Evidence map›Paper›PMID 42561363›Full record

ReviewRevista da Sociedade Brasileira de Medicina Tropical2026

Advances and Challenges Regarding American Tegumentary Leishmaniasis in the Amazon: Scientific, Epidemiological and Public Health Perspectives.

Jorge Augusto de Oliveira Guerra, Débora Raysa Teixeira de Sousa, Silmara Navarro Pennini, Thamires Bastos Pinheiro, Melissa Melo Cavalcante, Luciana Mendes, Diego Carvalho, Fábio Borgonovo, Francisco Mateus João, Isolda Prado de Negreiros Nogueira Maduro and 5 more

Abstract readReview
In one paragraph

Review in Revista da Sociedade Brasileira de Medicina Tropical, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. The sustained "re-enchantment" of research in tropical medicine in the Brazilian Amazon.Revista da Sociedade Brasileira de Medicina Tropical · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Jorge Augusto de Oliveira GuerraFundação de Medicina Tropical Doutor Heitor Vieira Dourado, Manaus, AM, Brasil.ORCID http://orcid.org/0000-0002-4484-0402
Débora Raysa Teixeira de SousaFundação de Medicina Tropical Doutor Heitor Vieira Dourado, Manaus, AM, Brasil.ORCID http://orcid.org/0000-0001-7752-1929
Silmara Navarro PenniniUniversidade do Estado do Amazonas, Programa de Ciências da Saúde da Amazônia, Manaus, AM, Brasil.ORCID http://orcid.org/0000-0001-8102-3885
Thamires Bastos PinheiroUniversidade do Estado do Amazonas, Programa de Pós-graduação em Ciências Aplicadas à Dermatologia, Manaus, AM, Brasil.ORCID http://orcid.org/0009-0004-1644-1190
Melissa Melo CavalcanteCentro Universitário CEUNI-FAMETRO, Manaus, AM, Brasil.ORCID http://orcid.org/0000-0002-3231-2004
Luciana MendesFundação de Medicina Tropical Doutor Heitor Vieira Dourado, Manaus, AM, Brasil.ORCID http://orcid.org/0000-0002-3598-8237
Diego CarvalhoUniversidade do Estado do Amazonas, Programa de Ciências da Saúde da Amazônia, Manaus, AM, Brasil.ORCID http://orcid.org/0000-0003-4610-6305
Fábio BorgonovoDepartment of Infectious Diseases, Luigi Ospedale Luigi Sacco, University of Milan, Milan, Italy.ORCID http://orcid.org/0000-0001-5796-671X
Francisco Mateus JoãoUniversidade do Estado do Amazonas, Programa de Ciências da Saúde da Amazônia, Manaus, AM, Brasil.ORCID http://orcid.org/0000-0003-1960-2100
Isolda Prado de Negreiros Nogueira MaduroUniversidade do Estado do Amazonas, Programa de Ciências da Saúde da Amazônia, Manaus, AM, Brasil.ORCID http://orcid.org/0000-0002-6822-2932
Luiz Carlos Cunha MarquesFundação de Medicina Tropical Doutor Heitor Vieira Dourado, Manaus, AM, Brasil.ORCID http://orcid.org/0000-0003-3880-7160
Silvia Cassia Brandão JustinianoFundação de Medicina Tropical Doutor Heitor Vieira Dourado, Manaus, AM, Brasil.ORCID http://orcid.org/0000-0002-9141-0851
João Marcos Bemfica Barbosa FerreiraUniversidade do Estado do Amazonas, Programa de Pós-graduação em Medicina Tropical, Manaus, AM, Brasil.ORCID http://orcid.org/0000-0002-8836-345X
Katia do Nascimento CouceiroUniversidade do Estado do Amazonas, Programa de Ciências da Saúde da Amazônia, Manaus, AM, Brasil.ORCID http://orcid.org/0000-0001-6446-8858
Maria das Graças Vale Barbosa GuerraUniversidade do Estado do Amazonas, Programa de Pós-graduação em Medicina Tropical, Manaus, AM, Brasil.ORCID http://orcid.org/0000-0002-9579-0951

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

American tegumentary leishmaniasis (ATL) remains a significant public health problem in the Americas, with the Amazon region standing out in Brazil for its high number of cases. This article aimed to present advances in the understanding of epidemiology, diagnosis, treatment and control of ATL in the state of Amazonas over the past decades. This study is a narrative review of scientific studies published in the literature between 2011 and 2025, retrieved from databases such as PubMed and SciELO, as well as public data from the Notifiable Diseases Information System (SINAN), official reports from the Ministry of Health and technical notes from the Amazonas Health Surveillance Foundation. The evolution of disease incidence is reported, highlighting the predominance of Leishmania (Viannia) guyanensis and the environmental factors associated with the increase in cases, such as deforestation and unplanned urbanization. Advances in diagnostic strategies include the expanded use of molecular techniques and the strengthening of the primary healthcare network. Regarding therapy, clinical trials with drugs such as pentamidine, miltefosine, tamoxifen and itraconazole have demonstrated their efficacy in treatment. The review also includes socio-environmental, genetic and experimental studies that have contributed to a better understanding of the disease. It emphasizes the need to establish a priority agenda that includes the use of telemedicine and the institutionalization of collaborative research for therapeutic innovation, integration between research and healthcare services and strategies adapted to the Amazonian context. Regional scientific advances can support more effective control policies and reduce the burden of ATL in this highly endemic setting.

Indexed as

Leishmaniasis, CutaneousAnimalsAntiprotozoal AgentsBrazilHumansIncidencePublic HealthAntiprotozoal Agents

Identifiers

PMID42561363
PMCPMC13427268

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.