01749nas a2200217 4500000000100000008004100001653001200042653002100054653001300075653003100088100001500119700001400134700001300148700001900161700001300180245011000193856006300303300001100366490000700377520114700384 2019 d10aleprosy10aSpatial analysis10aSerology10aEpidemiological Monitoring1 aRibeiro GC1 aBarreto J1 aBueno IC1 aVasconcelos BF1 aLana FCF00aPrevalence and spatial distribution of Mycobacterium leprae infection in a medium endemicity municipality uhttp://www.periodicos.ufc.br/rene/article/view/39497/pdf_1 ae394970 v203 a
Objective: analyze serological profile and spatial distribution of Mycobacterium leprae infection and disease. Methods: cross-sectional study with cases of leprosy (n=42), household contacts (n=81) and school contacts (n=358). Interviews, dermato-neurological examination, serological and georeferencing made. Results: all seropositive cases lived in rural areas, more than two people per household, 50.0% had alteration of foot strength. 75.0% were elderly and married participants. Among seropositive schoolchildren, 75.0% female, 69.4% lived with more than four people 80.6% slept in the bedroom with someone. It was possible to observe hyper endemic areas of cases in the studied municipality and spatial-temporal relation among them (p=0.010). In addition, concentration of cases and schoolchildren in sectors of lower family income per capita was found. Conclusion: the serological analysis revealed that the cohabitation condition was related to the Mycobacterium leprae infection, and the spatial analysis showed a hidden endemic scenario.