"Impacto de la leptospirosis en la provincia de Manabi a travès del indicador "Años de vida ajustados a la calidad".

Abstract

Leptospirosis is a zoonotic disease with a worldwide distribution, mainly in tropical and subtropical climates, caused by a bacterium of the genus leptospira, which affects humans, animals and especially rodents. The magnitude of the problems is also attributed to contact with contaminated environments, affecting different risk groups such as farmers, slaughterhouse workers, veterinarians, among others. The purpose of this research is to determine the impact of leptospirosis in the Manabí province through the Quality-Adjusted life year indicator (Qalys). Of the total of 114 individuals from the database provided by 3 districts of Ministry of Public Health of Ecuador (MSP) corresponding to the year 2019; 35,0% were contacted by telephone, to whom the European Quality of Life-5 Dimensions (EQ5L) questionnaire was applied in 2 moments to the positive patents (with the disease and after carrying out the treatment) and 1 moment to the negative patients, 80.0% belonged to the Portoviejo District, 17.5% to the Rocafuerte District and 2.5% to the Santa Ana District. In relation to demographic characteristics, the individual if they presented significant differences according to age, being more frequent in those under 18 year of age, than in adults. According to sex, they also presented significant statistics, observing greater cases in males than in fameless, and in terms of occupation, no significant statistics were presents, which is why it can be presented in the same way in each of them. The Quality Adjusted Life Year (QALYs) were evaluated on a scale ranging from 0=death and 1=perfect health, obtained a utility of 0.41 QALYs and a loss of 235 QALYs per 10.000 habitants lost due to the disease.