SEROPREVALENCE AND RISK FACTORS OF CHAGAS DISEASE IN RURAL COMMUNITIES IN THE STATE OF PIAUÍ, BRAZILIAN SEMI-ARID REGION
DOI:
https://doi.org/10.25110/arqsaude.v29i1.2025-11354Palavras-chave:
Chagas Disease, Triatomines, Vector Insects, Health SurveillanceResumo
Objective: To investigate the seroprevalence of Chagas disease (CD) among the rural population of communities within the municipality of Simplício Mendes, located in the state of Piauí, Brazilian semiarid region. Methods: This is a cross-sectional study and serological survey conducted from 2022 to 2023 in 10 rural communities. Capillary blood samples were collected from consenting residents and screened for anti-Trypanosoma cruzi antibodies using the TR Chagas Bio-Manguinhos kit. Positive samples underwent confirmatory testing using ELISA and Indirect Immunofluorescence Assay techniques. Data on sociodemographic characteristics and potential risk factors for CD transmission were collected through a structured questionnaire. Results: The overall serologically confirmed positivity rate in the rural communities of Simplício Mendes municipality was 4.1% (8/195). Older age (> 40 years) and lower levels of formal education were associated with higher seropositivity rates. Triatomine infestation was reported in 71.3% of households, with higher prevalence during the dry season (69.2%). Conclusion: The study highlights the persistent threat of CD in rural communities of Simplício Mendes, Piauí, emphasizing the need for sustained surveillance and control efforts. Socioeconomic and environmental factors contribute to ongoing transmission cycles, underscoring the importance of community engagement and health education initiatives.
Downloads
Referências
AQUINO SANTANA, M. DE et al. Seroprevalence of Chagas disease in rural communities at Campinas do Piauí city, Brazil. Tropical Medicine and International Health, v. 26, n. 3, p. 281–289, 1 mar. 2021.
BARCELOS, L. S. et al. Diagnóstico da doença de Chagas: Avaliação da reação cruzada em pacientes com leishmaniose visceral. Research, Society and Development, v. 10, n. 4, p. e55910414597, 23 abr. 2021.
BARRETO, M. A. F. et al. Entomological triatomine indicators in the state of rio grande do norte, Brazil. Ciência e Saúde Coletiva, v. 24, n. 4, p. 1483–1493, 1 abr. 2019.
BORGES-PEREIRA, J. et al. Soroprevalência da infecção chagásica no Estado do Piauí, 2002. Revista da Sociedade Brasileira de Medicina Tropical, v. 39, p. 530-539, 1 dez. 2006.
BRUNETO, E. G. et al. Case-fatality from Orally-transmitted Acute Chagas Disease: A Systematic Review and Meta-analysis. Clinical Infectious Diseases, v. 72, n. 6, p. 1084–1092, 15 mar. 2021.
COSTA, A. C. DA et al. Trypanosoma cruzi seroprevalence among solid organ donors in Ceará State, Brazil. Revista da Sociedade Brasileira de Medicina Tropical, v. 51, n. 5, p. 616–621, 1 set. 2018.
DOS-SANTOS, J. P. et al. Assessing the entomo-epidemiological situation of Chagas disease in rural communities in the state of Piauí, Brazilian semi-arid region. Transactions of the Royal Society of Tropical Medicine and Hygiene, v. 114, n. 11, p. 820–829, 1 nov. 2020.
DURÃES-OLIVEIRA, J. et al. Chagas Disease: A Silent Threat for Dogs and Humans. International Journal of Molecular Sciences Multidisciplinary Digital Publishing Institute (MDPI), v. 25, n. 7, p.1-25, 1 abr. 2024.
FIDALGO, A. S. O. DE B. V. et al. Seroprevalence and risk factors of chagas disease in a rural population of the quixeré municipality, ceará, brazil. Revista da Sociedade Brasileira de Medicina Tropical, v. 54, p. e0247-2020, 8 mar. 2021.
FIGUEIRÊDO, P. Z. DE; LIMA, F. G. C.; NUNES, J. N. P. Doença de chagas: primeiros casos autóctones no estado do Piauí. Revista da Sociedade Brasileira de Medicina Tropical, v. 9, n. 2, p. 105–107, abr. 1975.
FRANÇA, E. B. et al. Chagas disease deaths detected among garbage codes registered in mortality statistics in Brazil: a study from the buRden of ChAgas dISEase in the contemporary world (RAISE) project. Public Health, v. 227, p. 112–118, fev. 2024.
HONORATO, N. R. M. et al. Triatomine and Trypanosoma cruzi discrete typing units distribution in a semi-arid area of northeastern Brazil. Acta Tropica, v. 220, p. 105950, ago. 2021.
IBGE. Cidades e Estados - Instituto Brasileiro de Geografia e Estatística. Disponível em: https://www.ibge.gov.br/cidades-e-estados/pi/simplicio-mendes.html. Acesso em: 01 jun.2024.
INSA. Semiárido Brasileiro. Instituto Nacional do Semiárido - INSA. Disponível em: https://www.gov.br/insa/pt-br/semiarido-brasileiro. Acesso em: 01 jun.2024.
LILIOSO, M. et al. Dynamics of food sources, ecotypic distribution and Trypanosoma cruzi infection in Triatoma brasiliensis from the northeast of Brazil. PLOS Neglected Tropical Diseases, v. 14, n. 9, p. e0008735, 28 set. 2020.
