Tratamento etiológico em psiquiatria: o modelo da neurossífilis

This paper aims to study the historical evolution and describe the impact of modern antibiotic therapy on psychiatric hospital admissions. The data was collected in the hospital data bank with records of patients admissions from 1931 to 1991. Patients were classified by name, sex, age, marital statu...

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Detalles Bibliográficos
Autores: Gastal, Fábio Leite, Leite, Sérgio Soares Olivé, Andreoli, Sergio Baxter [UNIFESP], Gameiro, Maurício Almeida, Gastal, Claudio Leite, Gazalle, Fernando Kratz, Crema, Fabiana Barp
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:1999
País:Brasil
Institución:Universidade Federal de São Paulo (UNIFESP)
Repositorio:Repositório Institucional da UNIFESP
Idioma:portugués
OAI Identifier:oai:repositorio.unifesp.br:11600/742
Acceso en línea:http://dx.doi.org/10.1590/S1516-44461999000100007
http://repositorio.unifesp.br/handle/11600/742
Access Level:acceso abierto
Palabra clave:Case report
neurosyphilis
psychiatry
psychiatric hospital
Relato de caso
neurossífilis
psiquiatria
hospital psiquiátrico
Descripción
Sumario:This paper aims to study the historical evolution and describe the impact of modern antibiotic therapy on psychiatric hospital admissions. The data was collected in the hospital data bank with records of patients admissions from 1931 to 1991. Patients were classified by name, sex, age, marital status, social class, nationality, place of birth, occupation, number of admissions by neurosyphilis and other diagnosis as also date of admission and state of health at time of leaving hospital, and this information was used in the statistical analysis. The classification system of diagnosis is that used by WHO ICD - 9. The results show decreasing rates of admissions by neurosyphilis after the introduction of penicillin in 1948 (19%) to the last admission in the historical cohort in 1968. The antibiotics (penicillin) change the natural evolution of the disease and its pattern of morbidity and mortality. The therapeutical impact of antibiotics in the incidence and prevalence of hospitalization rates of neurosyphilis is never observed in any other psychiatric disease.