Leishmaniose visceral como problema de saúde pública no serviço de hemoterapia na região norte do estado do Tocantins

Visceral Leishmaniasis (VL) can be considered a social problem that generates financial cost to the health service and the affected person, having no racial or cultural borders and is considered by the World Health Organization a priority among tropical diseases. The VLis a condition of unfitness...

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Autor principal: Negreiros Filho, Osmar
Idioma: pt_BR
Publicado em: 2018
Assuntos:
Acesso em linha: http://hdl.handle.net/11612/860
Resumo:
Visceral Leishmaniasis (VL) can be considered a social problem that generates financial cost to the health service and the affected person, having no racial or cultural borders and is considered by the World Health Organization a priority among tropical diseases. The VLis a condition of unfitness for blood donation, as recommended by the Ministry of Health, thus,it is important to analyze the disease by a marker in the screening laboratory blood donation, in view of the possible risk of be overlooked by asymptomatic conditions or by lack of laboratory examination, especially in areas with high incidence. The aimof this study was to determine the prevalence of Leishmania infantum infection fromvoluntaryblood donorsfrom Araguaína Regional Blood Center and to identify the risk factors to which blood donors are exposed. Serum of 400 blood donors were analyzed by the direct agglutination test (DAT) and blood samples from seropositive individuals were submitted to PCR. For risk factor research, a structured questionnaire was performed with each donor. In DAT, thirty donors (7.5%) showed seropositivity at 1:20, 6 (1.5%) titration to 1:80 titration and 2 (0.5%) titration to 1:160 titration. No donor has been PCR positive. Havinga positive dog for VL in the residence or neighborhood was reported by 18.5% of the donors, and a report of a sick man by calazarin the residence or neighborhood was observed in 5.6% of the donors. The results revealed that blood donors from endemic VL regions are exposed and have individual and socioenvironmental conditions that are considered risk factors for visceral leishmaniasis and represent a warning for the importance of investigating this infection in blood donors considering the possible risks of transmission of VL, emphasizing thar public health serviceneed toexpandthe blockade of infection and reduce the risk of transmission by other possible means, such as blood.