LIMA-NEIVA, V. et al. The connection between trypanosoma cruzi transmission cycles by triatoma brasiliensis brasiliensis: A threat to human health in an area susceptible to desertification in the seridó, rio grande do norte, brazil. PLoS Neglected Tropical Diseases, v. 15, n. 11, 1 nov. 2021.
MATOS, D. F. et al. Distribuição espacial de triatomíneos no município de Santana do Ipanema, Alagoas, Brasil: um estudo descritivo transversal. Diversitas Journal, v. 8, n. 1, p. 0389–0400, 2023.
MENDES, J. R. et al. Cases of Chronic Chagas Disease in the State of Piauí according to the Public reference Laboratory in Health in the Period of 2013-2017. International Journal of Advanced Engineering Research and Science, v. 7, n. 3, p. 416–420, 2020.
MENDES-SOUSA, A. F. et al. Triatomine bugs (Hemiptera, reduviidae, triatominae) in the domiciles of the Guaribas Valley Territory, in Northeastern Brazil. Revista da Sociedade Brasileira de Medicina Tropical, v. 53, p. 1–6, 2020.
NASCIMENTO, L. P. G. R. DO et al. Prevalence of chagas disease associated with the mode of infection. Cogitare Enfermagem, v. 26, p. e73951, 5 nov. 2021.
NAVARRO, M. et al. Estimating chagas disease prevalence and number of underdiagnosed, and undertreated individuals in Spain. Travel Medicine and Infectious Disease, v. 47, 1 maio 2022.
NEIVA, A.; PENNA, B. Viajem cientifica pelo Norte da Bahia, sudoeste de Pernambuco, sul do Piauhí e de norte a sul de Goiaz. Memórias do Instituto Oswaldo Cruz, v. 8, n. 3, p. 74–224, 1916.
NOBRE, T. et al. Seroprevalence of Trypanosoma cruzi in pregnant women in Midwest Brazil: An evaluation of congenital transmission. Revista do Instituto de Medicina Tropical de Sao Paulo, v. 63, p. 1–7, 2021.
OLIVERA, M. J. et al. Chagas disease-related mortality in colombia from 1979 to 2018: Temporal and spatial trends. Revista da Sociedade Brasileira de Medicina Tropical, v. 54, p. 1–7, 2021.
PAIXÃO, D. DA S. et al. Mapping the Silent Threat: A Comprehensive Analysis of Chagas Disease Occurrence in Riverside Communities in the Western Amazon. Pathogens, v. 13, n. 2, p.176, 1 fev. 2024.
PINOTTI, H. et al. Revisiting the hybridization processes in the Triatoma brasiliensis complex (Hemiptera, Triatominae): Interspecific genomic compatibility point to a possible recent diversification of the species grouped in this monophyletic complex. PLoS ONE, v. 16, n. 10 October, 1 out. 2021.
RABINOVICH, J. E. Morphology, Life Cycle, Environmental Factors and Fitness – a Machine Learning Analysis in Kissing Bugs (Hemiptera, Reduviidae, Triatominae). Frontiers in Ecology and Evolution, v. 9, p. 651683, 23 fev. 2021.
RIOS, L. et al. Epidemiology and pathogenesis of maternal-fetal transmission of Trypanosoma cruzi and a case for vaccine development against congenital Chagas disease. Biochimica et Biophysica Acta - Molecular Basis of Disease. Elsevier B.V.1 mar. 2020.
ROSE GHILARDI, F. DE et al. Machine learning for predicting Chagas disease infection in rural areas of Brazil. PLOS Neglected Tropical Diseases, v. 18, n. 4, p. e0012026, 16 abr. 2024.
SÁEZ-ALQUEZAR, A. et al. Geographical origin of chronic chagas disease patients in brazil impacts the performance of commercial tests for anti-t. Cruzi igg. Memorias do Instituto Oswaldo Cruz, v. 116, n. 1, p. e210032, 2021.
SANTANA, M. P.; SOUZA-SANTOS, R.; ALMEIDA, A. S. DE. Factors associated with Chagas disease among blood donors in Brazilian Northeast region. Journal of Infection and Public Health, v. 11, n. 6, p. 817–820, 1 nov. 2018.
SANTOS, J. P. DOS et al. Spatial distribution of synanthropic triatomines in piaui state, northeastern brazil. Revista do Instituto de Medicina Tropical de Sao Paulo, v. 62, p. 1–13, 2020.
SILVA, A. B. DA et al. Doença de Chagas aguda: Um recorte epidemiológico entre 2012-2021 do estado do Piauí no Brasil. Research, Society and Development, v. 13, n. 3, p. e12513345410, 30 mar. 2024.
TROVO, J. V. S. et al. The risk of vector transmission of Trypanosoma cruzi remains high in the State of Paraná. Mem Inst Oswaldo Cruz, v. 119, n. e230226, p. 1–14, 2024.
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 2025 Arquivos de Ciências da Saúde da UNIPAR

Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Os Direitos Autorais para artigos publicados são de direito da revista. Em virtude da aparecerem nesta revista de acesso público, os artigos são de uso gratuito, com Creative Commons Attribution 4.0 International License.
A revista se reserva o direito de efetuar, nos originais, alterações de ordem normativa, ortográfica e gramatical, com vistas a manter o padrão culto da língua e a credibilidade do veículo. Respeitará, no entanto, o estilo de escrever dos autores.
Alterações, correções ou sugestões de ordem conceitual serão encaminhadas aos autores, quando necessário. Nesses casos, os artigos, depois de adequados, deverão ser submetidos a nova apreciação.
As opiniões emitidas pelos autores dos artigos são de sua exclusiva responsabilidade.






