Estudio de factores de riesgo para transmisión de leishmaniosis cutánea americana en una área endémica de la Provincia de Pichincha

Authors

  • Gulnara Borja Cabrera Proyecto Prometeo SENESCYT
  • Jorge Quinchuela Hospital de Especialidades Eugenio Espejo, Quito.
  • Jessica Gómez Universidad Central del Ecuador
  • Bryan Suárez Universidad Central del Ecuador.
  • Gabriela Robles Universidad Central del Ecuador
  • Soraya Rivera Universidad Central del Ecuador.
  • Jorge Tufiño Universidad Central del Ecuador

DOI:

https://doi.org/10.29166/ciencias_medicas.v42i1.1575

Keywords:

Cutaneous leishmaniasis, risk factors, Pichincha, epidemiology, attitudes, knowledge, practices

Abstract

Context: In Ecuador, American cutaneous leishmaniasis is reported in 20 of 22 provinces, with an annual incidence of 3,000 to 4,500 cases. In the Province of Pichincha, this clinical form of leishmaniasis has spread to the tropical zones of the northwest and the epidemiological knowledge is meager.
Objective: to investigate the epidemiological profile and risk factors of American cutaneous leishmaniasis.
Material and methods: The study carried out in the Province of Pichincha involved 1081 individuals, through the application of a survey with epidemiological variables related to the parasite, evaluation of attitudes, knowledge and practices of the population about the disease.
Results: 15.7% of the respondents suffered from American cutaneous leishmaniasis in the past. The presence of canids (56.4%) and poultry (37%) were observed in the immediate vicinity of the dwellings. Garbage collection benefits 86.7% of properties, where 87.7% of inhabitants remain between 18 to 22 hours a day. 51.9% of respondents routinely use insecticides for vector control. 70.4% know about American cutaneous leishmaniasis
and 25.6% know how to prevent it by chemical control (12%), physical control (18.9%), peridomiciliary cleaning (11.7%) and adequate site selection to build houses far from vegetation (2.2%).
Conclusion: It is mandatory to initiate educational campaigns to improve knowledge, attitudes and prevention practices.

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Author Biographies

Jessica Gómez, Universidad Central del Ecuador

Facultad de Ciencias Médicas, Universidad Central del Ecuador

Bryan Suárez, Universidad Central del Ecuador.

Facultad de Ciencias Médicas, Universidad Central del Ecuador.

Gabriela Robles, Universidad Central del Ecuador

Facultad de Ciencias Médicas, Universidad Central del Ecuador

Soraya Rivera, Universidad Central del Ecuador.

Facultad de Ciencias Médicas, Universidad Central del Ecuador.

Jorge Tufiño, Universidad Central del Ecuador

Facultad de Ciencias Médicas, Universidad Central del Ecuador

References

United Nations Population Division. World urbanization prospects. The 2001 revision. Ginebra. United Nations 2002.

Sutherst RW. Global change and human vulnerability to vector-borne diseases. Clin Microbiol Rev 2004; 17:136–73.

Beyrer C, Villar JC, Suwanvanichkij V, Singh S, Baral SD, Mills EJ. Neglected diseases, civil conflicts and the right to health. Lancet 2007; 370:619–627.

Campbell-Lendrum D, Dujardin JP, Martinez E, Feliciangeli MD, Perez JE. Domestic and peridomestic transmission of American cutaneous leishmaniasis: changing epidemiological patterns present new control opportunities. Mem Inst Oswaldo Cruz 2001; 96:159–162.

Bern C, Maguire JH, Alvar J. Complexities of assessing the disease burden attributable to leishmaniasis. PloS Negl Trop Dis 2008; 2(10):313.

Oliveira CDL, Diez-Roux A, César CC, Proietti FA. A case-control study of micro environmental risk factors for urban visceral leishmaniosis in a large city in Brazil, 1999–2000. Rev Panam Salud Publica 2006; 20(6):369–376.

Singh SP, Hasker E, Picado A, Gidwani K, Malaviya P, Singh RP, Boelaert M, Sundar S. Risk factors for visceral leishmaniasis in India: further evidence on the role of domestic animals. Tropical Medicine and International Health 2010; 2:29–35.

Modabber F, Buffet PA, Torreele E, Milon G, Croft SL. Consultative meeting to develop a strategy for treatment of cutaneous eishmaniasis. Kinetoplastid Biol Dis 2007; 6:3.

