Elaboration and evaluation of a compulsory notification form for human sporotrichosis

Garcia, Marieli Thomazini Piske; Lima, Eliane de Fátima Almeida; Leite, Franciéle Marabotti Costa

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Sumário

RESEARCH • Esc. Anna. Nery 26 • 2022 • https://doi.org/10.1590/2177-9465-EAN-2021-0361 copy

Elaboration and evaluation of a compulsory notification form for human sporotrichosis^a a Article extracted from the Master's thesis entitled Human Sporotrichosis: a series of cases in a city in the state of Espírito Santo, authored by Marieli Thomazini Piske Garcia, oriented by Prof. Dr. Franciéle Marabotti Costa Leite. Postgraduate Program in Professional Mastering in Nursing. Federal University of Espírito Santo. Year of defense 2021.

Authorship SCIMAGO INSTITUTIONS RANKINGS

Resumo

Objetivos

elaborar e avaliar uma ficha de notificação compulsória para a esporotricose humana.

Métodos

estudo metodológico desenvolvido em duas etapas: elaboração do conteúdo teórico e construção da ficha de notificação e avaliação da ficha de notificação realizada por juízes, por meio de painel Delphi online, no período de julho a setembro de 2020. Entre os juízes, incluíram-se médicos, enfermeiros, biólogos e médicos veterinários, que atuavam na Atenção Primária à Saúde, com experiência mínima de dois anos na área de Epidemiologia e/ou Infectologia, Saúde Pública e Atenção Básica. Para a avaliação do conteúdo teórico, utilizou-se a escala tipo Likert de três pontos modificada e adaptada, sendo considerada aceitável uma taxa de concordância de 80%.

Resultados

a ficha foi dividida em sete categorias, sendo estas: dados gerais; notificação individual; dados de residência; antecedentes epidemiológicos; dados clínicos; hospitalização e conclusão, contendo 59 variáveis e 151 itens.

Conclusão e implicações para a prática

a ficha de notificação será um instrumento de comunicação, fornecendo dados para a orientação técnica de profissionais de saúde, para a recomendação das medidas de controle, promoção das ações, avaliação da eficácia e efetividade das medidas adotadas e divulgação de informações.

Palavras-chave:
Epidemiologia; Esporotricose; Notificação Compulsória; Saúde Pública; Vigilância Epidemiológica

