The consequences of the Sars-CoV-2 pandemic on medical education in the fight against leprosy

Authors

DOI:

https://doi.org/10.17058/reci.v12i1.16870

Keywords:

Doenças Tropicais Negligenciadas, Hanseníase, Erros de Diagnóstico, Educação Médica, Pesquisa sobre Prestação de Cuidados de Saúde

Abstract

Background and objectives: Leprosy is an infectious disease in which early diagnosis is a decisive factor in preventing impairment and disabilities. This study sought to analyze the panorama of leprosy between 2016 and 2021 in the state of Rio Grande do Sul, revealing the importance of medical education in the context of Neglected Tropical Diseases during the Sars-CoV-2 pandemic. Methods: Cross-sectional study using the database of the State Health Surveillance Center of Rio Grande do Sul. Data collection included leprosy data in individuals living in the state of Rio Grande do Sul (RS), from 2016 to 2021. The variables analyzed were confirmed cases of leprosy, reported cases, number of cases regarding the operational classifications of leprosy, the therapeutic regimen and the number of cases according to the degrees of physical disability. Results: In the analyzed period, 725 cases of leprosy were confirmed, 70% in 2016, 2017 and 2018. Of the total number of cases, 88% were the multibacillary form of the disease, 50% had some degree of physical disability at the time diagnosis and 80% performed the standard therapeutic regimen. Conclusion: There is a delay in the diagnosis of leprosy and there is underdiagnosis of the disease in the state of Rio Grande do Sul, which highlights the need to reaffirm educational practices on mycobacteriosis.

Downloads

Download data is not yet available.

Author Biographies

Henrique Ziembowicz, Acadêmico do 4° semestre do curso de Medicina da Universidade de Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brasil.

Acadêmico do 4° semestre do curso de Medicina da Universidade de Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brasil.

Irene Souza, Curso de Medicina, Universidade de Santa Cruz do Sul. Av. Independência 2293, Santa Cruz do Sul, RS 96815- 900, Brasil.

Acadêmica do 6° semestre do curso de Medicina da Universidade de Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brasil.

Jordana Vargas Peruzzo, Curso de Medicina, Universidade de Santa Cruz do Sul. Av. Independência 2293, Santa Cruz do Sul, RS 96815- 900, Brasil.

Acadêmica do 6° semestre do curso de Medicina da Universidade de Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brasil.

Larissa de Camargo Subtil, Curso de Medicina, Universidade de Santa Cruz do Sul. Av. Independência 2293, Santa Cruz do Sul, RS 96815- 900, Brasil.

Acadêmica do 6° semestre do curso de Medicina da Universidade de Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brasil.

Lorenzo Garcia Onófrio, Curso de Medicina, Universidade de Santa Cruz do Sul. Av. Independência 2293, Santa Cruz do Sul, RS 96815- 900, Brasil.

Acadêmica do 6° semestre do curso de Medicina da Universidade de Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brasil.

Manoela Badinelli Vaucher, Docente do curso de medicina, Universidade do Vale do rio Taquari (UNIVATES). Av. Avelino Talini 171, Lajeado, RS 95914-014, Brasil

Graduada em medicina pela Universidade de Santa Cruz do Sul (UNISC) em 2016. Residência em Infectologia no Hospital Nossa Senhora de Conceição de Porto Alegre (HNSC) em 2017-2020. Mestranda em Hepatologia na Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA).

References

Kundakci N, Erdem C. Leprosy: A great imitator. Clin Dermatol. 2019;37(3):200–12. https://doi.org/10.1016/j.clindermatol.2019.01.002

Ministério da Saúde (BR). Secretaria de Vigilância em Saúde. Departamento de Vigilância das Doenças Transmissíveis. Guia prático sobre a hanseníase. 2017. 68p. http://bvsms.saude.gov.br/bvs/publicacoes/guia_pratico_ hanseniase.pdf

OMS. Diretrizes para o diagnóstico, tratamento e prevenção da hanseníase. Organ Mund da Saúde. 2019. https://apps.who.int/iris/handle/10665/274127

Martins-Melo FR, Carneiro M, Ramos AN, et al. The burden of Neglected Tropical Diseases in Brazil, 1990-2016: A subnational analysis from the Global Burden of Disease Study 2016. PLoS Negl Trop Dis. 2018;12(6):1–24. https://doi.org/10.1371/journal.pntd.0006559

