Programa de desparasitação periódica no Brasil

Autores

DOI:

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

Palavras-chave:

Doenças parasitárias; Terapêutica; Epidemiologia; Saúde pública; Análise de custo-benefício.

Resumo

Avaliar o programa de desparasitação periódica (PDP) contra helmintos transmitidos pelo solo e estimar o custo-benefício dessa ação em um Estado do Nordeste brasileiro. Foi realizado um estudo observacional descritivo em dois ramos: uma análise epidemiológica da positividade dos exames parasitológicos de fezes nas 7 microrregiões de saúde do Estado de Sergipe, no período de janeiro a junho de 2019, e uma análise de custo-benefício por comparação entre os custos estimados da PDP e convencional método de diagnóstico e tratamento de 2014 a 2018. Dos 1110 exames parasitológicos de fezes avaliados, 317 foram positivos: 20 (1,8%) para helmintos e 307 (26,7%) para parasitas protozoários. Entre os testes positivos, 61 (19,2%) estavam na faixa etária PDP (5-14 anos). Uma média anual de 255.283 comprimidos de albendazol (400 mg, dose única) foi distribuída com uma taxa de cobertura média anual de 84,2%. Para apoiar o programa, foram transferidos aproximadamente R$ 281.859,25 (US $ 89.775,67) por ano para o estado de Sergipe. O custo-efetividade estimado do PDP foi de R $ 1,10 (US $ 0,34) por evento evitado e gerou uma minimização de custo de aproximadamente R $ 335.617,60 (US $ 124.568,00) quando comparado ao método convencional de diagnóstico e tratamento. As taxas positivas de solo. A infecção por helmintos testados pelos parasitológicos em Sergipe foram baixos e a recomendação para PDP parece ser atualmente inadequada. A maioria dos testes positivos foram para espécies de protozoários comensais. O custo estimado do PDP é menor do que o diagnóstico convencional e o método de tratamento. As políticas de prevenção de infecções por protozoários devem ser avaliadas, pois eles são a principal infecção parasitária em nossa comunidade após a PDP.

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10/12/2020

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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 desparasitação periódica no 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.

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v. 9 n. 11

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Ciências da Saúde

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Copyright (c) 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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