Profile of cases of tetanus diagnosticated during 10 years in a reference hospital in the state of Alagoas, Northeastern Brazil
DOI:
https://doi.org/10.33448/rsd-v11i17.39072Keywords:
Immunoprevention; Tetanus vaccine; Clostridium tetani; Epidemiology.Abstract
Objective: This research aimed to evaluate the clinical-epidemiological profile of cases of accidental tetanus, registered in a Reference Hospital for the treatment of infectious diseases, in the State of Alagoas, northeast region of Brazil, from January 2007 to December 2017. Methodology: The information was obtained through the database of the referred institution and that were registered in the Sistema de Informação de Agravos de Notificação. Data were tabulated in Microsoft Office Excel 2016 and statistically analyzed in Statistical Products and Service Solutions for Windows 12. Results: In the researched period, 67 cases of tetanus were diagnosed. The statistically significant social and epidemiological variables were: male sex (91%), urban area of residence (83.10%) and non-vaccination status of the infected (69%). Also noteworthy is the location of the injury in the region of the lower limbs (66.6%), cases caused by perforating wounds (36.7%), healing (53.1%) and the predominant age group from 18 to 49 years (67.2%). Trismus was the most evident clinical manifestation, being present in all cases. Of those evaluated, 45.3% died due to the disease. Conclusions: It is understood that the situation of accidental tetanus in Alagoas is suggestive of a deficit in the scope of primary prevention (vaccination), requiring greater work to disseminate and encourage immunoprevention among the population, especially among the age group from 18 to 49 years, which had a higher incidence in this study.
References
Barbosa, F. T. (2022). ABC da Metodologia da Pesquisa. Amazon.
Bae, C., & Bourget, D. (2020). Tetanus. PubMed; StatPearls Publishing. Disponível em: https://www.ncbi.nlm.nih.gov/books/NBK459217/
Beltrão, R. A (2016). Análise dos casos de tétano acidental em Pernambuco no período de 2007 a 2015 (Trabalho de conclusão de curso). Residência Multiprofissional em Saúde Coletiva. Instituto Aggeu Magalhães, Recife.
Brasil. (2020). Tétano Acidental. Ministério da Saúde. https://www.gov.br/saude/pt-br/assuntos/saude-de-a-a-z/t/tetano-acidental-1
Brasil. 2019. Ministério da Saúde. Secretaria de Vigilância em Saúde. Coordenação-Geral de Desenvolvimento da Epidemiologia em Serviços. Guia de Vigilância em Saúde.
Brasil. (2018a). Guia de vigilância epidemiológica. Ministério da Saúde. Secretaria de Vigilância em Saúde. http://bvsms.saude.gov.br/bvs/publicacoes/guia_vigilancia_epidemiologica_7ed.pdf
Brasil. (2018b). Situação epidemiológica do tétano acidental no Brasil, 2007-2016. Boletim Epdemiológico. Ministério da Saúde. Secretaria de Vigilância em Saúde.
Bravo, T. E., Siregar, M. L., & Jamil, K. F. (2018). Diagnosis and management of tetanus outside the intensive care unit: a case report. IOP Conference Series: Earth and Environmental Science, 125, 012067. https://doi.org/10.1088/1755-1315/125/1/012067
Casarin, S. T., De Oliveira, E. S. A., Ceolin, T., & Soares, D. C. (2016). Care provided by the nursing team in care of post-vaccination adverse events / Cuidados prestados pela equipe de enfermagem no atendimento aos eventos adversos pós-vacinais / Cuidados realizados por la equipo de enfermería. . . Revista De Enfermagem Da UFPI, 5(2), 32. https://doi.org/10.26694/reufpi.v5i2.5275
Carvalho, L. C. de, Marques, C. P. C., & Rodrigues, V. P. (2021). Temporal trends in tetanus incidence and lethality in Brazil: analysis of the national database from 2009 to 2018. Revista Da Associação Médica Brasileira, 67(12), 1804–1809. https://doi.org/10.1590/1806-9282.20210736
Fan, Z., Zhao, Y., Wang, S., Zhang, F., & Zhuang, C. (2019). Clinical features and outcomes of tetanus: a retrospective study. Infection and Drug Resistance, 12, 1289–1293. https://doi.org/10.2147/IDR.S204650
Larrubia, A. L. S., Zafalon, B., Bressan, E. M. R., Dos Santos, H. G. N., Cândido, K. V. D. S., Blaszak, P. R., & Júnior, F. D. M. (2021). Tétano acidental: uma revisão dos aspectos clínicos, epidemiológicos e neuroquímicos / Accidental tetanus: a review of clinical, epidemiological and neurochemical aspects. Brazilian Journal of Health Review, 4(3), 12392–12401. https://doi.org/10.34119/bjhrv4n3-214
Leidner, A. J., Murthy, N., Chesson, H. W., Biggerstaff, M., Stoecker, C., Harris, A. M., Acosta, A., Dooling, K., & Bridges, C. B. (2019). Cost-effectiveness of adult vaccinations: A systematic review. Vaccine, 37(2), 226–234. https://doi.org/10.1016/j.vaccine.2018.11.056
Lima, E. C. d., Glowacki, J., Barroso, L. F., Fonseca, N. C., Zancan, S., & Silveira, A. d. (2021). Tétano: Um problema de saúde pública no Brasil apesar das estratégias e medidas de prevenção. Research, Society and Development. 10(5).
