- Pneumonia and Respiratory Infections
- Vaccine Coverage and Hesitancy
- Respiratory viral infections research
- COVID-19 epidemiological studies
- Bacterial Infections and Vaccines
- Public Health in Brazil
- Global Maternal and Child Health
- Global Public Health Policies and Epidemiology
- Diabetes, Cardiovascular Risks, and Lipoproteins
- SARS-CoV-2 and COVID-19 Research
- Virology and Viral Diseases
- COVID-19 and Mental Health
- COVID-19 Pandemic Impacts
- Influenza Virus Research Studies
- Viral Infections and Outbreaks Research
- Viral gastroenteritis research and epidemiology
- Healthcare Policy and Management
- Health Systems, Economic Evaluations, Quality of Life
- Hepatitis Viruses Studies and Epidemiology
- Emergency and Acute Care Studies
- Malaria Research and Control
- Diabetes Management and Education
- Mosquito-borne diseases and control
- Sepsis Diagnosis and Treatment
- Pneumocystis jirovecii pneumonia detection and treatment
Universidade Federal de Goiás
2016-2025
University of Turin
2025
World Health Organization Regional Office for the Americas
2010-2023
Fundação de Apoio a Pesquisa do Estado de Goiás
2023
World Health Organization - Pakistan
1999-2022
National Council for Scientific and Technological Development
2022
Universidade Federal de Mato Grosso
2022
Fundação Oswaldo Cruz
2012-2022
Instituto de Saúde
2017-2020
Hospital Sírio-Libanês
2012-2017
The aim of this study was to estimate the annual costs for treatment diabetic foot disease (DFD) in Brazil. We conducted a cost-of-illness DFD 2014, while considering Brazilian Public Healthcare System (SUS) perspective. Direct medical outpatient management and inpatient care were considered. For costs, panel experts convened from which utilization healthcare services obtained. When range syndromes included spectrum, we developed four well-defined hypothetical cases: (1) peripheral...
Pneumonia is most problematic for children in developing countries. In 2010, Brazil introduced a 10-valent pneumococcal conjugate vaccine (PCV10) to its National Immunization Program. To assess the vaccine's effectiveness preventing pneumonia, we analyzed rates of hospitalization among 2-24 months age who had pneumonia from all causes January 2005 through August 2011. We used data Hospitalization Information System conduct an interrupted time-series analysis 5 cities that good quality and...
Medidas de distanciamento social vêm sendo amplamente adotadas para mitigar a pandemia da COVID-19. No entanto, pouco se sabe quanto ao seu impacto no momento implementação, abrangência e duração vigência das medidas. O objetivo deste estudo foi caracterizar as medidas implementadas pelas Unidades Federação (UF) brasileiras, incluindo o tipo medida sua adoção. Trata-se um descritivo com caracterização do tipo, cronológico epidemiológico implementação levantamento realizado por meio buscas em...
Abstract Background Undernotification is well recognized as a key challenge to the study of anaphylaxis mortality, but it seldom mentioned that one its reasons difficult coding condition under tenth revision international classification diseases ( ICD ‐10), given there are no anaphylaxis‐specific ‐10, which considered valid for underlying causes‐of‐death, and official mortality statistics consider exclusively disregard contributing causes‐of‐death data recorded on death certificates....
As of September 2022, nearly 1.3 billion doses COVID-19 vaccine products have been administered in Latin America and the Caribbean, where 27% global deaths occurred. This study aimed to estimate effectiveness vaccines against lab-confirmed related hospitalizations among adults Argentina, Brazil, Chile, Colombia.Using a test-negative case control design, we evaluated primary vaccination series considering six (Sputnik V, mRNA-1273, CoronaVac, ChAdOx1, BNT162b2, Ad26.COV2.S) 83,708...
Diabetes is associated with a significant burden globally. The costs of diabetes-related hospitalizations are unknown in most developing countries. aim this study was to estimate the total number and economic attributable diabetes mellitus (DM) its complications adults from perspective Brazilian Public Health System 2014. Data sources included National Survey (NHS) database Hospitalizations (SIH). We considered diabetes, microvascular (retinopathy, nephropathy, neuropathy) macrovascular...
