org/10.1590/s2237-96222024v33e20231296.especial2.en

13.

Vaccination coverage, hesitancy and associated factors: a household survey of a cohort of children born in 2017 and 2018 in urban areas of state capital cities in the Brazilian Northeast
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Saavedra, Ramon da Costa

; Santiago, Martha Suely Itaparica de Carvalho

; Teixeira, Maria da Glória Lima Cruz

; Antunes, Maria Bernadete de Cerqueira

; Queiroz, Rejane Christine de Sousa

; Lima, Luisa Helena de Oliveira

; Ramos Jr, Alberto Novaes

; Ferreira, Anderson Fuentes

; Maciel, Adjoane Mauricio Silva

; Barbosa, Jaqueline Caracas

; França, Ana Paula

; Domingues, Carla Magda Allan Santos

; Moraes, José Cássio de

; Silva, Adriana Ilha da

; Ramos Jr., Alberto Novaes

; França, Ana Paula

; Oliveira, Andrea de Nazaré Marvão

; Boing, Antonio Fernando

; Domingues, Carla Magda Allan Santos

; Oliveira, Consuelo Silva de

; Maciel, Ethel Leonor Noia

; Guibu, Ione Aquemi

; Mirabal, Isabelle Ribeiro Barbosa

; Barbosa, Jaqueline Caracas

; Lima, Jaqueline Costa

; Moraes, José Cássio de

; Luhm, Karin Regina

; Caetano, Karlla Antonieta Amorim

; Lima, Luisa Helena de Oliveira

; Antunes, Maria Bernadete de Cerqueira

; Teixeira, Maria da Glória Lima Cruz

; Teixeira, Maria Denise de Castro

; Borges, Maria Fernanda de Sousa Oliveira

; Queiroz, Rejane Christine de Sousa

; Gurgel, Ricardo Queiroz

; Barata, Rita Barradas

; Azevedo, Roberta Nogueira Calandrini de

; Oliveira, Sandra Maria do Valle Leone de

; Teles, Sheila Araújo

; Gama, Silvana Granado Nogueira da

; Mengue, Sotero Serrate

; Simões, Taynãna César

; Nascimento, Valdir

; Araújo, Wildo Navegantes de

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2024, Volume 33 N. spe2 elocation e20231298

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

resumen está disponible en el texto completo

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14.

Vaccination coverage and factors associated with incomplete polio vaccine schedule in children born in 2017-2018, in state capitals and interior region municipalities of Northeast Brazil
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Ramos Jr., Alberto Novaes

; Saavedra, Ramon da Costa

; Maciel, Adjoane Mauricio Silva

; Ferreira, Anderson Fuentes

; Silva, Taynara Lais

; Lima, Luisa Helena de Oliveira

; Domingues, Carla Magda Allan Santos

; Barbosa, Jaqueline Caracas

; Kerr, Ligia Regina Franco Sansigolo

; França, Ana Paula

; Silva, Pallysson Paulo da

; Teixeira, Maria da Gloria

; Moraes, José Cássio de

; Silva, Adriana Ilha da

; Ramos Jr., Alberto Novaes

; França, Ana Paula

; Oliveira, Andrea de Nazaré Marvão

; Boing, Antonio Fernando

; Domingues, Carla Magda Allan Santos

; Oliveira, Consuelo Silva de

; Maciel, Ethel Leonor Noia

; Guibu, Ione Aquemi

; Mirabal, Isabelle Ribeiro Barbosa

; Barbosa, Jaqueline Caracas

; Lima, Jaqueline Costa

; Moraes, José Cássio de

; Luhm, Karin Regina

; Caetano, Karlla Antonieta Amorim

; Lima, Luisa Helena de Oliveira

; Antunes, Maria Bernadete de Cerqueira

; Teixeira, Maria da Gloria

; Teixeira, Maria Denise de Castro

; Borges, Maria Fernanda de Sousa Oliveira

; Queiroz, Rejane Christine de Sousa

; Gurgel, Ricardo Queiroz

; Barata, Rita Barradas

; Azevedo, Roberta Nogueira Calandrini de

; Oliveira, Sandra Maria do Valle Leone de

; Teles, Sheila Araújo

; Gama, Silvana Granado Nogueira da

; Mengue, Sotero Serrate

; Simões, Taynãna César

; Nascimento, Valdir

; Araújo, Wildo Navegantes de

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2024, Volume 33 N. spe2 elocation e20231219

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

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15.

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Ferreira, Anderson Fuentes

; Ramos Jr, Alberto Novaes

; Maciel, Adjoane Mauricio Silva

; Barbosa, Jaqueline Caracas

; Saavedra, Ramon da Costa

; Antunes, Maria Bernadete de Cerqueira

; Lima, Luisa Helena de Oliveira

; Queiroz, Rejane Christine de Sousa

; Silva, Taynara Lais

; Santiago, Martha Suely Itaparica de Carvalho

; França, Ana Paula

; Domingues, Carla Magda Allan Santos

; Moraes, José Cássio de

; Teixeira, Maria da Gloria

; Silva, Adriana Ilha da

; Ramos Jr., Alberto Novaes

; França, Ana Paula

; Oliveira, Andrea de Nazaré Marvão

; Boing, Antonio Fernando

; Domingues, Carla Magda Allan Santos

; Oliveira, Consuelo Silva de

; Maciel, Ethel Leonor Noia

; Guibu, Ione Aquemi

; Mirabal, Isabelle Ribeiro Barbosa

; Barbosa, Jaqueline Caracas

; Lima, Jaqueline Costa

; Moraes, José Cássio de

; Luhm, Karin Regina

; Caetano, Karlla Antonieta Amorim

; Lima, Luisa Helena de Oliveira

; Antunes, Maria Bernadete de Cerqueira

; Teixeira, Maria da Gloria

; Teixeira, Maria Denise de Castro

; Borges, Maria Fernanda de Sousa Oliveira

; Queiroz, Rejane Christine de Sousa

; Gurgel, Ricardo Queiroz

; Barata, Rita Barradas

; Azevedo, Roberta Nogueira Calandrini de

; Oliveira, Sandra Maria do Valle Leone de

; Teles, Sheila Araújo

; Gama, Silvana Granado Nogueira da

; Mengue, Sotero Serrate

; Simões, Taynãna César

; Nascimento, Valdir

; Araújo, Wildo Navegantes de

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2024, Volume 33 N. spe2 elocation e20231224

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

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