Teixeira CSS, Pescarini JM, Alves FJO, et al. Incidence of and Factors Associated with Leprosy among Household Contacts of Patients with Leprosy in Brazil. JAMA Dermatology. 2020;156(6):640–8.10. https://doi.org/1001/jamadermatol.2020.0653

OMS. Rumo à zero hanseníase Rumo à zero hanseníase Estratégia Global de Hanseníase. 2021;1-30. https://www.who.int/pt/publications/i/item/9789290228509

WHO. Ending the neglect to attain the Sustainable Development Goals: a road map for neglected tropical diseases 2021–2030. 2021;: https://apps.who.int/iris/rest/bitstreams/1277958/retrieve

Foss NT, Motta ACF. Leprosy, a neglected disease that causes a wide variety of clinical conditions in tropical countries. Mem Inst Oswaldo Cruz. 2012;107(SUPPL.1):28–33. https://doi.org/10.1590/S0102-311X2011001000020

Leon KE, Jacob JT, Franco-Paredes C, et al. Delayed diagnosis, leprosy reactions, and nerve injury among individuals with Hansen’s disease seen at a United States clinic. Open Forum Infect Dis. 2016;3(2):1–4. https://doi.org/10.1093/ofid/ofw063

WHO. Estratégia Global para Hanseníase 2016-2020. Estratégia Global para Hanseniase 2016-2020. 2016. 1–23 p. http://apps.who.int/iris/bitstream/10665/208824/8/9789290225201-Portuguese.pdf

Fischer M. Leprosy – an overview of clinical features, diagnosis, and treatment. JDDG - J Ger Soc Dermatology. 2017;15(8):801–27. https://doi.org/10.1111/ddg.13301

WHO. Ending the neglect to attain the Sustainable Development Goals: a road map for neglected tropical diseases 2021–2030. 2021. https://apps.who.int/iris/rest/bitstreams/1277958/retrieve

Kaul V, Moraes AG De, Khateeb D, et al. Medical Education During the COVID-19 Pandemic. Chest. 2021;159(5):1949–60. https://doi.org/10.1016/j.chest.2020.12.026

Neves KVRN, Nobre ML, Machado LMG, et al. Misdiagnosis ofleprosy in Brazil in the period 2003 - 2017: spatial pattern and associated factors. Acta Trop. 2021;215:105791. https://doi.org/10.1016/j.actatropica.2020.105791

Carneiro M, Possuelo LG, Valim ARM. Neuropatia por hanseníase: atraso no diagnóstico ou um diagnóstico difícil? Leprosy neuropathy: delayed diagnosis or a difficult diagnosis? Cad Saude Publica. 2011;27(10):2070. https://doi.org/10.1590/S0102-311X2011001000020

Ministério da Saúde (BR). Secretaria de Vigilância em Saúde. Departamento de Vigilância das Doenças Transmissíveis.Boletim Epidemiológico - Hanseníase. 2021 56p. https://www.gov.br/saude/pt-br/assuntos/media/pdf/2021/fevereiro/12/boletim-hanseniase-_-25-01.pdf

Henry M, GalAn N, Teasdale K, et al. Factors Contributing to the Delay in Diagnosis and Continued Transmission of Leprosy in Brazil – An Explorative, Quantitative, Questionnaire Based Study. PLoS Negl Trop Dis. 2016;10(3):1–12. https://doi.org/10.1371/journal.pntd.0004542

Kumar RR, Jha S, Dhooria A, et al. A case of leprosy misdiagnosed as lupus. J Clin Rheumatol. 2020;26(8):e301–2.10. https://doi.org/1097/RHU.0000000000001154

Ribeiro MDA, Silva JCA, Oliveira SB. Estudo epidemiológico da hanseníase no Brasil: reflexão sobre as metas de eliminação. Rev Panam Salud Publica. 2018;42:e42. https://doi.org/10.26633/RPSP.2018.42

Published

2022-05-29

How to Cite

Ziembowicz, H., Souza, I., Peruzzo, J. V., Subtil, L. de C., Onófrio, L. G., & Vaucher, M. B. (2022). The consequences of the Sars-CoV-2 pandemic on medical education in the fight against leprosy. Revista De Epidemiologia E Controle De Infecção, 12(1). https://doi.org/10.17058/reci.v12i1.16870

Issue

Section

ORIGINAL ARTICLE