Clinical and Epidemiological Aspects of Leprosy Cases Under 15 Years of Age, in the State of Rondônia in the Period 2011 to 2015

Abstract

The present study analyzed the clinical and epidemiological aspects of leprosy cases in children under 15 years of age, in the State of Rondônia, from January 1, 2011 to December 31, 2015. It is an epidemiological research of the type Cross - sectional retrospective cross - sectional study, based on quantitative data extracted from the Information System of Notifiable Diseases Database (SINAN) of the Health Surveillance Agency of the State of Rondônia (AGEVISA - RO). During the study period, Rondônia diagnosed 260 cases of leprosy in children under 15, corresponding to 6% of the total cases in the state. 72.30% were aged between 10 and 14 years. The prevalence was males with 54.6% of the cases. The year of greatest detection was 2013 with 68 cases. The most frequent operational classification was multibacillary with 51.15%. Residents in urban areas accounted for 75.38%. Of the 52 municipalities in Rondônia, 69.23% detected cases of leprosy in children under 15 years of age. The most prevalent clinical form was Dimorphic with 43.07%. In the neurological evaluation of the patient at the time of diagnosis, 86.92% had zero degrees of disability, 75.7% had no affected nerves at the time of diagnosis, 62.69% had Bacilloscopy, had a negative result, 39.41% entered Services by spontaneous demand. 86.15% were discharged for a cure, and 72.30% were discharged from service with a zero degree of disability. Despite its decrease, the coefficient of detection of leprosy in children under 15 years of age in Rondônia maintains a very high level of endemicity and demonstrates difficulty in controlling the disease by the health authorities.