02097nas a2200325 4500000000100000008004100001260001300042653001500055653001100070653001100081653001100092653001200103653000900115653003000124653001700154100001600171700001200187700002000199700001300219700001800232700001400250700001200264245009900276856005200375300001200427490000700439050001600446520129500462022001401757 2012 d c2012 Sep10aAdolescent10aBrazil10aFemale10aHumans10aleprosy10aMale10aReferral and Consultation10aUrban Health1 aHacker MAVB1 aSales A1 aAlbuquerque ECA1 aRangel E1 aCosta Nery JA1 aDuppre NC1 aSarno E00a[Patients from a reference center for leprosy: Rio de Janeiro and Duque de Caxias, 1986-2008]. uhttp://www.scielo.br/pdf/csc/v17n9/a33v17n9.pdf a2533-410 v17 aHACKER 20123 a
UNLABELLED: The scope of this study was to compare epidemiological data on leprosy patients living in two cities with different socioeconomic and endemic profiles that were monitored in a single center of reference. A descriptive study was made of data from patients in the Souza Araújo Outpatient facility treated in the period 1986-2008, who were resident in the cities of Rio de Janeiro = 1353) and Duque de Caxias (n = 336).
RESULTS: Among patients from Duque de Caxias, in comparison with patients from Rio de Janeiro, there was a higher proportion of cases: below the age of 15 years, multibacillary, higher initial bacilloscopic index (BI) and cases detected through surveillance of contacts. Patients in Duque de Caxias had lower average incomes and education levels. There were no statistically significant differences regarding gender, disability level, reaction in the diagnosis, final BI, bandonment and regularity of treatment. The differences found between the patients monitored in a single center of reference, could be partly related to contextual differences between the municipalities. On the other hand, it was observed that the provision of treatment and monitoring can minimize the effect of different contextual factors on health outcomes.
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