Routine infant immunization with 10-valent pneumococcal conjugate vaccine (PCV-10) began in Brazil 2010. The impact of the PCV-10 on rates invasive disease (IPD) at population level was not yet evaluated. Serotype-specific IPD changes after introduction is still to be determined. Data from national surveillance system for notifiable diseases (SINAN) and reference laboratory S. pneumoniae (IAL) were linked enhance case ascertainment IPD. An interrupted time-series analysis conducted predict...
O diabetes mellitus e a hipertensão arterial estão associadas à morbidade mortalidade são responsáveis por complicações cardiovasculares, encefálicas, coronarianas, renais vasculares periféricas. Estudos recentes demonstraram que os benefícios da redução de fatores risco para doenças cardiovasculares significativos em indivíduos com melittus. controle intensivo tem se mostrado eficaz na pacientes hipertensão. No entanto, não há evidência científica irrefutável acerca eficiência dos programas...
Background Bacterial meningitis is associated with significant burden in Brazil. In 2010, both 10-valent pneumococcal conjugate vaccine and meningococcal capsular group C were introduced into the routine vaccination schedule. Haemophilus influenzae type b was previously 1999. This study presents trends demographics, microbiological characteristics seasonality patterns of bacterial cases Brazil from 2000 to 2010. Methods Findings All confirmed by clinical and/or laboratory criteria notified...
Background 10-valent conjugate pneumococcal vaccine/PCV10 was introduced in the Brazilian National Immunization Program along year of 2010. We assessed direct effectiveness PCV10 vaccination preventing nasopharyngeal/NP carriage infants. Methods A cross-sectional population-based household survey conducted Goiania Brazil, from December/2010-February/2011 targeting children aged 7–11 m and 15–18 m. Participants were selected using a systematic sampling. NP swabs, demographic data, status...
Biliary atresia (BA) is the main diagnosis leading to liver transplantation (LT) in children. When diagnosed early life, a Kasai portoenterostomy (Kasai-PE) can prevent or postpone LT. Instances of previous operations result difficulties during We hypothesized that Kasai-PE could affect LT outcomes. A retrospective cohort study 347 BA patients submitted between 1995 and 2013 at Hospital Sírio-Libanês A. C. Camargo Cancer Center was conducted. Patients were divided into those with failure...
Limited population-based epidemiologic information about sepsis' demography, including its mortality and temporal changes is available from developing countries. We investigated the epidemiology of sepsis deaths in Brazil using secondary data Brazilian Mortality Information System. Retrospective descriptive analysis multiple-cause-of-death between 2002 2010, with sepsis-associated International Classification Diseases, 10th Revision (ICD-10) code indicated as cause death. Population-based...
Ten-valent pneumococcal conjugate vaccine (PCV10) was introduced in the National Immunization Program of Brazil March/2010. Although there are recent reports PCV10 impact on pneumonia hospitalizations, is still uncertainty regarding indirect individuals non-targeted by vaccination. We assessed both direct and effect hospitalizations economic burden hospitalizations.An interrupted time-series analysis conducted considering monthly rates comparison groups, all age-groups, from...
Central venous catheter needleless connectors (NCs) have been shown to develop microbial contamination. A protocol was developed for the collection, processing, and examination of NCs detect measure biofilms on these devices. Sixty-three percent 24 collected from a bone marrow transplant center contained comprised primarily coagulase-negative staphylococci.
New and underutilized vaccines are becoming available to combat important public health challenges.Each year, rotavirus is estimated cause approximately 111 million episodes of gastroenteritis, which requires home care, 25 clinic visits, 2 hospitalizations, 440,000 deaths in children younger than 5 years age worldwide.Children the poorest countries account for 82% deaths.An 16,000 by rotavirus-induced diar-Editor's note: The thoughtful article Dr. Andrus his colleagues describing utility Pan...
Background The ten-valent pneumococcal conjugate vaccine (PCV10) was introduced into the Chilean National Immunization Program (NIP) in January 2011 with a 3+1 schedule (2, 4, 6 and 12 months) without catch-up vaccination. We evaluated effectiveness of PCV10 on pneumonia morbidity mortality among infants during first two years after introduction. Methods This is population-based nested case-control study using four merged nationwide case-based electronic health data registries: live birth,...
Diabetes and its complications produce significant clinical, economic social impact. The knowledge of the costs diabetes generates subsidies to maintain financial sustainability public health security systems, guiding research care priorities. aim this study was estimate burden in Brazilian adults 2014, considering perspectives system society. A prevalence-based approach used annual resource utilization attributable related conditions. healthcare perspective considered direct medical...