Estudo das causas de internação por dengue no Hospital Universitário João de Barros Barreto, período de 1997-2001 Belém-Pará

Avaliou-se a causa de internação por dengue no Hospital Universitário João de Barros Barreto no período de 1997-2001, através de um estudo retrospectivo, descritivo e comparativo no qual, foram investigadas entre outras variáveis, o quadro de sinais e sintomas apresentados pelos pacientes ao internar. Utilizou-se como fonte de dados os registros em prontuários de 144 casos internados com suspeita de febre do dengue. Os resultados demonstraram que 137 (95,1%), 117 (81,2%), 93 (64,4%) e 67 (46,5%) dos casos estudados apresentaram como sintoma clássico da doença a febre, cefaléia, mialgia e artralgia, respectivamente. Finalmente, observou-se que a internação por dengue poderia ter sido evitada e os pacientes tratados a nível ambulatorial. Nenhum caso de febre hemorrágica foi observado. Não obstante, a tendência observada é de diminuição do número de internação e do tempo médio de permanência hospitalar por dengue clássica.

Análise crítica dos achados hematológicos e sorológicos de pacientes com suspeita de Dengue

O aumento das formas mais graves do número de casos de dengue na cidade de Belém tem preocupado as autoridades locais. O objetivo deste estudo foi realizar uma análise crítica dos achados hematológicos e sorológicos de pacientes com suspeita clínica de dengue atendidos em um laboratório de Belém-Pará. Tratou-se de estudo retrospectivo com 210 pacientes encaminhados ao Laboratório de Patologia Clínica Dr. Paulo C. Azevedo, Belém-Pará, no período de fevereiro a março de 2007, com solicitação de hemograma e sorologia para IgM para confirmação de dengue. Dos casos analisados, 51/210 (24,3%) apresentaram plaquetopenia e 53/210 (25,2%) leucopenia. A positividade da pesquisa sorológica para IgM foi de 47,1% (99/210). Foi observada associação estatística (p<0.05) somente entre pacientes que apresentavam plaquetopenia (33/99) e sorologia positiva para dengue, sugerindo que as alterações hematológicas de leucopenia e plaquetopenia, freqüentemente associadas a este agravo, podem não estar presentes no início da infecção, como verificado neste estudo, sendo fundamental, para confirmação do diagnóstico, a realização da sorologia para pesquisa de IgM.

Geoprocessamento aplicado à dengue.descrição espaço-temporal das epidemias ocorridas no município de cruzeiro/sp nos anos de 2006 e 2011

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Sínteses e estudos dos diferentes peptídeos de fusão dos flavivirus causadores da dengue

Pós-graduação em Biotecnologia - IQ

Spatial distribution of dengue incidence and socio-environmental conditions in Campinas, São Paulo State, Brazil, 2007

This study aimed to analyze the spatial distribution of dengue risk and its association with socio-environmental conditions. This was an ecological study of the counts of autochthonous dengue cases in the municipality of Campinas, São Paulo State, Brazil, in the year 2007, aggregated according to 47 coverage areas of municipal health centers. Spatial models for mapping diseases were constructed with Bayesian hierarchical models, based on Integrated Nested Laplace Approximation (INLA). The analyses were stratified according to two age groups, 0 to 14 years and above 14 years. The results indicate that the spatial distribution of dengue risk is not associated with socio-environmental conditions in the 0 to 14 year age group. In the age group older than 14 years, the relative risk of dengue increases significantly as the level of socio-environmental deprivation increases. Mapping of socio-environmental deprivation and dengue cases proved to be a useful tool for data analysis in dengue surveillance systems.

