Ectoparasitoses como patologias secundárias em prontuários pediátricos de um hospital municipal na Amazônia Legal

Abstract

The most common ectoparasitosis in Brazil are scabies, pediculosis, myiasis and tungiasis, which are hyperendemic in several communities in the Legal Amazon. The recording of its occurrence is constantly supervised by health professionals and managers. The objective of the study was to identify records of secondary diagnoses of ectoparasitosis in pediatric records of a municipal hospital in the Legal Amazon. Retrospective, descriptive, quantitative study, carried out through the analysis of medical records from the Pediatric sector, at Hospital Municipal Milton Pessoa Morbeck, Barra do Garças – MT, Brazil. Collection was carried out by active search of medical records, monitoring the occurrence of ectoparasitosis, in addition to confirmed or suggestive diagnosis. 919 medical records were evaluated, of which 25 (3%) met the inclusion classifications. The sample was mainly composed of: indigenous patients (92%), male (60%) and aged less than 2 years (80%). Among the ectoparasitoses identified in the medical records as a secondary diagnosis, scabies (80%), myiasis (12%), pediculosis (4%) and tungiasis (4%) stand out. Erythropenia (60%), leukocytosis (52%) and thrombocytopenia (5%) were also observed. Pharmacological treatment included the use of permethrin and/or water paste (52%), followed by medical discharge (84%) in most medical records. In this way, a protocol was developed to unify clinical management involving the identification, recording and therapeutic management of ectoparasitosis. Finally, it is hoped that the data can raise awareness among healthcare teams about the importance of effectively treating all patients with ectoparasitosis.