Vega JC, Sanchez BF, Montero LM, Montana R, Del Pilar Mahecha ML. Short communication: the cost-effectiveness of cutaneous leishmaniasis patient management during an epidemic in Chaparral, Colombia in 2004. Trop Med Int Health 2007; 12:1540–1544.

Velez ID, Hendrickx E, Robledo SM, Agudelo S del Pilar. Gender and cutaneous leishmaniasis in Colombia. Cuadernos de Saude Publica 2001; 17:171–180.

Weigel MM, Armijos RX, Racines RJ, Zurita C, Izurieta R, Herrera E, et al. Cutaneous leishmaniasis in subtropical Ecuador: popular perceptions, knowledge and treatment. Bull Pan Am Health Organ 1994; 28:142–155.

Armijos RX, Weigel MM, Izurieta R, Racines J, Zurita C, Herrera W, et al. The epidemiology of cutaneus in subtropical Ecuador. Trop Med Int Health 1997; 2(2):140-152.

Calvopiña M, Armijos RX, Marco JD, Uezato H, Kato H, Gomez EA, et al. Leishmania isoenzyme polymorphisms in Ecuador: relationships with geographic distribution and clinical presentation. BMC Infectious Diseases 2006; 6:139.

Davies CR, Reithinge R, Campbell-Lendrum D, Feliciangeli D, Borges R, Rodriguez N. The epidemiology and control of leishmaniosis in Andean countries. Cad Saude Publica 2000; 16(4):925-950.

Jirmanus L, Glesby MJ, Guimara LH, Lago E, Rosa ME, Machado PR, et al. Epidemiological and clinical changes in American tegumentary leishmaniasis in an area of Leishmania (Viannia) braziliensis transmission over a 20-Year Period. Am J Trop Med Hyg 2012; 86:426–433.

Bevilacqua PD, Paixão HH, Modena CM, Castro PS. Urbanização da Leishmaniose visceral em Belo Horizonte. Arq Bras Med Vet Zootec 2001; 53:1-8.

de Brito MEF, Andrade MS, Dantas-Torres F, Rodrigues EHG, Cavalcanti MP, de Almeida AMP, et al. Cutaneous leishmaniasis in northeastern Brazil: a critical appraisal of studies conducted in State of Pernambuco. Revista da Sociedade Brasileira de Medicina Tropical 2012; 45(4):425-429.

Moreno EC, Melo MN, Genaro O, Lambertucci JR, Serufo JC, Antunes CM, et al. Risk factors for Leishmania chagasi infection in na urban área of Minas Gerais State. Ver Soc Bras Med Trop 2005; 38(6):456-463.

Romero GAS, Boelaert M. Controle da Leishmaniose visceral na América Latina, uma revisão sistemática. PLo S Negl Trop Dis 2010; 4(1). e584doi:10.1371/

Costa CHN. Characterization and speculations on the urbanization of visceral leishmaniasis in Brazil. Cadernos Saude Publica 2011; 24(12):2959-2963.

Bhattacharya SK, Sur D, Karbwang J. Childhood visceral Leishmaniasis. Indian J Med Res 2006; 123:353-356.

Souza YB. Leishmaniose tegumentar Americana no município de Ilhéus-BA: caracterização de casos humanos e fatores de risco associados. Dissertação de Mestrado–Universidade Federal de Viçosa, Programa de Pós-Graduação em Medicina Veterinária, Viçosa. 2007.

Drumond KO, Costa FAL. Forty years of visceral leishmaniasis in the state of Piaui: a review. Ver Inst Med Trop 2011; 53:3-11.

Oliveira SS de, Araújo TM. Avaliação das ações de controle da leishmaniose visceral (Kalazar) em uma área endêmica do Estado da Bahia, Brasil (1995-2000). Cadernos de Saude Publica 2003; 19(6):1681-1690.

Published

2017-06-01

How to Cite

1.
Borja Cabrera G, Quinchuela J, Gómez J, Suárez B, Robles G, Rivera S, Tufiño J. Estudio de factores de riesgo para transmisión de leishmaniosis cutánea americana en una área endémica de la Provincia de Pichincha. Rev Fac Cien Med (Quito) [Internet]. 2017 Jun. 1 [cited 2024 Dec. 19];42(1):141-9. Available from: https://revistadigital.uce.edu.ec/index.php/CIENCIAS_MEDICAS/article/view/1575