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Brazilian Spotted Fever Mortality Profile: 2018 to 2022

Advances in Infectious Diseases 2023年第3期13卷 498-507页

作者： Danielle Satie Kassada Paula Cristina Pereira da Costa Gabriel Borba de Castro Isabela Cristina Nogueira Henrique Ceretta Oliveira Dalvani Marques Department of Public Health School of Nursing University of Campinas Sao Paulo Brazil Undergraduate Student at the School of Nursing University of Campinas Sao Paulo Brazil Master’s Student at the School of Nursing University of Campinas Sao Paulo Brazil Statistician at the School of Nursing University of Campinas Sao Paulo Brazil

Background: spotted fever (SF) is an acute febrile zoonosis of variable severity that typically occurs in an endemic manner with worldwide distribution. Considering that SF is a disease of significant public health importance, this study aims to identify the mortality profile due to SF in Brazil from 2018 to 2022. Methods: Quantitative and descriptive cross-sectional approach. Data were collected from Brazilian Spotted Fever (BSF) cases registered in the Notifiable Diseases Information System (SINAN-DATASUS) across all regions of Brazil. The data collected includes information on the following variables: year of symptom, evolution, sex, race, environment of infection, region of notification, and age group. Subsequently, the data was entered into Microsoft Excel to create tables and graphs. The chi-square test was then applied to statistically analyze the associations between qualitative variables. A modified Poisson regression model with robust variance was constructed to analyze the age group data and determine which categories had different probabilities of death. The results show the estimates obtained for prevalence ratios, as well as their respective confidence intervals and p-values. The statistical software SAS version 9.4 was used to perform the analysis and a significance level of 5% was considered. Results: From 2018 to 2022, a total of 1126 cases of BSF were reported. Out of these cases, 59.3% (668) were cured, 32.4% (364) resulted in death, 1.1% (13) died from other causes and 7.2% (81) had no recorded outcome. Regarding the region with the highest death rate, the Southeast region led with 99.45% (362) of cases, followed by the Northeast region with 0.45% (2). As for the age group, the majority (63.7%) fell between the ages of 20 and 59 years old. In terms of race/color, 52.7% of the population identified as white. Regarding the contamination environment, 39.3% were in leisure areas. The outcome of death by BSF showed statistically significant associations with sex (p-value = 0.03) and age group (p-va

关键词： Brazilian Spotted Fever Mortality Communicable Diseases Disease Notification

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Serological Evidence of Human Coinfection by Brazilian Spotted Fever and Bartonellosis

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International Journal of Clinical Medicine 2016年第11期7卷 766-770页

作者： Otília Lupi Eula Carvalho Tatiana Rozental Alexsandra Rodrigues de Mendonça Favacho Elba Regina Sampaio de Lemos Patricia Brasil Laboratório de Doenças Febris Agudas Instituto Nacional de Infectologia Evandro Chagas (INI) Funda&ccedil&atildeo Oswaldo Cruz (FIOCRUZ) Rio de Janeiro Brazil Laboratório de Hantaviroses e Rickettsioses Instituto Oswaldo Cruz (IOC) Funda&ccedil&atildeo Oswaldo Cruz (FIOCRUZ) Rio de Janeiro Brazil

Brazilian Spotted Fever and bartonellosis are zoonotic, emerging and under diagnosed diseases. Pets may be co-infected by multiple pathogens and become transmissions sources to humans. The study reports the first case of active co-infection by Brazilian Spotted Fever and bartonellosis based on serological evidence. The authors aim to demonstrate the importance of performing systematic syndromic investigations on nonspecific febrile syndromes, guided by the epidemiological history and considering the possibility of co-infection by zoonosis sharing the same ecological niche.

关键词： Rickettsia rickettsia Bartonella henselae Brazilian Spotted Fever Bartonellosis Co-Infection

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