| Full text | |
| Author(s): |
Eliana Tiemi Masuda
[1]
;
Telma Regina Marques Pinto Carvalhanas
[2]
;
Rachel Maria Borelli Paradella Fernandes
[3]
;
Silvana Tadeu Casagrande
;
Paula Suzuki Okada
[5]
;
Eliseu Alves Waldman
[6]
Total Authors: 6
|
| Affiliation: | [1] Universidade de São Paulo. Faculdade de Saúde Pública - Brasil
[2] Secretaria de Estado da Saúde. Centro de Vigilância Epidemiológica Alexandre Vranjac - Brasil
[3] Secretaria de Saúde do Município de São Paulo. Centro de Prevenção e Controle de Doenças - Brasil
[5] Universidade de São Paulo. Faculdade de Saúde Pública - Brasil
[6] Universidade de São Paulo. Faculdade de Saúde Pública - Brasil
Total Affiliations: 6
|
| Document type: | Journal article |
| Source: | Cadernos de Saúde Pública; v. 31, n. 2, p. 405-416, 2015-02-00. |
| Abstract | |
This study aimed to describe the magnitude, mortality, and case-fatality rate from meningococcal disease and to investigate predictors of death from this cause in the city of São Paulo, Brazil, from 1986 to 2004, using unconditional multiple logistic regression. We analyzed 10,087 cases of meningococcal disease in the city. Mean annual mortality was 1.0/100,000 inhabitants, ranging from 0.2 to 1.8. Case-fatality was 20.5%, with major differences according to age, serogroup, and type of hospital. Predictors of death from meningococcal disease were age, especially the age brackets from one to two years and 40 years and older, and serogroup W. The results can contribute to the elaboration of public policies with a focus on the organization of hospital care and protocols to promote greater treatment effectiveness and application of vaccination strategies that decrease the incidence in groups at greatest risk of death from meningococcal disease. (AU) | |