Fatores determinantes das bronquiectasias não fibrocísticas em pacientes do sul do Brasil: estudo piloto

Conteúdo do artigo principal

Daniel Olmedo
Dara Biatobock
Alessandra Galski Rosiak
Eduarda Luza
Linjie Zhang
Marieli Cristina Ribeiro
Milene Machado Paz
Karine Ortiz Sanchotene
Melissa Orzechowski Xavier
Pedro Eduardo Almeida da Silva
Daniela Fernandes Ramos

Resumo

Introdução:  A  bronquiectasia  é  uma  doença  respiratória  crônica  que  está  amplamente  relacionada  a  processos  inflamatórios,  dilatação  irreversível  dos  brônquios  e  presença  de  infecções  pulmonares  recorrentes.  Além  disso,  a  doença  apresenta  ampla  variabilidade  geográfica, prevalente e etiológica, impulsionando a necessidade de avaliações locais que visem compreender a doença e seu comportamento em diferentes regiões do mundo.


Objetivo: Realizar uma primeira abordagem do perfil de prevalência da doença no extremo sul do Brasil.


Método: Estudo censitário avaliando o perfil clínico, sociodemográfico e a prevalência de bronquiectasias  em  pacientes  atendidos  em  um  ambulatório  de  pneumologia  de  referência  regional.


Resultado:  Dos  95  pacientes  elegíveis  para  o  estudo,  21  foram  classificados  como  bronquiectásicos  por  meio  do  diagnóstico  tomográfico.  A  maioria  dos  pacientes  era  do  sexo feminino (67%), caucasiana (86%) e com idade entre 61 e 80 anos (62%). Em relação às  doenças  e  sintomas  relatados  pelos  pacientes,  foi  possível  identificar  uma  presença  considerável  de  pacientes  pós-tuberculose  (40%).  Além  disso,  a  realização  da  vacinação  pneumocócica  também  foi  uma  variável  que  apresentou  diferença  significativa,  onde  55%  dos pacientes diagnosticados não realizaram a vacinação.


Conclusão:  Este  estudo  permite  o  desenvolvimento  de  um  estudo  de  base  populacional,  orientando  políticas  de  saúde  que  favoreçam  o  acompanhamento  e  a  qualidade  de  vida  desses pacientes.

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