{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T22:27:53Z","timestamp":1791325673910,"version":"4.3.1"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,8,20]],"date-time":"2021-08-20T00:00:00Z","timestamp":1629417600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Mycoses"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>In Brazil, zoonotic sporotrichosis became a national public health problem, with thousands of cases in the last decade in several regions of the country. In this context, health education activities are critical, especially in promoting early diagnosis and access to proper health care in sporotrichosis hyperendemic areas. Therefore, we report the implementation of a public specialised reference service (SRS) for diagnosis and treatment of sporotrichosis in southern Brazil. We evaluated the impact of the SRS on diagnostic confirmation and speed of diagnosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The SRS was implemented in Rio Grande City. We implemented a public service to promote the correct diagnosis, treatment and follow\u2010up of human sporotrichosis cases. To study the impact of implementing SRS, the annual number of cases and the period between the appearance of lesions until diagnosis were compared, using prior data and that post\u2010implementation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The implementation of the SRS directly benefited almost 50 patients in only four years, with the collaboration of almost 50% of the local health groups, together with an increase of more than 200% in diagnosis confirmation and speed of diagnosis, showing the reach, impact and importance of the SRS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The impact on the individual and collective health of the local population highlights the value of this public health approach in facing the epidemiological threat of zoonotic sporotrichosis.<\/jats:p><\/jats:sec>","DOI":"10.1111\/myc.13363","type":"journal-article","created":{"date-parts":[[2021,8,14]],"date-time":"2021-08-14T16:23:00Z","timestamp":1628958180000},"page":"30-34","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["CATastrophe: Response to the challenges of zoonotic sporotrichosis in southern Brazil"],"prefix":"10.1111","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7121-3861","authenticated-orcid":false,"given":"Vanice Rodrigues","family":"Poester","sequence":"first","affiliation":[{"name":"Programa de P\u00f3s Gradua\u00e7\u00e3o em Ci\u00eancias da Sa\u00fade Faculdade de Medicina (FAMED) Universidade Federal do Rio Grande (FURG) Rio Grande Brazil"},{"name":"Laborat\u00f3rio de Micologia FAMED FURG Rio Grande Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David A.","family":"Stevens","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases and Geographic Medicine Stanford University Medical School Stanford CA USA"},{"name":"California Institute for Medical Research San Jose CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rossana Patricia","family":"Basso","sequence":"additional","affiliation":[{"name":"Programa de P\u00f3s Gradua\u00e7\u00e3o em Ci\u00eancias da Sa\u00fade Faculdade de Medicina (FAMED) Universidade Federal do Rio Grande (FURG) Rio Grande Brazil"},{"name":"Laborat\u00f3rio de Micologia FAMED FURG Rio Grande Brazil"},{"name":"Hospital Universit\u00e1rio Dr. Miguel Riet Corr\u00eaa Jr. (HU\u2010FURG\/Empresa brasileira de servi\u00e7os hospitalares\u2014EBSERH) Rio Grande Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3538-5006","authenticated-orcid":false,"given":"L\u00edvia Silveira","family":"Munhoz","sequence":"additional","affiliation":[{"name":"Programa de P\u00f3s Gradua\u00e7\u00e3o em Ci\u00eancias da Sa\u00fade Faculdade de Medicina (FAMED) Universidade Federal do Rio Grande (FURG) Rio Grande Brazil"},{"name":"Laborat\u00f3rio de Micologia FAMED FURG Rio Grande Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariza","family":"Zanchi","sequence":"additional","affiliation":[{"name":"Hospital Universit\u00e1rio Dr. Miguel Riet Corr\u00eaa Jr. (HU\u2010FURG\/Empresa brasileira de servi\u00e7os hospitalares\u2014EBSERH) Rio Grande Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9309-5349","authenticated-orcid":false,"given":"J\u00e9ssica Louise","family":"Benelli","sequence":"additional","affiliation":[{"name":"Programa de P\u00f3s Gradua\u00e7\u00e3o em Ci\u00eancias da Sa\u00fade Faculdade de Medicina (FAMED) Universidade Federal do Rio Grande (FURG) Rio Grande Brazil"},{"name":"Laborat\u00f3rio de Micologia FAMED FURG Rio Grande Brazil"},{"name":"Hospital Universit\u00e1rio Dr. Miguel Riet Corr\u00eaa Jr. (HU\u2010FURG\/Empresa brasileira de servi\u00e7os hospitalares\u2014EBSERH) Rio Grande Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel Baracy","family":"Klafke","sequence":"additional","affiliation":[{"name":"Laborat\u00f3rio de Micologia FAMED FURG Rio Grande Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shirley","family":"Cardone","sequence":"additional","affiliation":[{"name":"Prefeitura Municipal de Rio Grande Rio Grande Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa Orzechowski","family":"Xavier","sequence":"additional","affiliation":[{"name":"Programa de P\u00f3s Gradua\u00e7\u00e3o em Ci\u00eancias da Sa\u00fade Faculdade de Medicina (FAMED) Universidade Federal do Rio Grande (FURG) Rio Grande Brazil"},{"name":"Laborat\u00f3rio de Micologia FAMED FURG Rio Grande Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,8,20]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/mmy\/myu062"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/myc.12414"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.3201\/eid2603.190803"},{"key":"e_1_2_8_5_1","first-page":"455","article-title":"Esporotricose: a evolu\u00e7\u00e3o e os desafios de uma epidemia","volume":"27","author":"Barros MBL","year":"2010","journal-title":"Rev Panam Salud 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