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Epidemiologia e Serviços de Saúde
Print version ISSN 1679-4974On-line version ISSN 2237-9622
Abstract
RIBEIRO, Igor Gonçalves; PERCIO, Jadher and MORAES, Camile de. Evaluation of the national meningococcal disease surveillance system: Brazil, 2007-2017. Epidemiol. Serv. Saúde [online]. 2019, vol.28, n.3, e2018335. Epub Oct 15, 2019. ISSN 1679-4974. http://dx.doi.org/10.5123/s1679-49742019000300009.
Objective:
to evaluate meningococcal disease (MD) surveillance from 2007-2017, according to its attributes.
Methods:
this was a descriptive study of the ‘timeliness’, ‘representativeness’, ‘simplicity’, ‘flexibility’, ‘data quality’, ‘acceptability’ and ‘usefulness’ attributes of the system, based on Centers for Disease Control and Prevention guidelines; we used National Notifiable Diseases Information System (SINAN) data, with onset of symptoms between 2007-2017.
Results:
the system was found to be complex with eight case definitions and six laboratory confirmations; flexible, with adequate description of epidemiological changes; good chemoprophylaxis, active tracing and serogrouping completeness; low acceptability with chemoprophylaxis found in less than 70.0% of records; timely, with excellent investigation, closure and collection of cerebrospinal fluid; representative, in its description of MD in Brazil; useful, adequately guiding control actions.
Conclusion:
different clinical presentations of MD and the need for rapid case management interfere with the system’s acceptability and complexity; the latter, however, is useful for epidemiological analysis.
Keywords : Meningococcal Infections; Program Evaluation; Epidemiologic Surveillance Services; Information Systems.