Algoritmo genético aplicado ao controle do mosquito transmissor da dengue

Pós-graduação em Biometria - IBB

Dengue Virus Type 3 Adaptive Changes during Epidemics in Sao Jose de Rio Preto, Brazil, 2006-2007

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Spatial Distribution of the Risk of Dengue and the Entomological Indicators in Sumare, State of Sao Paulo, Brazil

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Recent and future environmental suitability to dengue fever in Brazil using species distribution model

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Desenvolvimento de biossensor eletroquímico para diagnóstico de dengue

Pós-graduação em Biotecnologia - IQ

Vigilância do vpirus da dengue e circulação dos sorotipos presentes em São José do Rio Preto entre 2011 e 2014

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

An impedimetric biosensor to test neat serum for dengue diagnosis

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Space-time description of dengue epidemic in Cruzeiro, SP, in 2006 and 2011

Objective: to identify patterns in the spatial and temporal distribution of cases of dengue fever occurring in the city of Cruzeiro, state of Sao Paulo (SP).Methods: an ecological and exploratory study was undertaken using spatial analysis tools and data from dengue cases obtained on the SinanNet. The analysis was carried out by area, using the IBGE census sector as a unit. The months of March to June 2006 and 2011 were assessed, revealing progress of the disease. TerraView 3.3.1 was used to calculate the Global Moran's I, month to month, and the Kernel estimator.Results: in the year 2006, 691 cases of dengue fever (rate of 864.2 cases/100,000 inhabitants) were georeferenced; and the Moran's I and p-values were significant in the months of April and May (TM = 0.28; p = 0.01; I-M = 0.20; p = 0.01) with higher densities in the central, north, northeast and south regions. In the year 2011, 654 cases of dengue fever (rate of 886.8 cases/100,000 inhabitants) were georeferenced; and the Moran's I and p-values were significant in the months of April and May (I, = 0.28; p = 0.01; I-M = 0.16; p = 0.05) with densities in the same regions as 2006. The Global Moran's I is a global measure of spatial autocorrelation, which indicates the degree of spatial association in the set of information from the product in relation to the average. The I varies between -1 and +1 and can be attributed to a level of significance (p-value). The positive value points to a positive or direct spatial autocorrelation.Conclusion: we were able to identify patterns in the spatial and temporal distribution of dengue cases occurring in the city of Cruzeiro, SP, and locate the census sectors where the outbreak began and how it evolved.

Detection of dengue virus in sera of Brazilian blood donors

BACKGROUND: Dengue is the most important arboviral disease in the world. Dengue viruses (DENVs) have produced huge outbreaks in Brazil in the past 25 years with more than 5 million reported cases. During these epidemics, asymptomatic individuals infected with DENV could donate blood and serve as a source of virus dissemination in the community. Here, we studied the circulation of DENV in healthy individuals during an epidemic outbreak. STUDY DESIGN AND METHODS: The study included 500 serum samples from healthy blood donors collected at the Hemotherapy Center of Ribeirao Preto, Brazil, during a dengue outbreak. The presence of DENV RNA in the serum samples was screened by real-time reverse transcriptionpolymerase chain reaction (PCR). The virus serotype was determined by a heminested PCR procedure. A partial fragment of the NS5 gene sequence was used for phylogenetic analysis. RESULTS: DENV RNA was detected in the serum sample of 2 of 500 (0.4%) individuals. Both of them were infected with DENV-3 Genotype III, a virus that has been circulating in Brazil in the past decade. CONCLUSION: Individuals with asymptomatic DENV infection can be blood donors and serve as a source of virus dissemination in the community. Further studies are needed to determine the risk of recipient infection by DENV as a result of transfusion in Brazil, especially during epidemic periods.

The burden of dengue: Jundiai, Brazil - January 2010

Objective: To study the antibody prevalence against dengue in the municipality of Jundiai, Sao Paulo, Brazil, due to the low number of official confirmed autochthonous cases. Methods: A serological study on dengue infection was conducted during January 2010 and previous reports on dengue and entomological surveillance during that period were reviewed. Results: A prevalence of 7.8% IgG positive (68:876) was found. Furthermore, based on the detection of IgM antibodies in five samples, it was observed that the incidence of dengue in the city at the time of the survey contrasts with the absence of notifications by local health authorities over the same period of time. Conclusion: These results highlight the discrepancies between the actual and the detected number of dengue infections, possibly due to significant numbers of asymptomatic infections aggravated by difficulties with dengue clinical diagnosis.