Martins, M. V. T., Mendes, G. J., Soares, L. C., Silva, A. R. L. da, & Oliveira, S. V. de. (2021). Análise epidemiológica e avaliação dos gastos/efetividade nas internações por tétano no Brasil. Journal of Health & Biological Sciences. 9(1), 1. https://doi.org/10.12662/2317-3076jhbs.v9i1.3594.p1-8.2021
Ohama, V. H., Bezerra, A. M., Castro, E. F. D., & Sprovieri, S. R. S. (2019). Tétano acidental em adultos: uma proposta de abordagem inicial / Accidental tetanus in adults: an initial approach proposal. Arquivos Médicos Dos Hospitais E Da Faculdade De Ciências Médicas Da Santa Casa De São Paulo. 64(2), 120. https://doi.org/10.26432/1809-3019.2019.64.2.120
Oliveira, L. P., Lima, A. B. L. S., Sá, K. V. C. da S. S. C. da S., Freitas, D. da S., Aguiar, M. I. F. de, Rabêlo, P. P. C., & Caldas, A. de J. M. (2016). Perfil e situação vacinal de idosos em unidade de estratégia saúde da família. Revista de Pesquisa Em Saúde. 17(1). https://periodicoseletronicos.ufma.br/index.php/revistahuufma/article/view/5498/3363
Oliveira, V. C. D., Guimarães, E. A. D. A., Oliveira, V. J. D., Guimarães, I. A., Almeida, C. S. D., & Silva, C. L. L. D. (2012). Situação vacinal contra o tétano em trabalhadores da Empresa Municipal de Obras Públicas do Município de Divinópolis, Estado de Minas Gerais, Brasil, 2009. Epidemiologia E Serviços De Saúde. 21(3), 497–504. https://doi.org/10.5123/s1679-49742012000300015
Pereira, A. P., Nunes, J. R. V., Da Silva, I. T. C., Andrade, C. P. P. D., De Araújo, H. V. S., Xavier, B. L. D. Q., De Oliveira, L. R., Mendes, S. R., De Sousa, R. P., Da Silva, H. F., & Nunes, H. F. B. (2017). An Epidemiological Profile of Accidental Tetanus Cases in a Referral Hospital, 2007-2013. International Archives of Medicine. 10. https://doi.org/10.3823/2405
Romeiro Y. E. F., Cruz, T. S. D., Silveira, A. E. S. D., Oliveira, F. R. P. S., Luz, E. D. A., & Brum, V. L. (2017). Tétano relato de caso. Acta Biomédica Brasiliensia. 8(1), 170. https://doi.org/10.18571/acbm.132
Sociedade Brasileira de Imunizações (SBI). (2021). Calendário de Vacinação SBIm. Disponível em: https://sbim.org.br/images/calendarios/calend-sbim-adulto.pdf
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Copyright (c) 2022 Maria Clara Domingos de Araújo Sousa; Tarcísia Domingos de Araújo Sousa; Anderson Peixoto da Silva; João Lúcio de Morais Gomes Netto; Eduardo Bezerra Medeiros; Fernando Luiz de Andrade Maia; Flaviana Santos Wanderley
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