Variables		% concordance	Simple mean
General data
Notification Date		100%	100%
Municipality of Notification		100%	100%
Health Unit (notifying source)		100%	100%
Date of First Symptoms		100%	100%
Individual notification
Patient’s name		86%	86%
Date of birth		95%	95%
Age		100%	100%
Sex	M - Male	100%	89%
	F - Female	100%
	I - Ignored	68%
Pregnant woman	1 1^st Trimester	100%	84%
	2 2^nd Trimester	100%
	3 3^rd Trimester	100%
	4 Ignored gestational age	82%
	5 No	86%
	6 Not applicable	64%
	9 Ignored	55%
Race/Color	1 White	86%	82%
	2 Black	86%
	3 Yellow	82%
	4 Brown	86%
	5 Indigenous	86%
	9 Ignored	64%
Education	0 Illiterate	91%	93%
	1 1^st to 4^th grade, incomplete ES (primary or elementary school)	91%
	2 4^th grade, complete ES (primary or elementary school)	86%
	3 5th to 8th grade, incomplete MS (middle school)	91%
	4 Complete middle school (middle school)	91%
	5 Incomplete highschool	91%
	6 Complete highschool	91%
	7 Incomplete higher education	91%
	8 Complete higher education	91%
	9 Ignored	59%
	10 Not applicable	55%
UHS Card Number		95%	95%
Mother’s name		91%	91%
Residential Data
Municipality of Residence		100%	100%
Neighborhood		100%	100%
Street address (street, avenue, etc.)		100%	100%
Number		95%	95%
Complement (apartment, house etc.)		100%	100%
Postal code		100%	100%
Phone number		100%	100%
Zone (Urban, Rural, Periurban, Ignored)		95%	95%
Country (if residing outside of Brazil)		100%	100%
Epidemiological Background
Investigation Date		100%	100%
Occupation		100%	100%
Exercise activity that results in constant contact with plants (gardeners, farmers, farm workers, tillers, etc.)	1 Yes	100%	80%
	2 No	82%
	9 Ignored	59%
History of injury, trauma, handling of plants or organic material	1 Yes	100%	80%
	2 No	82%
	9 Ignored	59%
Probable way of contagion	1 Environmental	100%	89%
	2 Animal	100%
	9 Ignored	68%
Nature of the contact with animal	1 Bite	100%	92%
	2 Scratch	100%
	3 Contact with skin injuries	100%
	9 Ignored	68%
Clinical data
Clinical aspects of the injury	1 Cutaneous	95%	91%
	2 Lymphocutaneous	100%
	3 Fixed Cutaneous	100%
	4 Widespread	100%
	5 Mucous	95%
	6 Extracutaneous	95%
	7 Subcutaneous	82%
	9 Ignored	59%
Injury location	1 Lower limb	100%	94%
	2 Upper limb	100%
	3 Back	95%
	4 Torso	100%
	5 Widespread	100%
	9 Ignored	68%
Inoculation point	1 Hand	100%	97%
	2 Foot	100%
	3 Leg	100%
	4 Forearm	100%
	5 Arm	100%
	6 Knee	100%
	7 Thigh	100%
	8 Face	100%
	9 Anterior thorax	100%
	10 Posterior thorax	100%
	11 Back	95%
	12 Neck	100%
	13 Shoulder	100%
	99 Ignored	68%
Treatment start date		100%	100%
Treatment time	1 Month	100%	88%
	2 Year	100%
	9 Ignored	64%
Drug treatment received	1 Potassium iodide	100%	94%
	2 Itraconazole	100%
	3 Terbinafine	100%
	4 Amphotericin B	100%
	5 Thermotherapy	100%
	9 Ignored	64%
Collection of material for examination	1 Yes	100%	82%
	2 No	86%
	9 Ignored	59%
Date of material collection		100%	100%
Other tests performed	Date	95%	95%
Other tests performed	Exam Type	95%	95%
Presence of an animal in the household diagnosed with sporotrichosis	1 Yes	100%	88%
	2 No	91%
	9 Ignored	73%
Species of animal in the household diagnosed with sporotrichosis	1 Cat	100%	92%
	2 Dog	95%
	3 Others	95%
	9 Ignored	77%
Contact with other animals	1 Cats	100%	88%
	2 Dogs	95%
	3 Cats and dogs	95%
	4 None	95%
	5 Unknown	82%
	9 Ignored	59%
Criteria for confirmation of animal sporotrichosis	1 Laboratory	100%	91%
	2 Clinical	100%
	3 Clinical Epidemiological	100%
	9 Ignored	64%
Time of injury to the animal	1 Month	91%	82%
	2 Year	91%
	9 Ignored	64%
Treatment time for the animal	1 Month	86%	74%
	2 Year	82%
	9 Ignored	55%
Drug treatment received by the animal	1 Potassium iodide	86%	79%
	2 Itraconazole	86%
	3 Terbinafine	82%
	4 Fluconazole	82%
	5 Ketoconazole	82%
	6 Other	82%
	9 Ignored	55%
Environment where the animal lived	1 House	91%	83%
	2 Apartemnt	91%
	3 Street	91%
	9 Ignored	59%
Access to the street	1 Free	95%	85%
	2 Restricted	95%
	9 Ignored	64%
Hospitalization
Did hospitalization occur?	1 Yes	100%	86%
	2 No	95%
	9 Ignored	64%
Date of hospitalization		95%	95%
Hospital Municipality		95%	95%
Hospital Name		95%	95%
Conclusion
Is the case autochthonous to the municipality of residence?	1 Yes	100%	89%
	2 No	95%
	9 Ignored	73%
Municipality		100%	100%
Confirmation/Dispatch Criteria	1 Laboratory	100%	99%
	2 Clinical Epidemiological	100%
	3 Clinical	100%
	9 Under investigation	95%
Case Evolution	1 Cure	100%	91%
	2 Death by grievance	95%
	3 Death from other causes	95%
	4 Death under investigation	95%
	9 Ignored	68%
Date of Death		95%	95%
Termination Date		100%	100%

