Programa de desparasitación periódica en Brasil

Autores/as

DOI:

https://doi.org/10.33448/rsd-v9i11.10722

Palabras clave:

Enfermedades parasitarias; Terapia; Epidemiología; Salud pública; Análisis coste-beneficio.

Resumen

Evaluar el programa de desparasitación periódica (PDP) contra helmintos transmitidos por el suelo y estimar el costo-beneficio de esta acción en un estado del Nordeste de Brasil. Se realizó un estudio observacional descriptivo en dos ramas: un análisis epidemiológico de la positividad de exámenes parasitológicos de heces en las 7 microrregiones sanitarias del estado de Sergipe, de enero a junio de 2019, y un análisis de costo-beneficio por comparación entre costos estimados de PDP y método convencional de diagnóstico y tratamiento de 2014 a 2018. De los 1110 exámenes parasitológicos de heces evaluados, 317 fueron positivos: 20 (1.8%) para helmintos y 307 (26.7%) para parásitos protozoarios. Entre las pruebas positivas, 61 (19,2%) estaban en el grupo de edad PDP (5-14 años). Se distribuyó un promedio anual de 255.283 comprimidos de albendazol (400 mg, dosis única) con una tasa de cobertura anual promedio del 84,2%. Para apoyar el programa, se transfirieron aproximadamente R $ 281.859,25 (US $ 89.775,67) por año al estado de Sergipe. El costo-efectividad estimado del PDP fue de R $ 1,10 (US $ 0,34) por evento evitado y generó una minimización de costos de aproximadamente R $ 335.617,60 (US $ 124.568,00) en comparación con el método convencional de diagnostico y tratamiento. Tasas de suelo positivas. La infección por helmintos probada por parasitólogos en Sergipe fue baja y la recomendación de PDP parece ser actualmente inadecuada. La mayoría de las pruebas positivas fueron para especies de protozoos comensales. El costo estimado de la PDP es menor que el método convencional de diagnóstico y tratamiento. Se deben evaluar las políticas para prevenir las infecciones por protozoos, ya que son la principal infección parasitaria en nuestra comunidad después de la PDP.

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10/12/2020

Cómo citar

CELESTINO, A. O. .; LIMA, P. A. S. .; RODRIGUES, L. M. C. L. .; FRANÇA, C. M. .; LOPES, I. R. S. .; VIEIRA, S. C. F. .; BARRETO, I. D. de C. .; ESPERIDIÃO, F. .; GURGEL, R. Q. . Programa de desparasitación periódica en Brasil. Research, Society and Development, [S. l.], v. 9, n. 11, p. e100091110722, 2020. DOI: 10.33448/rsd-v9i11.10722. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/10722. Acesso em: 26 nov. 2024.

Número

Vol. 9 Núm. 11

Sección

Ciencias de la salud

Licencia

Derechos de autor 2020 Ariel Oliveira Celestino; Pablo Amercio Silva Lima; Larissa Maria Cardoso Lima Rodrigues; Camila Mendonça França; Isabel Ribeiro Santana Lopes; Sarah Cristina Fontes Vieira; Ikaro Daniel de Carvalho Barreto; Fernanda Esperidião; Ricardo Queiroz Gurgel

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