RESUMO
This was a descriptive epidemiological study with the aim of evaluating the occurrence of human myiasis in urban areas of four municipalities in the State of Rio de Janeiro. Seventy-one patients who spontaneously sought attendance at primary healthcare units between October 1999 and October 2003 were examined. The disease was more prevalent among adults, including in individuals more than 51 years old (42.3%), and among children less than 10 years old (33.8%). From all the cases studied, 62% were of low socioeconomic level; 60.6% were male; and 33.8% of the infested individuals were unemployed. In the cases analyzed, the bioagent species were Cochliomyia hominivorax (Coquerel, 1858), Dermatobia hominis (Linnaeus Jr, 1781) and Cochliomyia macellaria (Fabricius, 1775). The results point towards an association between the disease and the patients living and hygiene conditions. This indicates the need for more specific healthcare among more vulnerable groups.
Assuntos
Miíase/epidemiologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Animais , Brasil/epidemiologia , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Pessoa de Meia-Idade , Miíase/parasitologia , Prevalência , Fatores Socioeconômicos , População UrbanaRESUMO
Trata-se de um estudo epidemiológico descritivo com o objetivo de avaliar a ocorrência de miíases humanas em áreas urbanas de quatro municípios do Estado do Rio de Janeiro. Foram analisados 71 pacientes que procuraram espontaneamente o atendimento em Postos de Saúde, no período de outubro de 1999 a outubro de 2003. Maior prevalência da doença foi encontrada em adultos e idosos acima de 51 anos (42,3 por cento) e em menores de 10 anos (33,8 por cento). Do total dos casos estudados, 62 por cento incluíam-se no nível sócio-econômico baixo; 60,6 por cento eram do sexo masculino e 33,8 por cento dos indivíduos infestados, sem profissão. Nos casos analisados as espécies bioagentes foram Cochliomyia hominivorax (Coquerel, 1858); Dermatobia hominis (Linnaeus Jr, 1781) e Cochliomyia macellaria (Fabricius, 1775). Os resultados apontam para a associação da doença com as condições de vida e de higiene dos pacientes, sinalizando para a necessidade de atenção mais específica à saúde dos grupos mais vulneráveis.
This was a descriptive epidemiological study with the aim of evaluating the occurrence of human myiasis in urban areas of four municipalities in the State of Rio de Janeiro. Seventy-one patients who spontaneously sought attendance at primary healthcare units between October 1999 and October 2003 were examined. The disease was more prevalent among adults, including in individuals more than 51 years old (42.3 percent), and among children less than 10 years old (33.8 percent). From all the cases studied, 62 percent were of low socioeconomic level; 60.6 percent were male; and 33.8 percent of the infested individuals were unemployed. In the cases analyzed, the bioagent species were Cochliomyia hominivorax (Coquerel, 1858), Dermatobia hominis (Linnaeus Jr, 1781) and Cochliomyia macellaria (Fabricius, 1775). The results point towards an association between the disease and the patientsÆ living and hygiene conditions. This indicates the need for more specific healthcare among more vulnerable groups.