Variables		% Concordance	Simple mean
Dados Clínicos
	1 Lower limb	100%	92%
	2 Upper limb	100%
	3 Back	89%
	4 Torso	100%
	5 Disseminated	100%
	6 Head/face	100%
	9 Ignored	56%
Inoculation point	1 Hand	89%	84%
	2 Foot	89%
	3 Leg	89%
	4 Forearm	89%
	5 Arm	89%
	6 Knee	78%
	7 Thigh	78%
	8 Face	89%
	9 Anterior Thorax	89%
	10 Posterior thorax	89%
	11 Back	89%
	12 Neck	89%
	13 Shoulder	89%
	14 Head/face	78%
	99 Ignored	44%
Presence of comorbidities	1 Human Immunodeficiency Syndrome	100%	91%
	2 Diabetes	100%
	3 Alcoholism	89%
	4 Immunosuppressive treatment	100%
	5 Other	100%
	9 Ignored	56%
Treatment	1 Potassium iodide	100%	93%
	2 Itraconazole	100%
	3 Terbinafine	100%
	4 Amphotericin B	100%
	5 Thermotherapy	89%
	6 Surgical/creatotherapy	100%
	7 Other	100%
	9 Ignored	56%
Has contact with animal	1 Yes	100%	81%
	2 No	100%
	9 Ignored	44%
Time of injury to the animal	1 Month	78%	70%
	2 Year	89%
	9 Ignored	44%
Treatment time for the animal	1 Month	78%	63%
	2 Year	78%
	9 Ignored	33%
Drug treatment received by the animal	1 Potassium iodide	89%	75%
	2 Itraconazole	89%
	3 Terbinafine	89%
	4 Fluconazole	67%
	5 Ketoconazole	67%
	6 Other	78%
	9 Ignored	44%
Access to the street	1 Domesticated	89%	78%
	2 Semi-domesticated	89%
	3 Unrestricted street access	89%
	9 Ignored	44%
Fate of the animal	1 Abandoned	78%	71%
	2 Buried	78%
	3 Discarded	78%
	4 Cremated	89%
	9 Ignored	33%

Universidade Federal do Rio de Janeiro Rua Afonso Cavalcanti, 275, Cidade Nova, 20211-110 - Rio de Janeiro - RJ - Brasil, Tel: +55 21 3398-0952 e 3398-0941 - Rio de Janeiro - RJ - Brazil
E-mail: annaneryrevista@gmail.com

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[1] Corresponding author: Marieli Thomazini Piske Garcia. Email: marielipiske@gmail.com

General data
Notification Date		__/__/____
Municipality of Notification		_____________________
Health Unit (notifying source)		_____________________
Date of First Symptoms		__/__/___
Individual Notification
Patient Name		_____________________
Date of birth		__/__/___
Age		____
Sex		□
1 Male	2 Female	Ignored
Pregnant woman		□
1 1^st trimester	2 2^nd Trimester	3 3^rd Trimester
4 Ignored gestational age	5 No	6 Not applicable
9 Ignored
Race/Color		□
1 White	2 Black	3 Yellow
4 Brown	5 Indigenous	9 Ignored
Education		□
0 Illiterate	1 1^st to 4^th grade, incomplete ES (primary or elementary school)	2 4^th grade, complete ES (primary or elementary school)
3 5th to 8th grade, incomplete MS (middle school)	4 Complete middle school (middle school)	5 Incomplete highschool
6 Complete highschool	7 Incomplete higher education	8 Complete higher education
9 Ignored	10 Not applicable
UHS Card Number		__________________
Mother’s name		_____________________
Residential Data
Municipality of Residence		_____________________
Neighborhood		_____________________
Street address (street, avenue, etc.)		_____________________
Number		_____________________
Complement (apartament, house etc.)		_____________________
Postal code		_____________________
Phone number		_____________________
Zon		□
1 Urban	2 Rural	3 Periurban
9 Ignored
Country (if living outside of Brazil)		_____________________
Epidemiological Background
Date of Investigation		__/__/____
Occupation		_____________________
Exercise activity that results in constant contact with plants (gardeners, farmers, farm workers, tillers, etc.)		□
1 Yes	2 No	9 Ignored
History of injury, trauma, handling of plants or organic material		□
1 Yes	2 No	9 Ignored
Probable way of contagion		□
1 Environmental	2 Animal	9 Ignored
Nature of the contact with animal		□
1 Bite	2 Scratch	3 Contact with Skin Injuries
9 Ignored
Clinical data
Clinical aspects of the injury		□
1 Widespread cutaneous	2 Lymphocutaneous	3 Fixed Cutaneous
4 Extracutaneous	9 Ignored

Injury location		□
1 Lower limb	2 Upper limb	3 Back
4 Torso	5 Widespread	6 Head/face
9 Ignored
Inoculation point		□
1 Hand	2 Foot	3 Leg
4 Forearm	5 Arm	6 Knee
7 Thigh	8 Face	9 Anterior thorax
10 Posterior thorax	11 Back	12 Neck
13 Shoulder	14 Head/face	99 Ignored
Presence of comorbidities		□
1 Human Immunodeficiency Syndrome	2 Diabetes	3 Drinking
4 Immunosuppressive Treatment	5 Others	9 Ignored
Treatment start date		__/__/____
Treatment time		□
1 Month		_____
2 Year		_____
9 Ignored
Treatment		□
1 Potassium iodide	2 Itraconazole	3 Terbinafine
4 Amphotericin B	5 Thermotherapy	6 Surgical/Criotherapy
7 Others	9 Ignored
Collection of material for examination		□
1 Yes	2 No	9 Ignored
Date of material collection		__/__/____
Other tests performed
Date		__/__/____
Test Type		___________________
Has contact with animal		□
1 Yes	2 No	9 Ignored
Species of animal in the household diagnosed with sporotrichosis		□
1 Cat	2 Dog	3 Others
9 Ignored
Contact with other animals		□
1 Cats	2 Dogs	3 Cats and dogs
4 None	5 Unknown	9 Ignored
Criteria for confirmation of animal sporotrichosis		□
1 Laboratory	2 Clinical	3 Clinical Epidemiological
9 Ignored
Time of injury to the animal		□
1 Month		_____
2 Year		_____
9 Ignored
Treatment time for the animal		□
1 Month		_____
2 Year		_____
9 Ignored
Drug treatment received by the animal		□
1 Potassium iodide	2 Itraconazole	3 Terbinafine
4 Fluconazole	5 Ketoconazole	6 Other
9 Ignored
Environment where the animal lived		□
1 House	2 Apartament	3 Street
9 Ignored
Access to the street		□
1 Domesticated	2 Semi-domesticated	3 Unrestricted street access
9 Ignored
Fate of the animal		□
1 Abandoned	2 Buried	3 Thrown in the trash
4 Cremated	9 Ignored
Hospitalization
Did hospitalization occur?		□
1 Yes	2 No	9 Ignored
Date of hospitalization		__/__/____
Hospital Municipality		_______________________
Name of the Hospital		_______________________
Conclusion
Is the case autochthonous to the municipality of residence?		□
1 Yes	2 No	9 Ignored
Municipality		_______________________
Confirmation/Dispatch Criteria
1 Laboratory	2 Clinical Epidemiological	3 Clinical
9 Under investigation
Case Evolution		□
1 Cure	2 Death by grievance	3 Death from other causes
4 Death under investigation	9 Ignored
Date of death		__/__/____
Termination Date		__/__/____